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Glucose Test 
11th-Mar-2014 09:49 pm [glucose testing]
It's 9:45pm. At 7:30am, I start drinking the delicious juice for the glucose screening. I had one test earlier on in the pregnancy because my doctor wanted to do one early one because of my weight. He wants to repeat it now just in case, so tomorrow's the day. The first time they didn't tell me anything about changing what I eat. This time, she said some stuff but I forgot. I suppose I need to write this stuff down. I'm starving; can I eat a bowl of regular cereal? I had dinner early but I think thinking about not eating breakfast is making me go crazy atm. Sigh.

The one thing I hate about anything during pregnancy is the being told I can't eat. Labor with my son was terrible mainly because of the fact I was so hungry. I swear I don't typically overeat, but after his birth they tried to get away with giving me only crackers until the morning. I demanded pizza. And ate an entire large pizza on my own.

So, anyway, thanks for listening to me complain and... tell me the cereal won't hurt anything? =)
12th-Mar-2014 02:24 am (UTC)

is it the one hour or three?  my midwives don't do fasting for the one hour but I know some practices do.  but even for the the fasting it is usually from midnight to the morning.  you can already call your provider as well.

12th-Mar-2014 02:32 am (UTC)
It's the one hour. I'm not really sure why I have to do two one-hour tests... but eh. It is what it is.
I wish I could call but they're closed and they don't open until after I have to drink the juice. That seems like what I've been reading through google searches... not midnight yet? I'm going for it. lol
12th-Mar-2014 12:22 pm (UTC)
Some providers will say to fast at least 8 hours and some want you to fast a full 12 hours.
12th-Mar-2014 03:43 am (UTC)
My doctor told me I didn't have to fast (yay) but to eat a low carb breakfast, so I just had a hard boiled egg (and I passed). I think if you eat a bowl of cereal tonight but stayed away from carbs until after the test, you should be fine!
12th-Mar-2014 04:00 am (UTC)

let me know if you are up to a visit.  I can leave Anna B at home and come see you if you would like.  I have been thinking of you but did not want to intrude. xo

12th-Mar-2014 05:43 am (UTC)
Mine told me not to fast and I failed the one hour so I had to do the 3 hour (torture) and I passed that with no problem.
12th-Mar-2014 06:37 am (UTC)
Don't eat...especially cereal since is the most carb loaded meal out there.
12th-Mar-2014 06:39 am (UTC)
Just read the comments. If it's the one hour...i was told to eat a regular meal, wait one hour and then drink. Then i waited another hour and took test
12th-Mar-2014 11:54 pm (UTC)
She's talking about the night before though.
12th-Mar-2014 11:19 am (UTC)
Three pregnancies - never been told to fast at all. Always pass with really low numbers. The GD test is kind of silly though. No provider does it the same way and the cut offs are all over the place depending on your doctor. This pregnancy I was told up eat normally, though low carb, and I had grape juice and a banana instead of the glucose drunk. It was awesome.
12th-Mar-2014 12:20 pm (UTC)
IF they told you to fast, don't eat the cereal unless you want a false high number. Believe me, it isn't worth it...

But if they didn't tell you to fast, eat eggs (maybe with some meat and cheese) and one piece of whole grain toast.

Cereal will spike your blood sugar more than almost anything except maybe juice or soda. I would not be eating cereal before a glucose test.
12th-Mar-2014 12:33 pm (UTC)
Too late to give advice for the test - hope you pass! But I wanted to say in regards to the labor, there is absolutely no medical reason for you to not eat while you are in labor. You're working hard and if you're hungry, you should eat what you want. It may be a "policy" but I would try to make a plan with your OB ahead of time that you plan to snack during labor if you desire and have it in writing for the hospital staff to see. In any case, just eat. No one is going to snatch food out of your mouth!
12th-Mar-2014 12:39 pm (UTC)
If you have to have surgery you can't eat. I ended up in a c section where they had to put me under and intubate me...if i had eaten i could have vomited and choked.
12th-Mar-2014 01:16 pm (UTC)
This is a really common misconception. I'm mobile and don't have a link handy this second but I'm pretty sure this has never actually happened. Many many hospitals are now abandoning this policy to reflect actual evidence based medicine and allowing/encouraging laboring moms to eat/drink. My first was an unplanned c-section and I had eaten within a couple hours of his birth; no one worried about it. Also, think of it this way: if you were in a car accident and needed immediate surgery, no one would be trying to see if you had eaten anything for 6-8 hours beforehand before doing the surgery on you.
12th-Mar-2014 01:26 pm (UTC)
Did you have to be put under though? If you're staying awake through the surgery(like most c-sections) then it's fine to eat...but if you have to get put under/intubated it may cause issues. I'm not saying it's DEFINITELY going to happen but it's a liability and possibility.

