Right around your 28th week of pregnancy, a simple finger stick in the office will help us to determine two things---your current hemoglobin and your blood sugar.
Your blood sugar will be tested one hour after you have eaten a 50 gram carb loaded meal. It should be within normal range. If it is not, don't panic. We will send you home with a glucometer and instructions on how to test yourself for several days. We will have you test yourself first thing in the morning (fasting) and then an hour after your meals for a couple of days and see how your body is handling your normal diet. If your glucose levels are within normal range then there is no problem. But if your levels are higher than normal, you will need to commit to eating a diabetic diet for the remainder of your pregnancy and achieving normal glucose ranges in order for us to continue to consider your pregnancy "low risk".
If you choose a morning appointment, here is a suggested breakfast menu which includes 50 grams of carbs:
- 4 ounces unsweetened juice (orange, grapefruit or apple)
- 2 eggs (scrambled, poached or boiled)
- 2 slices of whole wheat toast with butter
- 8 ounces low-fat milk (1-2%)
If you choose an afternoon appointment, you will need to eat (choose ONE):
- One 6" roast beef or turkey sub sandwich, unsweet tea,small bag of Lay's potato chips
- 2 cups of spaghetti and meat sauce, mixed salad greens and 2 Tablespoons of salad dressing, unsweet tea or water.
- 8 piece chicken nuggets from ChikFilA with small waffle fries, water or unsweet tea
- Bean burrito Fresco style-Taco Bell with unsweet drink
The final choice wouldn't be my favorite, because I prefer to see how your body is handling REAL FOOD, but as an alternative you can eat 28 Brock's jelly beans one hour before being tested. See the abstract concerning this protocol HERE
Please eat your 50 gram meal approximately one hour before your appointment!