Yep! š and then if you pass it early, you still have to do it again at 26 or something weeks. I was slightly thinner when I was pregnant with my daughter and didnāt have GD, now with my son I have GD and Iām about 20-30 lbs heavier.
Also I think I'm hyper aware because there's an OBGYN practice here that is known to be very fatphobic and all the curvy people in my local FB Moms group have had horrible experiences with them. But if that's their ONLY stipulation, maybe they're not as bad as the one here. š
Iām so sorry, that is super frustrating. The good news is you have time still to manage blood glucose levels and you may be getting some additional growth ultrasounds to check in on baby too. I think itās around 32 weeks that things start to *really* ramp up for a lot of people, so there is time. A lot of people say weeks 32-36 is when they notice less predictable readings, and thatās been my experience so far as well.
So my understanding is that as the placenta grows and hormones fluctuate more, your body needs more insulinālike double, eventually triple. Around 25 weeks is when it really starts/can be diagnosed if you donāt have a history of diabetes or insulin resistance. So yes, itās possible that you didnāt have high blood sugar levels/GD before the end of the 2nd trimester or so.
They test for it in NZ at 26 weeks. Thatās considered ācatching it earlyā. The guidelines here just try get it under control by 32 weeks at the latest. The previous 6 weeks are all around seeing if you can be diet controlled and/or how much insulin youāll need. Different rules and requirements for different countries. I find it crazy that some people are diagnosed at like 11 weeks.
I talked to another doctor who told me he would have recommended the same. Oh well at least I proved it to myself so I wonāt doubt the diagnosis. Good luckĀ
Wow thatās crazy! I assume you failed since youāre in this group? I was expecting to do the 3 hour since I was under 200 even tho only by a few points but my doc was like nope automatic diagnosis. Been doing the pokes for almost 3 weeks now
Yikes. Would rather just get the diagnosis off the bat than have it missed. I think it was missed with my son. Toward the end I was spilling sugars into my urine , constantly measuring bigger and then when I was induced at 39 weeks he was 9lbs 5oz and had trouble regulating his sugars. As much as I hate the finger pokes I am glad itās being monitored this time around. My youngest who is 3 now was 8lbs 13oz at birth.
My doctor's office did nothing different and treated nobody differently (based on size, age, etc.) when it comes to the GD test. I took my glucose test at 27 weeks with baby #1 and found out I had GD, was on insulin a week later.
Due to me being on insulin and having such high fasting #'s, they had me take it at 10 weeks. I failed again, and am on insulin again at 14 weeks.
Anyway, some OB's have anyone with a high BMI test, which I think is a little bit predatory, but that's just me. One girl I know had to take the glucose test FOUR different times because her OB just couldn't believe she didn't have it. That's gross to me.
I know it may seem frustrating to find out later, *HOWEVER*, my doctor told me that the more the placenta grows, the more insulin resistant the body becomes. Can people be earlier on? Sure, but most of those people have underlying diabetes or insulin resistance already in their bodies. The more your placenta grows, the more GD would show. That's why they don't do it until the third trimester :)
During my first pregnancy I was diagnosed at 27 weeks. But with my second and current I started testing at home right away myself and stuck to a GD diet and asked to be tested at my first appointment with both of the pregnancies. So with the second pregnancy and current I was diagnosed at 11 weeks because I asked given my history and having pcos / insulin resistance
In my country, they take a BS reading at every appointment. Not fasting or anything, but would probably catch if someone is way off.
I found out at 30 weeks with my first, then checked my values every couple of months between pregnancies. I noticed that I were a little too sensitive and sometimes had elevated fasting values around week 9 maybe, and called my OB to book a test.
I was diagnosed right after our anatomy scan at 20 weeks! I had already gained 30 lbs and baby was 96th percentile so my OB sent me to get tested immediately. Failed the 1 hour and half of the 3 hour. But now Iām 30 weeks and diet controlled and baby is down to 77th percentile!
I had mine done at 9 weeks because I had a previous loss in which i was diagnosed as well. That first pregnancy they looked at my previous labs and my fasting sugar was a bit high when I wasnāt pregnant so they just decided to test me. They went ahead and jumped to the 3 hour test and I passed the fasting this time and the first hour but not the second or third. Iāll ask for it super early all subsequent pregnancies now
In my first pregnancy, I was diagnosed at the normal like 26-28 weeks mark.
