13 answers

Gestational diabetes....failed One Hour Test

Welp just got the news that I failed my 1 hour glucose test....my score was 165......Going to do 3 hour test, what happens if I fail that test? Will i be considered high risk? What happens? I'm waiting for doctor to call and schedule the next test....not looking forward to it

What can I do next?

Featured Answers

I failed my 1 hr test and the 3 hr test. My OB set up an appt with a dietician and received my glucometer. I was horrifed at first that I wasn't going to be able to eat anything at all. I follwed the nutritionist advice and kept to a strict schedule for eating. I was allowed 45-60 grams of carbs for meals and around 15 for snacks. I kept a food diary as well to see where and when my sugars were off.

I actually lost weight at first. There are all sorts of low carb pastas, breads, tortilla shells, etc out there. Just look or feel free to PM me and ask. I even allowed myself no sugar ice cream treats once in a while.

Good luck with the test!

1 mom found this helpful

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Take a deep breath. The really good news is that we live in America in the 21st century when doctors can test us for this stuff. If we need to, we can get medical care that will keep us and our babies healthy. Don't take this is awful news. Get the 3 hour test - see what comes out of it and go from there. The worse case scenario is that you have GD and you are able to monitor your glucose and keep your baby healthy. I have a good friend who had GD with her third child but not her first or second. Every pregnancy is different as is each child. The GD went away after her baby was born. But she was able to have a gorgeous healthy boy in spite of the GD.
You go mama - you've done what you needed to do to keep your baby healthy - keep doing it and you'll both thrive.

2 moms found this helpful

If you fail the 3 hr test you will be considered to have gestational diabetes. I had it with 3 out of 4 pregnancies. Wasn't until my last one that I wasn't able to control it with diet and exercise so don't fret too much. If you do fail they will most likely refer you to a nutritionist and endocrinologist (or ob that specializes.) Once the baby is born you are good to go but you are at a higher risk of developing diabetes later in life. All four of my babies were healthy and had normal births. Just take it seriously and follow dr's orders and you will be fine!

2 moms found this helpful

Don't get all stressed out over this. There is a pretty high rate of "failure" for the first test. I failed it with my first baby. The second 3 hour test was fine though. But it is a misery to take... sorry about that!

1 mom found this helpful

A lot of people fail the first test and pass the 3 hour one. I had to do the 3 hour one with both of my pregnancies. When pregnant with my son i failed the 3 hour one to and had to take a class to learn what to eat to moniter by blood sugar and had to prick my finger to test it 3 times a day for a couple weeks. I was not considered high risk but you do want to take it seriously. A lot of people go through this, and everthing turned out just fine. My labor and delivery went just fine and my baby was fine and my levels went back to normal afterward. With my second pregnancy i passed the 3 hour test but barely so i didnt have to do anything. I still watched what i ate though due to having it the first time around. Im sure all will be just fine, and i would not worry to much. Congrats on the baby!!

1 mom found this helpful

Every woman is different. They didn't tell me to fast and when I told the nurse (whe asked) that I had a glass of orange juice that morning she said "Oh we'll see you back here for the 3 hr test, for sure!" Guess what? I passed the original 1 hour test, even WITH the orange juice...at 39.
My boss had GD with both babies and with proper eating and exercise, it wasn't that huge of a deal.
Good luck!

1 mom found this helpful

I failed my 1 hr test and the 3 hr test. My OB set up an appt with a dietician and received my glucometer. I was horrifed at first that I wasn't going to be able to eat anything at all. I follwed the nutritionist advice and kept to a strict schedule for eating. I was allowed 45-60 grams of carbs for meals and around 15 for snacks. I kept a food diary as well to see where and when my sugars were off.

I actually lost weight at first. There are all sorts of low carb pastas, breads, tortilla shells, etc out there. Just look or feel free to PM me and ask. I even allowed myself no sugar ice cream treats once in a while.

Good luck with the test!

1 mom found this helpful

With my first two pregnancies, I failed the 1 hour glucose test, but passed the 3 hour with flying colors. With my 3rd pregnancy, I passed the 1 hour test.

Try to relax. GD isn't the end of the world - if that's the case. But really, you won't know until you take the 3 hour.

Good luck!

1 mom found this helpful

We are doing this now. We've had our GD diagnosis for about a month and it's super lame. We failed our 3 hour by just 3 points...I almost made them re-administer the test but when I started tracking my blood sugar I realized I could use the education in how my body works anyway.

