Know your numbers!! I learned some stuff today that I thought I would share. I've heard of a lot of moms who were diagnosed with GD just based on the one hour test. ACOG does not recommend a diagnoses unless at least two of the thresholds from the 3-hour test were met or exceeded. Here is ACOG's current recommendation:
At this time, the Committee on Obstetric Practice continues to recommend the following:
1.All pregnant women should be screened for GDM, whether by patient history, clinical risk factors, or a 50-g, 1-hour loading test to determine blood glucose levels.
2.The diagnosis of GDM can be made based on the result of the 100-g, 3-hour oral glucose tolerance test, for which there is evidence that treatment improves outcome. Either the plasma or serum glucose level established by Carpenter and Coustan or the plasmalevel designated by the National Diabetes Data Group are appropriate to use (see Table 1). A positive diagnosis requires that two or more thresholds be met or exceeded.
3.Diagnosis of GDM based on the one-step screening and diagnosis test outlined in the International Association of Diabetes in Pregnancy Study Group guidelines is not recommended at this time because there is no evidence that diagnosis using these criteria leads to clinically significant improvements in maternal or newborn outcomes and it would lead to a significant increase in health care costs.
Here is the full ACOG Committee Opinion with a chart of the cut-off numbers: http://www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Obstetric_Practice/Screening_and_Diagnosis_of_Gestational_Diabetes_Mellitus.aspx
By the way, I PASSED!! No GD for me