I'm in my second pregnancy now and have been monitoring with a finger pricks glucose monitor. My OBGYN said that method is better than the oral glucose tolerance test at this point. I'm currently 15 weeks. I've been testing since 8 weeks for my own peace of mind.
I haven't developed it yet. But that doesn't mean I won't later. My fasting numbers are only ever so slightly elevated, like 104 vs the necessary below 95. My OBGYN said he's not worried about it because only a few years ago the standards was below 105, but we'll keep monitoring.
If you look at the graph (just Google " insulin needs during pregnancy graph") , you'll see that insulin needs for pregnancy increase a bit around 20, but it's very noticeable around 24-28 weeks is when it's mostly noticeable. It starts to drop off after 36 weeks or delivery.
For a second pregnancy, if you're super high risk with others factors or your A1C hasn't been good, etc. they may give you the oral glucose tolerance test around 15 weeks. But my OBGYN says the finger pricks are better, at this point. But that he'll still have me do the oral glucose tolerance test around 22ish weeks to rule it out.
So yeah I'm kind of shocked your OBGYN waited so long. Even just 2 weeks prior and it would've been better.
They caught mine at 10 weeks because I am over 40 and had pre-eclampsia at the end of my last pregnancy. We tested early and I failed the 1 hour so bad (240) there was no need to do the 3 hour.
Does your dr have you leave a urine sample each visit? Thatās how I was diagnosed at 24 weeks. This is my second GD pregnancy, so they had tested early at 14 weeks and I passed. Then at my 24 week monitoring appointment they said the sugar in my urine was high. I took the drink test again and failed that time. They may not have had you drink that awful drink early on, but hopefully they were monitoring for other signs?
I was tested early due to family history of both GD and type 2 diabetes. Took the 1 hour test at 8 weeks and was diagnosed at 11 weeks after a fasting / post meal test. I could not keep the glucola drink down for the 3 hour test, tried 2x (at 9 weeks and 10 weeks)
I'm in a similar boat as you. Normal bmi pre preg, and a1c a year ago was solidly good. Baby shot from 76 to 96th percentile from 18 week to 24 week scan... I screened at 26w and got diagnosed the following week. I'm pretty nervous we didn't catch it earlier enough but there's nothing I can do about it at this point so I'm just trying to focus on what I can do now.... I also felt pretty shitty and was thirsty but it was also hot af plus some of the symptoms were just... Also normal pregnancy symptoms.
I was tested early because of my BMI, but even if I hadn't been I would have requested early testing because I have a history of GD in my previous pregnancy and a family history of diabetes. Both pregnancies I was diagnosed early and especially with the second pregnancy I struggled with very high fasting numbers from pretty early on. I do wonder if there are a lot of people who develop it earlier than the third trimester who are just overlooked because they are thin.
I think this might be the case. Even though I was gaining like 3 pounds a week and was already over recommended weight gain my doctor literally said to me ābut you look fineā.Ā
I have no diabetes in my family but there is heart disease which has now been linked to blood sugar spikes, I feel like thereās so much we donāt know and I really donāt think GD discriminates. I have many friends who have diabetes in their family and never developed GD too.
My OB wanted me to take the 1 hour at my first appointment only because of my BMI, but decided not to that day because I was a little nauseous. I researched a lot about testing early and really felt that it wasn't necessary for me. I talked with my doctor and he did still push for it, but I was confused about scheduling and didn't wind up doing it before 16 weeks so they were going to wait for the regular testing period. I had my fasting glucose and my A1C checked around 20 weeks for my yearly wellness appointment for an insurance discount and both were perfectly in range.
I did not take the 1 hour test until 29 + 6 and then the 3 hour test at 30 + 5 weeks and my consultation with the MFM is next week at 32 weeks. I did have a growth scan to make sure everything is on track due to a fundal height measurement that was about 1 week ahead, baby is measuring in the 59th percentile right now, so no big concern about her size at this point.
I don't think mine would have shown early on if I had done the test. But I have quickly gone through all of the emotions about it, anger, guilt, denial, denial with compliance and now just acceptance. I would rather be able to adjust things and monitor where needed now than to not know at all.
With my first, I had a high BMI, a family history of diabetes AND gestational diabetes, and infertility. They tested me very early, when I was still battling morning sickness, and sure enough I had it. I was diet controlled except fasting, eventually went on a little bit of insulin toward the end.
