Glucose tolerance testing with pregnancy QUESTION

[Ms. lynn 5]

Hello, I was wondering if any of you have had to take the glucose tolerance test after gastric bypass and what wAs the outcome? I'm 3 years post op and 22 weeks pregnant with my third son. First pregnancy after gastric bypass..my doctor seems to think I'll be ok to drink that stuff even after I told her I probably won't be able to without getting dumping..and I don't see how the results will come out correctly...she wants me to go take the test since she found Protein and sugar in my urine at my last appointment a couple days ago..but I'm wondering if there are any other ways to test besides having to drink that bottle of sugar!! (That's what I call it lol)

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[CRMHYPO65 4]

Your probably right about that.

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[smeairs 2]

My OB said he does a different test for his gastric bypass patients. He said there's no way his gastric bypass patients could tolerate the standard glucose test. I believe he said I would be sent home with a glucose meter to monitor my levels for one week & that would be sufficient. I've also heard dr's using jelly Beans instead of the glucose drink, though I can't tolerate sugar in general, so I'd prefer not to experiment with jelly Beans. Ask your Dr about home monitoring with a glucose meter.

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[goodnuff 239]

Yes, I'd think they could do a hemoglobin A1C- "The A1C test result reflects your average blood sugar level for the past two to three months."

[Ms. lynn 5]

Yes, I talked to my doctor and she said she ordered the hemoglobin a1c test as well as the other "just in case" I couldn't drink the drink...whatever that means

[goodnuff 239]

I'd start with the A1C. If it's elevated you could start with treatment by diet changes and start testing your blood sugars as recommended by your healthcare provider. Typically if your blood sugars remain high with diet changes the first step would be oral medication and if that doesn't work then insulin. I've worked in OB for 19 years as a labor nurse and most recently (super recent, just two months) in Maternal Fetal Medicine where we create treatment plans for both Type 1 and gestational diabetes. Keep us posted, I'm interested to know how another doctor handles this.

[xmeridith 7]

My doctor won't do the glucose drink test on rny patients. I'm only 16 weeks. Don't know what the alternative is yet.

[BlueBongo 52]

My OBGYN hasn't had many patients with gastric bypass, and I asked about that fizzy drink for that test. I am supposed to do that next week, but I think I will pass on that test.... that was my first question, "Is that drink carbonated?"... lol.

I'm just over 8 months post-op and found out I was 6 weeks pregnant. So far, so good. Minus the fact I am considered high risk for both my age and being post-op.