I believe you are, in fact, considered high risk with a GD diagnosis. At least, with my first baby if I'd failed I would have had to stop seeing my midwife. (I passed the 3 hour that time.)

Now, with our second, I didn't pass. It's not fun at all, but ours is really well controlled just with diet and exercise. We saw an educator who helped me work out a meal plan (read: how many carbs + protein to eat at each 2-3 hour interval) and how often to test (4 times a day in our case). She recommended walking for 10-15 minutes after each big meal instead of doing one big session a day because that can actually spike your blood sugar. Go figure.

Depending on how strict your doctor is should you be gestationally diabetic, you'll need to stay under a certain blood sugar level or they might look at putting you on insulin. My doctor is pretty comfortable with my numbers and she doesn't freak out if I have a couple spikes, especially since I can almost always identify the source.

The hardest thing for me is the emotional side. I feel guilty that I "let my baby down" - even though my family is diabetic on both sides and this was probably just the way the cards fell more or less. I also get frustrated when my husband wants to go out because I have to do a lot of research before heading to the restaurant - but it CAN BE DONE. Really, though, I'm trying to focus on how much I'm learning about my body and the way it processes certain foods. For example, sugary foods don't really cause a spike but fatty ones (like peanut butter) I'm crazy sensitive to.

This information will help us stay on track after the baby is born (3w2d from today). And in almost all cases the diabetes goes away almost immediately after birth - I'm told.

Hopefully this helps, but I would say for now focus on passing your three hour. Many, many women do and there's a good chance you'll be in that group. Good luck!

1 mom found this helpful

If you fail the 3hr test, it means you have gestational diabetes. They will have you try to regulate your levels through dietary changes. You will have to check your levels approximately 4 times per day. If your dietary efforts are not successful, you may end up having to use insulin, especially later in your pregnancy. Typically, they may opt to induce your labor around 38-39 weeks. After delivery, they will check you and the baby. You may or may not develop diabetes after pregnancy.

I failed my 1 hour test w/ my son (they didn't tell me to fast before my test so I had just eaten...no wonder it was high). Passed the 3 hour test w/ flying colors. I failed my 1 hour test w/ my daughter as well. This time, I did develope GD. I went in labor with her at just over the 39 week mark (just before they were going to induce me). All was fine, we neither one have diabetes now and she was not overweight.

Stress makes it harder to control your numbers so please don't stress about this! It is normal.

1 mom found this helpful

Like the others I would suggest not freaking out yet. With my daughter I passed with my son I failed (the first test). I did have to do the 3 hour test and passed it with flying colors. There is a pretty high failure rate on the 1 hour so don't panic yet.

If you do fail the 3 hour test I still would not panic, medical science is amazing! With a little bit of monitoring and diet I think you will be fine :)

1 mom found this helpful

If you are found to have GD, it is imperative that you follow the dietary and exercise guidelines that will be given to you, to the letter. I was on insulin with my first pregnancy and ended up delivering 3 weeks early. I passed the glucose test when pregnant with my son, but am convinced I had GD with him too. He was also 3 weeks early, but weighed almost 10 lbs. and was hypoglycemic at birth. The GD disappeared after both pregnancies, but unfortunately I developed Type 2 diabetes years later and am now insulin dependent again. It is not a "given" that you will develop diabetes later in life, just a greater chance. My point is, that to minimize these chances even further, pay close attention to your own nutritional and exercise needs now and after the baby comes - make time to take care of yourself - good luck!

1 mom found this helpful

I failed the 1 hour test. And, since my mom, grandma, aunt, and 3 of my cousins all had GD while they were prego, I fully expected to fail the 3 hr test. I passed that one though, so that was good. IF you fail the 3 hour, your doctor will have you take a 'class' on how to manage your GD. Usually, you can handle it with your diet and exercize. If not, there is a medication you can take. You will be at a higher risk, yes... but with our advanced medicine now-a-days you shouldn't really have any problems. :)

1 mom found this helpful

ahh dont worry about it. i failed the one hr and then barely passed the 3 hr but my dr had me go ahead and see the dietician any way and i am glad that i did. she gave me a chart to go by with all kinds of foods and helped me develop eating plans to keep it in check. i would test the sugar in my urine with the test strips to keep it in check. i cut way back on carbs and other simple sugars. bring a book to read for the 3 hr test and double check the drink that they give you to make sure it isnt expired...they tried to give me one that had expired months before so i had to get another and it was not cold to drink...yuck

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