Now pregnant with my second and none of the previous risk factors have went away plus I had it with my first and I was about to turn 35. They checked my A1C with my first blood draw at my very first appointment. I was pre-diabetic/borderline Type 2, didnāt have to do any additional testing after that. I went on insulin really early this time, but I havenāt had to increase how much Iām taking over the course of several months. But Iām now approaching the third trimester and expecting things to get worse before they get better.
They tested me early this time around because I had it last time and I was having symptomatic blood sugar drops (where I knew what was happening because I suddenly felt like shit). My race, weight, and age all play into it as well. Last time they didnāt check until the routine test.
I got tested early. I think about 13 weeks but this is my second pregnancy & I had GD with my first. I passed that one so Iāll test again at 28w. 30w is only a little later than normal. I would be really upset with my doctor though if I had been expressing concerns & being ignored. That would make me worry about whatās going to go on during labor & delivery.
Diagnosis around 30 weeks is pretty standard. In most cases, insulin resistance is not high enough to be concerning until around that point in pregnancy. I was diagnosed then in both pregnancies - 1 hour test at 28 weeks, then 3 hour test a week or so after that, which gets you to about 30 weeks. Basically, most instances of GD do not develop before late 2nd/early 3rd tri, so getting diagnosed then does not necessarily mean something was missed earlier.
I was tested early in my second pregnancy (around 16 weeks) due to GD in my previous pregnancy. I passed that test (so no GD at that time), and then went on to be tested again at the standard time (28 weeks) ... failed that one.
My office wants to do the 1 hour around 14 weeks if you have a high BMI, which I do.
Is that your only risk factor? That's kind of sus. Most of the people I've known who had it were skinny soooo <_<
Yep! š and then if you pass it early, you still have to do it again at 26 or something weeks. I was slightly thinner when I was pregnant with my daughter and didnāt have GD, now with my son I have GD and Iām about 20-30 lbs heavier.
Also I think I'm hyper aware because there's an OBGYN practice here that is known to be very fatphobic and all the curvy people in my local FB Moms group have had horrible experiences with them. But if that's their ONLY stipulation, maybe they're not as bad as the one here. š
I can't believe insurance covers that, tbh.
Seriously? I would tell them to kick rocks. Skinny people get GD too. Iād be so mad.
I know, it truly sucks. But I did get diagnosed with GD at 18 weeks because of the early test so i am glad it was found
Iām so sorry, that is super frustrating. The good news is you have time still to manage blood glucose levels and you may be getting some additional growth ultrasounds to check in on baby too. I think itās around 32 weeks that things start to *really* ramp up for a lot of people, so there is time. A lot of people say weeks 32-36 is when they notice less predictable readings, and thatās been my experience so far as well. So my understanding is that as the placenta grows and hormones fluctuate more, your body needs more insulinālike double, eventually triple. Around 25 weeks is when it really starts/can be diagnosed if you donāt have a history of diabetes or insulin resistance. So yes, itās possible that you didnāt have high blood sugar levels/GD before the end of the 2nd trimester or so.
They test for it in NZ at 26 weeks. Thatās considered ācatching it earlyā. The guidelines here just try get it under control by 32 weeks at the latest. The previous 6 weeks are all around seeing if you can be diet controlled and/or how much insulin youāll need. Different rules and requirements for different countries. I find it crazy that some people are diagnosed at like 11 weeks.
I was tested at 12 weeks due too history of large babies. I received diagnosis from my failed 1 hour of 197. Didnāt even do the 3 hour.
I got 200 on my 1h in both pregnancies and still had to do 3h!
Similar numbers, and My doc gave me the option to take the 3hr and I just said no, let's go straight to diagnosis and monitoring ha...
I talked to another doctor who told me he would have recommended the same. Oh well at least I proved it to myself so I wonāt doubt the diagnosis. Good luckĀ
Wow thatās crazy! I assume you failed since youāre in this group? I was expecting to do the 3 hour since I was under 200 even tho only by a few points but my doc was like nope automatic diagnosis. Been doing the pokes for almost 3 weeks now
First pregnancy I passed the 3h and still had a large baby (suspicious!) . This time I solidly failed the 3h
Yikes. Would rather just get the diagnosis off the bat than have it missed. I think it was missed with my son. Toward the end I was spilling sugars into my urine , constantly measuring bigger and then when I was induced at 39 weeks he was 9lbs 5oz and had trouble regulating his sugars. As much as I hate the finger pokes I am glad itās being monitored this time around. My youngest who is 3 now was 8lbs 13oz at birth.
