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Tests for Gestational Diabetes

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Glucose screening and glucose tolerance test:babycenter:"My practitioner says I need a glucose screen. Why? You need to take a glucose screening test (also called a glucose challenge test) between 24 and 28 weeks of pregnancy to check for gestational diabetes, a high blood sugar condition that some women get during pregnancy. Like any screening test, this one is designed to cast a wide net and identify as many women as possible that may have a problem. A positive result doesn't mean that you have gestational diabetes; in fact, only about 15 percent of women who test positive on the glucose screen actually have this condition. To find out if you're one of them, you'll have to undergo a longer, more definitive exam called a glucose tolerance test"
http://www.babycenter.com/refcap/1483.html

What is self blood glucose monitoring?:nichd.nih.gov:"Once you are diagnosed as having gestational diabetes, you and your health care providers will want to know more about your day-to-day blood sugar levels. It is important to know how your exercise habits and eating patterns affect your blood sugars. Also, as your pregnancy progresses, the placenta will release more of the hormones that work against insulin. Testing your blood sugar level at important times during the day will help determine if proper diet and weight gain have kept blood sugar levels normal or if extra insulin is needed to help keep the fetus protected."
http://www.nichd.nih.gov/publications/pubs/gest2.htm

DIAGNOSING GESTATIONAL DIABETES:fhs.mcmaster.ca:"Women who have had a glucose value 7.8 mmol/L one hour after a 50 gram glucose challenge should have an oral glucose tolerance test done using 75 grams of glucose. Women who require this test should be advised to consume at least 150 grams of carbohydrate a day for 3 days prior to the test and must be fasting for at least 10-14 hours prior to beginning the test. If possible, all medications should be discontinued. The diagnostic test for gestational diabetes is the gestational diabetes oral glucose tolerance test (GDGTT). For this test a 75 gram glucose drink will be given after a fasting blood glucose has been taken. Blood samples will be taken one hour and two hours after the glucose has been consumed"
http://www.fhs.mcmaster.ca/hrlmp/service/news5300.htm

three-hour glucose test for gestational diabetes:Blue Ribbon Baby pages:"My doctor says I have to take a three-hour glucose test for gestational diabetes. I've known a lot of women who've had it, and I'm scared to take the test because I've seen what they go through when it's positive, poking themselves all the time and eating a special diet. I've also heard that the test is often wrong, and that scares me even more! What can I doTests for Gestational Diabetes"
http://www.blueribbonbaby.org/gd.shtml

Selective Screening for Gestational Diabetes Mellitus:JAMA:"The usual approach to detecting gestational diabetes mellitus is to screen all pregnant women by measuring their plasma glucose after a 50-g oral glucose load at 24 to 28 weeks' gestation. Women are referred for an oral glucose-tolerance test if the plasma glucose concentration one hour later is greater than or equal to 140 mg per deciliter (7.8 mmol per liter). We hypothesized that the efficiency of screening could be enhanced by considering women's risks of gestational diabetes on the basis of their clinical characteristics"
http://www.ama-assn.org/special/womh/library/scan/vol_4/no_6/naylor.htm

Once You are Pregnant: Testing:plus-size-pregnancy:"If you are already pregnant and are at strong risk of gd, it may be appropriate to have your blood sugar tested in both the first and second trimester. Normally, most women have their blood sugar tested between 24-28 weeks, when the placental hormones become strong enough to interfere with insulin sensitivity. However, women with very strong risk factors are often tested earlier in the pregnancy as well. Catching a more severe case of early-onset gd can help prevent a lot of problems later on for baby; it can be to your advantage to discover gd early, if it exists. Early testing for the first trimester, though not mandatory, is probably a sensible precaution for women at very strong risk of gd. For women not at as much risk, its value is much more debatable."
http://www.plus-size-pregnancy.org/gd/gd_prevention.htm#Once%20You%20are%20Pregnant:%20Testing

What is involved in getting tested?:nichd.nih.gov:"Tests for gestational diabetes have two parts. First, you drink about one full glass of a sugar drink. Then, after a certain amount of time, a doctor, nurse, or other healthcare worker takes a sample of your blood and tests the blood to see how much sugar is in it (called a blood sugar test). If the level of sugar in your blood is normal, then you probably don't have gestational diabetes."
http://www.nichd.nih.gov/publications/pubs/gest_diabetes.htm#Whatis

Gestational Diabetes Exams and Tests:behavemed.com:"Diagnosis of gestational diabetes is based on the results of a 2-stage oral glucose tolerance test. If the results of the 1st stage of the test show that a woman's blood sugar (glucose) level is higher than expected, the 2nd stage of the test is done. If the results of the 2nd stage show that a woman's blood glucose level is higher than expected, she is diagnosed as having gestational diabetes. Women at risk for gestational diabetes (see Early Detection below) are usually given the test between the 24th and 28th week of pregnancy. Women who have had gestational diabetes in a previous pregnancy may have the test done earlier in pregnancy. If gestational diabetes is diagnosed, tests are done during the pregnancy to monitor the fetus's size and condition. Tests include:"
http://www.behavemed.com/kbase/topic/major/hw197466/examtest.htm

Diabetes & Diagnostic Testing:diabetes.about.com:"The fructosamine test measures your blood sugar over a 2 to 3 week period (in comparison to the HbA1c, which measures control over an 8 to 12 week period). The fructosamine test is a measurement of glycated serum proteins, and may be used as a companion to HbA1c when you want to find out how blood glucose control has responded to treatment changes in a shorter time period. The Joslin Diabetes Center has a good overview of the test and its pros and cons."
http://diabetes.about.com/library/blqanda/blqandatests.htm

HOW IS GESTATIONAL DIABETES DIAGNOSED?:myhealth24:"The test used to diagnose gestational diabetes is a 3-hour glucose tolerance test. For this test the woman may be asked to follow a special diet for 3 days before the exam. For 10 to 14 hours before the test, the woman should not eat or drink anything but water. The test is usually performed first thing in the morning at either a doctor's office or laboratory. The 3-hour glucose tolerance test begins when a fasting blood glucose is drawn. Next, the woman will be given a liquid to drink that contains a high concentration of glucose. Blood glucose samples are then drawn every hour for 3 hours after the drink has been ingested."
http://www.myhealth24.com/pacificare/atoz/Gestational/diagnosis.html



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Last updated by Andrew Lopez, RN on Wednesday, September 29, 2010


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