PREGNANCY-BIRTH Messages for November, 2001: Re: Question about glucose test

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Re: Question about glucose test

From: Andrea (anonymous@obgyn.net)
Thu, 1 Nov 2001 09:15:34 -0600 (CST)

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At Wed, 31 Oct 2001, unknown wrote: >
>I went into my OB's office and had the one hour glucose test done with
>the little machine...they pricked my finger and put the little paper in
>the little, hand-held digital device. I passed my fasting, but flunked
>the one-hour after I drank the 50mg of glucose. So, I went in for my
>three-hour test the next day at the doctor's office. The same machine
>was used, and again I passed the fasting, but barely flunked two out of
>the following three. I was sent to a nutritionist.
>
>The RN went over all of the information about testing myself and gave me
>the identical machine that was used at the doctor's office for my own
>testing 4 times a day. When I told her that that was the same device
>used to diagnose me, she said she was appalled. She said I should have
>been sent to a lab and had my blood tested in a $100,000 machine, not
>that little thing. She said that little device was NOT approved for
>diagnostic purposes and since my levels were so borderline and fasting
>was normal, I may not even have G.D. (Btw, my glucose was 70, two and a
>half hours after I ate two bowls of Cinnamon Toast Crunch cereal and
>drank a cup of tea with lots of honey.)
>

I think I would have some "words" with your OB's office; I can't imagine what he's thinking. The RN you talked to is right. Your blood should have been sent to a lab, not checked on one of the little handheld things. There's a range of readings the little meters do: I can wash my hands, take the test, then take it again 2 or 3 minutes later and get a result that is either above or below the first result (although it's usually within 5 points or so). But still, when you are trying to diagnose GD, you want pinpoint accuracy, not a ballpark figure. Also, your 70 blood sugar level after eating sugary cereal and drinking sweet tea is great... maybe even a bit TOO great (might even be a bit low). I would *definitely* insist on a proper glucose test, with proper protocols followed.

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