May 31st 2011 (25 weeks 4 days)
Hey Noah!
How’s life in the womb today? You are not being very active right now so I’m assuming that you are finally sleeping. It was a rough day today. We had to wake up early after fasting for 12 hours. We were still tired and everything but we do what we have to do. Once we got up we left for the hospital to redo the lovely glucose test. You remember that test, don’t you? So, this time around it was actually much better. We were more people (9) and Mommy felt super sick at the beginning (just like last time) but after 30-45 minutes we were good. I think that once the sugar actually goes through your system, you are fine. We had that huge rush of energy and we were feeling REALLY good. I mean, jumping around everywhere. We had to remain sitting down though, so we did that. So, Mommy will write to you later but for now she will explain to other people how our test went. Love you baby! Take care in there!!!
Now, for those who are curious as if why I did the 2 hour glucose test right away and the process of the test, here are some answers.
First, here, in Canada (not sure how it works outside the country), there are a few conditions that obliges you to take a glucose test. Here are some of them: diabetes in close relatives, being overweight, being over 25, if you already had gestational diabetes and a few other conditions. Being overweight and having both parents with type 2 diabetes, I had to undergo the 2 hour glucose test also called an Oral glucose tolerance test. So, technically, instead of starting off with the 1 hour glucose test that wouldn’t be as precise, we went straight away with the 2 hour test which is more demanding but that gives out more details on your sugar level. Glucose tests are usually done between 24-28 weeks of pregnancy (did mine at 25 weeks). Sometimes, women have to do more than one glucose test during pregnancy (earlier on if you’ve already had diabetes before (or if you’re high risk) or later on if your glucose test comes back positive).
In my specific case I was told to fast for 12 hours and not take any un-prescribed medication (vitamins…) but- ladies take my advice- if you have diclectin (nausea medication for pregnancy) TAKE IT! Even if you weren’t nauseous since week 18, TAKE IT!
The length of the test is 2 hours during which you get blood work done every hour (3 times in total). Here is more details about the process: you are part of a little group (5 people in my first group and 9 in my second) and you have to get blood work done before starting the test (blood work #1). The nurse will start by pricking your finger to find out your sugar level. At that point, being pregnant and fasting, it should be between 3.9- 5.5 mmol/L in Canada or 70 to 99 mg/dL in the USA. Then, another nurse will have blood work done (one tube).
Then, you return to the waiting room and wait for everyone to be done their test. Once that’s done, the nurse will bring the famous orange liquid that you have to drink (glucose intake). It’s 75mg of pure sugar and honestly, it’s not that bad. I might want to point out that I have a sweet tooth but from what I had heard, I was expecting this REALLY disgusting drink….Not really. I’m quite sure I can reproduce the taste of it actually. Take some Crush (pop) and open it. Leave it in the fridge for 24 hours and TADAM! So it tastes like flat orange liquor. You must drink that in 3-5 minutes. After drinking that, you can’t sleep (it will make the glucose intake take longer to digest) and you can’t walk around too much (it will false the results by increasing the time to digest.) The nurse will also tell you that during the day you should avoid drinking/ eating sugar (carbs, fruits, sweet veggies, sugar!) you should stick to proteins considering the lovely drink took 100% of the normal intake in sugar for a day. Then, you have to wait 1 hour. *if you do not feel good go tell the nurse RIGHT away.* Don’t wait for yourself to throw up or don’t let yourself get too sick. If you throw up, you will have to restart the test another day (and that TOTALLY sucks).
After an hour (counted from when you had the drink given to you), the nurse will call you to have some more blood work done (blood work #2) it’s one tube (usually). At that point, your sugar level should be less than 7.8 mmol/L or 140 mg/dL. It actually has to remain under that number until the end. Here is the thing: you won’t know on the spot. Only when you get your results.
Then, after another hour (total of two hours), you get your last blood work (blood work #3). After that, you are free to go! So that’s it for the test. By the end of this test, your level of sugar should be back to the pre-glucose level. So, in my case, when they pricked my finger, I was at 4.5 mmol/L (81 mg/dL), thus, after 2 hours, I should be around that level. If I am a bit higher it could be pre-diabetes and if above 7.8 mmol/L or 140 mg/dL it’s diabetes. In reality, if your level of diabetes when they prick your finger is 5.4 it’s not at all catastrophic. As long as it remains below 7.8mmol/L or 140 mg/dL at all time and that it comes back to 5.4 after. I hope that’s clear….
After doing the test almost twice (threw up during my first test) here is what I recommend:
- Eat a lot before the 12 hour fasting. Don’t stuff yourself but eat a little more than usual because 12 hours is a LONG time to go without eating. Last time I stopped eating 14 hours before the test and I was REALLY week. This time, I was fine.
- Drink tons of water during the evening before the test, during the night and before leaving for your test. If you are dehydrated you become dizzy which is pretty bad because your head starts spinning and you want to vomit.
- Bring a snack for right after the test. Although you might not feel hungry anymore, your body needs something to eat. I would suggest nuts or a yogurt. If you want, you can also stop at the cafeteria of the hospital or at a little store and grab something to eat.
- If you feel dizzy, ask the nurse to stay there a bit longer after you grab something to eat and if you’re still feeling dizzy, don’t drive!
Well, I think that’s it ladies. To summarize it all, don’t be afraid. It goes well quite fast after the first hour. It’s not the most pleasant thing I’ve done but I’ve had worse happening to me and I know it’s for my good and for Noah’s good. I will keep you updated on the results. Thanks for reading! And good luck on your tests.