1 hr & 3 hr Glucose tests --- curious

[aprilz81]

I did a 1 hour glucose test during IF testing and remember getting a little nauseous but was not considered insulin resistant.

Last week I did the 1 hour test again and got really nauseous but managed to not throw up and failed the test with a results of 189 (although they did take it 10 minutes early but I probably still would have failed).  They wanted it below 135.

I took the 3 hour today and thought I was in the clear when I didn't feel nauseous after 1 hour, but at 2 hours and 40 minutes after finishing the drink I got hot, then cold, then clammy skin then nauseous. I tried to breathe through it, fanned myself with a magazine and just kept trying to tell myself I just had to wait 20 more minutes.

It didn't work.  I didn't even make it to the bathroom before throwing up but fortunately I was able to keep it mostly contained to my hand before I reached the toilet.  

The tech noticed and at first said that I would have to come back and re-do the test (no thank you) and as I'm standing at the counter in tears and shaking from the nausea (not to mention lack of water and food for over 10 hours) I begged them to let me finish.  They called my doctor's office and they did the last blood draw with the warning that I might have to do it again.

I've looked but not found any real link, but does anyone know if there is a link between the nausea and failing the test, especially if you puke?  I've read that some women just don't tolerate the test well and it looks like I'm one of them.

I have four different risk factors (age, pre-pregnancy weight, PCOS and family history of diabetes) so chances are I failed.  I'm to the point where I am going to refuse a retest and just treat myself as a GD (testing, diet, etc.) if it gets me out of doing another glucose test.

[ellabee]

aprilz81 - yesterday I when I took it, I felt exactly like you described, but it was after I got home (probably 3hr and 20mins from finishing the drink). I was totally clammy, shaking, sweating, pounding heart, felt nauseous. I chalked it up to the rapid swing in blood sugar from fasting to suuuper high, to crashing. Luckily I was home and able to get some food in my system, but I totally felt awful at the time. Anyhoo, I didn't feel that way with the 1 hr (which I failed). So, no correlation for me.

[kleigh]

I'm no help here but lots of support. I hope you pass!

I was a little nauseous after the one hour but they allowed me to have a cup of water from the cooler after drinking the orange stuff and I passed, not sure how related any of that is.

ETA Oh I was also allowed to eat before I went, just had a Fage yogurt nothing heavy. So maybe that helped?

[callmeKD]

I've had GD with both of my pregnancies. Will they let you test your blood sugars for 4-5 days (without doing the drink)? It'll be more accurate to determine if you have it.

[thelittleredm]

Anecdote: I had almost no sick feelings the first time I took a 1hr GTT, passed. I was super sick feeling this go-round and still passed. That drink can make even the strongest of stomachs do cartwheels.

[aprilz81]

Oct 28, 2016 11:21:17 GMT -5 callmeKD said:

I've had GD with both of my pregnancies. Will they let you test your blood sugars for 4-5 days (without doing the drink)? It'll be more accurate to determine if you have it.

I'm not sure, but I'm going to ask.  My parents stopped by to bring me lunch today and I used my Dad's glucose meter to test my levels before I ate.  It was at 110, so well within normal for a non-fasting check.  They left before I could check it again at 1 or 2 hours after, but it was 3 hours after breakfast.  I know one number doesn't mean much, but at least this one reading was not high.

[callmeKD]

Oct 28, 2016 13:05:14 GMT -5 aprilz81 said:

Oct 28, 2016 11:21:17 GMT -5 callmeKD said:

I've had GD with both of my pregnancies. Will they let you test your blood sugars for 4-5 days (without doing the drink)? It'll be more accurate to determine if you have it.

I'm not sure, but I'm going to ask.  My parents stopped by to bring me lunch today and I used my Dad's glucose meter to test my levels before I ate.  It was at 110, so well within normal for a non-fasting check.  They left before I could check it again at 1 or 2 hours after, but it was 3 hours after breakfast.  I know one number doesn't mean much, but at least this one reading was not high.

my endocrinologist has me testing right when I wake up, one hour after the start of breakfast, lunch and dinner. he wants to see under 90 for the morning fasting number and then under 140 for 1 hour after meals. 

hopefully you can avoid drinking the heinous drink again. 

[aprilz81]

Oct 28, 2016 13:07:03 GMT -5 callmeKD said:

Oct 28, 2016 13:05:14 GMT -5 aprilz81 said:

I'm not sure, but I'm going to ask.  My parents stopped by to bring me lunch today and I used my Dad's glucose meter to test my levels before I ate.  It was at 110, so well within normal for a non-fasting check.  They left before I could check it again at 1 or 2 hours after, but it was 3 hours after breakfast.  I know one number doesn't mean much, but at least this one reading was not high.

my endocrinologist has me testing right when I wake up, one hour after the start of breakfast, lunch and dinner. he wants to see under 90 for the morning fasting number and then under 140 for 1 hour after meals. 

hopefully you can avoid drinking the heinous drink again. 

Do you have any insight as to why the GD numbers seems to be lower than "regular" diabetic numbers?  They like Dad's to be under 180 for anything other than fasting.  They don't even have to test him after meals, he just tests before he eats and then calculates how much insulin he needs based on the reading and what he is getting ready to eat.

[hpnegirl]

Oct 28, 2016 13:10:21 GMT -5 aprilz81 said:

Oct 28, 2016 13:07:03 GMT -5 callmeKD said:

my endocrinologist has me testing right when I wake up, one hour after the start of breakfast, lunch and dinner. he wants to see under 90 for the morning fasting number and then under 140 for 1 hour after meals. 

hopefully you can avoid drinking the heinous drink again. 

Do you have any insight as to why the GD numbers seems to be lower than "regular" diabetic numbers?  They like Dad's to be under 180 for anything other than fasting.  They don't even have to test him after meals, he just tests before he eats and then calculates how much insulin he needs based on the reading and what he is getting ready to eat.

Interesting. My grandfather is type 1 and they want his under 140 whenever possible if it's non-fasting. He also has issues with getting and keeping his A1C at an acceptable value so that may be why his numbers are lower, though.

He tests before and about an hour after every meal, insulin injections twice a day usually.

[hpnegirl]

I don't think vomiting has much to do with if you pass or not. It's a lot of sugar and some pregnant people can't stomach it well or at all.

The range for passing the one hour varies by lab/office. For DS1, it was 140 but others I knew had a 130 cut off.

Can you either test your sugars for a week or do one of the substitutes (jelly beans, candy bar, etc)? I'd ask about those being options if you need to redo

[callmeKD]

Oct 28, 2016 13:10:21 GMT -5 aprilz81 said:

Oct 28, 2016 13:07:03 GMT -5 callmeKD said:

my endocrinologist has me testing right when I wake up, one hour after the start of breakfast, lunch and dinner. he wants to see under 90 for the morning fasting number and then under 140 for 1 hour after meals. 

hopefully you can avoid drinking the heinous drink again. 

Do you have any insight as to why the GD numbers seems to be lower than "regular" diabetic numbers?  They like Dad's to be under 180 for anything other than fasting.  They don't even have to test him after meals, he just tests before he eats and then calculates how much insulin he needs based on the reading and what he is getting ready to eat.

I don't actually know, other than the guidelines set by the American College of Obstetricians and Gynecologists and doctors have some discretion with the range they use. But  I would imagine it's because the diabetes isn't only impacting the mother, but also the baby. 

[callmeKD]

another interesting tidbit - I failed my glucose tests with a score of 250+ (both times). my endo has thought that I was type 2 pre-pregnancy but my A1C comes back well within normal range. instead it's just this crazy thing my body does when I'm pregnant.