WOMENS-HEALTH Messages for May, 1997: Re: Yet another Gest. Diabetes Question

Re: Yet another Gest. Diabetes Question

From: Pam (anonymous@obgyn.net)
Thu, 29 May 1997 17:46:20 -0500 (CDT)

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Reply: Harvey S. Marchbein, M.D.: "Re: Yet another Gest. Diabetes Question"

At Tue, 27 May 1997, Harvey S. Marchbein, M.D. wrote: >
>At Tue, 27 May 1997, Pam wrote:
>>
>>Both my GCT and GTT results were slightly high.
>
>What do you mean by "slightly high"?

2 of the 4 results were about 10 points high. >
>>However, now I am
>>monitoring my glucose levels at home and all the results are in the
>>middle range of normal.
>
>That's great!
>
>>None have even approached the 120 level my
>>doctor has set as my upper limit. I am getting these results without
>>diet modofication - I am following Dr Brewer's diet in conjunction with
>>my Bradley childbirth training. My doctor is aware of my diet and seems
>>to be ok with it as long as my numbers stay low.
>
>Not familir with Dr. Brewer or his/her diet.
>
>>My question is, how likely is it that I actually have gestational
>>diabetes if my daily numbers are well within normal limits? Is it
>>possible to test positive on the glucola screens and not be diabetic?
>
>Abnormal 1 hr. leading to an abnormal 3hr. glucose tolerance test is
>indication of gestational diabetes. If, with adequate dietary changes,
>you have normal blood glucose levels, you've done your job well.
>"Positive glucola" is positive glucola and diabetes is diabetes, but
>gestational diabetes is usually a chemical (proven by blood tests alone
>as opposed to overt symptoms of diabetes) finding, soooo, if your tests
>were abnormal, you have gestational diabetes.

I am getting these results with absolutely no dietary changes. I was also given a blood test to measure how my body has handled sugar over the last 120 days (sorry, I forget the name of the test at the moment) and that came up normal as well. The doctors at the clinic seem to agree that I do not actually have gestational diabetes and that maybe the studies suggesting that the GCT and GTT tests are not the best predictors of GD may be right.

On a personal note, I might suggest reading about Dr Tom Brewer's research into diet and pregnancy. He has devoted the last 47 years to this topic. Clinics who follow women on his nutritional plan often find that sticking with his plan eliminates such problems as pre-eclampsia and edema. I have found it to be a nutritionally complete program and my doctors (who do not generally know much about it themselves) are absolutely thrilled with how well I am doing. I almost hesitate to suggest this, but you may find that your patients would benefit from this approach.

Thank you for your help. Pam >
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>OBGYN.net U.S. Representative, New York
>Great Neck, New York
>http://www.obgyn.net/states/bios/marchbein.htm
>http://www.obgyn.net/women/heroes/harveym.htm
>
>*Note: Opinions expressed here are for educational purpose only.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options.
>

--
Pam

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