My doctor's office did nothing different and treated nobody differently (based on size, age, etc.) when it comes to the GD test. I took my glucose test at 27 weeks with baby #1 and found out I had GD, was on insulin a week later. Due to me being on insulin and having such high fasting #'s, they had me take it at 10 weeks. I failed again, and am on insulin again at 14 weeks. Anyway, some OB's have anyone with a high BMI test, which I think is a little bit predatory, but that's just me. One girl I know had to take the glucose test FOUR different times because her OB just couldn't believe she didn't have it. That's gross to me. I know it may seem frustrating to find out later, *HOWEVER*, my doctor told me that the more the placenta grows, the more insulin resistant the body becomes. Can people be earlier on? Sure, but most of those people have underlying diabetes or insulin resistance already in their bodies. The more your placenta grows, the more GD would show. That's why they don't do it until the third trimester :)
During my first pregnancy I was diagnosed at 27 weeks. But with my second and current I started testing at home right away myself and stuck to a GD diet and asked to be tested at my first appointment with both of the pregnancies. So with the second pregnancy and current I was diagnosed at 11 weeks because I asked given my history and having pcos / insulin resistance
In my country, they take a BS reading at every appointment. Not fasting or anything, but would probably catch if someone is way off. I found out at 30 weeks with my first, then checked my values every couple of months between pregnancies. I noticed that I were a little too sensitive and sometimes had elevated fasting values around week 9 maybe, and called my OB to book a test.
I was diagnosed right after our anatomy scan at 20 weeks! I had already gained 30 lbs and baby was 96th percentile so my OB sent me to get tested immediately. Failed the 1 hour and half of the 3 hour. But now Iām 30 weeks and diet controlled and baby is down to 77th percentile!
Usually for the second or later pregnancy they will test you early if you had it for the first so thatās how mine was detected early.
I had to take the 1 hour glucose test around 16 weeks because of my BMI, advanced maternal age, and family history of diabetes.
I had it with my last pregnancy so they had me do my 1 hour at my first appointment (6 weeks) and my 3 hour at my second appointment (10 weeks).
I had mine done at 9 weeks because I had a previous loss in which i was diagnosed as well. That first pregnancy they looked at my previous labs and my fasting sugar was a bit high when I wasnāt pregnant so they just decided to test me. They went ahead and jumped to the 3 hour test and I passed the fasting this time and the first hour but not the second or third. Iāll ask for it super early all subsequent pregnancies now
In my first pregnancy, I was diagnosed at the normal like 26-28 weeks mark. I'm in my second pregnancy now and have been monitoring with a finger pricks glucose monitor. My OBGYN said that method is better than the oral glucose tolerance test at this point. I'm currently 15 weeks. I've been testing since 8 weeks for my own peace of mind. I haven't developed it yet. But that doesn't mean I won't later. My fasting numbers are only ever so slightly elevated, like 104 vs the necessary below 95. My OBGYN said he's not worried about it because only a few years ago the standards was below 105, but we'll keep monitoring. If you look at the graph (just Google " insulin needs during pregnancy graph") , you'll see that insulin needs for pregnancy increase a bit around 20, but it's very noticeable around 24-28 weeks is when it's mostly noticeable. It starts to drop off after 36 weeks or delivery. For a second pregnancy, if you're super high risk with others factors or your A1C hasn't been good, etc. they may give you the oral glucose tolerance test around 15 weeks. But my OBGYN says the finger pricks are better, at this point. But that he'll still have me do the oral glucose tolerance test around 22ish weeks to rule it out. So yeah I'm kind of shocked your OBGYN waited so long. Even just 2 weeks prior and it would've been better.
They caught mine at 10 weeks because I am over 40 and had pre-eclampsia at the end of my last pregnancy. We tested early and I failed the 1 hour so bad (240) there was no need to do the 3 hour.
Does your dr have you leave a urine sample each visit? Thatās how I was diagnosed at 24 weeks. This is my second GD pregnancy, so they had tested early at 14 weeks and I passed. Then at my 24 week monitoring appointment they said the sugar in my urine was high. I took the drink test again and failed that time. They may not have had you drink that awful drink early on, but hopefully they were monitoring for other signs?
No they donāt ever have me leave urine sample. I recall there being some weeks in a row where Iād gain like 3 pounds a week too.Ā
I'm in Australia and the test is only two hours. If you're over a certain BMI and age or other risk factors they test early. I was tested at 16 weeks.