I was awake for half of mine and felt the need to throw up, they said turn to the side. I didn't but then something went wrong and I had to go under...nothing happened but I also hadn't eaten for 14 hours.
12th-Mar-2014 02:38 pm (UTC)
Right, let me clarify that I'm not saying you should eat if you know you are having surgery or anything like that. Simply that restricting food/drink for ALL laboring women has been proven to have no benefits whatsoever and is an outdated medical practice. This is why many hospitals and OBs are now changing the outdated policies to reflect the research. However, there are still some who are behind the curve and are still restricting food.

The risks of needing an emergency section AND needing to be put under AND the aspiration are so incredibly low - again, I am really thinking that this is something that has never *actually* happened - do NOT outweigh the benefits of allowing/encouraging women to eat and drink freely during labor. Here's just one quick link:
12th-Mar-2014 02:41 pm (UTC)
Right, but labor is totally a toss up and you never know what's going to happen. Better safe than sorry.
12th-Mar-2014 02:50 pm (UTC)
The way my hospital MW explained it-

Its actually better to eat. Because if you aspirate food, its bad but its exponentially better than aspirating stomach acid.

And the numbers of women who aspirate vomit is like 1% of 1% of women who are put under general.
12th-Mar-2014 02:51 pm (UTC)
Hrm! Interesting...IDK I just didn't really need the food/drink as bad so I felt it's better safe than sorry. I was more distracted with the birthing :)
12th-Mar-2014 03:27 pm (UTC)
With my last L&D, I ate in early labor, was NOT hungry at all, had apple juice and strawberry milkshakes pushed on me by both midwife and doula to keep my energy up (because my previous labor was 32 hours) , and then promptly puked like a frat boy during rush week during pushing.

I KNOW it was *bad* when the L&D nurse said "i have been doing this for 20 years and have NEVER seen anyone puke like you did.

I still can't walk into a Panera and the smell of apple juice makes me queasy still. *shudder*
12th-Mar-2014 03:30 pm (UTC)
Lol wow! I ate a giant giant plate of spaghetti and laid down, within 15 minutes my water broke so i never got hungry. chips were my best friends but sometimes even those made me slightly nauseous but i never threw up :)
12th-Mar-2014 03:57 pm (UTC)
But what if "safe" has the effect of increasing the risk of needing a c-section in the first place?

It also may be safer to act as if a woman in labor has eaten within the past 8 hours unless there is good proof otherwise. Many will eat before coming to the hospital, and not be at the hospital a full 8 hours before needing the c-section. Some percentage is going to sneak food.

The hospital I used to work with actually served meals to women in labor.
13th-Mar-2014 05:02 pm (UTC)
It's true that it's a thing of liability and possibility/risk, but again, since all pregnant women count as not sober, they are all treated by the anesthesiologist as if they had eaten either way! (Husband is anesthesiologist.)

I strongly suspect that a large part of the fasting rule in hospitals comes from nurses wanting to avoid the inevitable clean-up of vomit, which can very well happen when one eats in early labour. It's a bit old-fashioned, like they used to give all women enemas or shave their pubic hairs, because, ew, stuff comes out or hairy stuff could be seen.
13th-Mar-2014 04:59 pm (UTC)
You're right about not eating prior to surgery, but pregnant women - even when they fast - always(!) count as not "sober" in the anesthesiologic way, because of the raised intrathoracal pressure, squished stomach (which would contain stomach acid if you didn't eat) and higher risk of regurgitation and subsequent aspiration.

With a planned c-section (where you won't actually labor/have contractions and everything is very calculated and planned), yes, it might make sense to not eat heaps beforehand. With anything emergent, they just to a fast crash intubation like with traffic accident victims etc. (who usually haven't adhered to the fasting rule of XY hours).

Edited at 2014-03-13 05:04 pm (UTC)
12th-Mar-2014 06:32 pm (UTC)
Thanks! I know this now, but I didn't when I had my son. Since they induced labor with him, I was on pitocin and talked into having an epidural, I did not know really if it would be harmful to eat or not. They said I shouldnt... and since I didn't have any food with me, no one would get me any until after it was over. Oh well. This time will definitely be different. I don't plan to go to the hospital until later on... and I'm hoping that helps a lot. My doctor won't take a birth plan but I do hope to talk to him about it beforehand. Thanks.
13th-Mar-2014 05:26 pm (UTC)
Oh god I had a 64 hour labor and I ate SO MANY COOKIES. JUST COOKIES, ONLY COOKIES. No one said anything, they just brought more cookies.
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