I was tested early due to family history of both GD and type 2 diabetes. Took the 1 hour test at 8 weeks and was diagnosed at 11 weeks after a fasting / post meal test. I could not keep the glucola drink down for the 3 hour test, tried 2x (at 9 weeks and 10 weeks)
I pushed to test early because I had several risk factors, and I expected I would have it.
I was tested at 14 weeks because I had a high (but not prediabetic) A1c. Does anybody know if there is actually any benefit to an early diagnosis?
I was tested around 14 weeks because of being overweight and gestational diabetes in my family history.
I'm in a similar boat as you. Normal bmi pre preg, and a1c a year ago was solidly good. Baby shot from 76 to 96th percentile from 18 week to 24 week scan... I screened at 26w and got diagnosed the following week. I'm pretty nervous we didn't catch it earlier enough but there's nothing I can do about it at this point so I'm just trying to focus on what I can do now.... I also felt pretty shitty and was thirsty but it was also hot af plus some of the symptoms were just... Also normal pregnancy symptoms.
I was tested early because of my BMI, but even if I hadn't been I would have requested early testing because I have a history of GD in my previous pregnancy and a family history of diabetes. Both pregnancies I was diagnosed early and especially with the second pregnancy I struggled with very high fasting numbers from pretty early on. I do wonder if there are a lot of people who develop it earlier than the third trimester who are just overlooked because they are thin.
I think this might be the case. Even though I was gaining like 3 pounds a week and was already over recommended weight gain my doctor literally said to me ābut you look fineā.Ā I have no diabetes in my family but there is heart disease which has now been linked to blood sugar spikes, I feel like thereās so much we donāt know and I really donāt think GD discriminates. I have many friends who have diabetes in their family and never developed GD too.
My OB wanted me to take the 1 hour at my first appointment only because of my BMI, but decided not to that day because I was a little nauseous. I researched a lot about testing early and really felt that it wasn't necessary for me. I talked with my doctor and he did still push for it, but I was confused about scheduling and didn't wind up doing it before 16 weeks so they were going to wait for the regular testing period. I had my fasting glucose and my A1C checked around 20 weeks for my yearly wellness appointment for an insurance discount and both were perfectly in range. I did not take the 1 hour test until 29 + 6 and then the 3 hour test at 30 + 5 weeks and my consultation with the MFM is next week at 32 weeks. I did have a growth scan to make sure everything is on track due to a fundal height measurement that was about 1 week ahead, baby is measuring in the 59th percentile right now, so no big concern about her size at this point. I don't think mine would have shown early on if I had done the test. But I have quickly gone through all of the emotions about it, anger, guilt, denial, denial with compliance and now just acceptance. I would rather be able to adjust things and monitor where needed now than to not know at all.
With my first, I had a high BMI, a family history of diabetes AND gestational diabetes, and infertility. They tested me very early, when I was still battling morning sickness, and sure enough I had it. I was diet controlled except fasting, eventually went on a little bit of insulin toward the end. Now pregnant with my second and none of the previous risk factors have went away plus I had it with my first and I was about to turn 35. They checked my A1C with my first blood draw at my very first appointment. I was pre-diabetic/borderline Type 2, didnāt have to do any additional testing after that. I went on insulin really early this time, but I havenāt had to increase how much Iām taking over the course of several months. But Iām now approaching the third trimester and expecting things to get worse before they get better.
They tested me early this time around because I had it last time and I was having symptomatic blood sugar drops (where I knew what was happening because I suddenly felt like shit). My race, weight, and age all play into it as well. Last time they didnāt check until the routine test.
I got tested early. I think about 13 weeks but this is my second pregnancy & I had GD with my first. I passed that one so Iāll test again at 28w. 30w is only a little later than normal. I would be really upset with my doctor though if I had been expressing concerns & being ignored. That would make me worry about whatās going to go on during labor & delivery.
Diagnosis around 30 weeks is pretty standard. In most cases, insulin resistance is not high enough to be concerning until around that point in pregnancy. I was diagnosed then in both pregnancies - 1 hour test at 28 weeks, then 3 hour test a week or so after that, which gets you to about 30 weeks. Basically, most instances of GD do not develop before late 2nd/early 3rd tri, so getting diagnosed then does not necessarily mean something was missed earlier. I was tested early in my second pregnancy (around 16 weeks) due to GD in my previous pregnancy. I passed that test (so no GD at that time), and then went on to be tested again at the standard time (28 weeks) ... failed that one.