Q&A: Glucose Tolerance and Screening Test Alternatives?

  • October 3, 2012 8:13 am

Question:

Hi Alexandra,

I’m entering my third trimester and know I am going to have to take my glucose test [for gestational diabetes screening] at my next OB visit. Is there any (organic?) alternative to that standard gross dyed orange drink loaded with high fructose corn syrup? I have been avoiding foods containing dyes and HFSC when pregnant and would prefer not to have to drink this stuff.

Best,

Holly

Answer:

Hi Holly,

First of all: congrats! And jinx. I’m outing myself here as I haven’t really been talking about this publicly, but I also just began my third trimester and dealt with this recently, so good timing.

If you’ve been avoiding dyes and HFCS for your whole pregnancy, one drink certainly won’t harm you and your baby, but I totally get where you’re coming from. That’s how I wound up in my doctor’s office eating 47 organic jelly beans at once. Oh the heart palpitations. But I’m getting ahead of myself.

The answer is yes, there are alternatives. The wild card is if your OB or midwife is willing to let you try them. Basically you need 50-grams of glucose for the test and there are any number of ways to get that into your body, wait the required hour, then take the blood test. I’ve read anecdotal stories about pancakes with syrup and orange juice doing the trick. Same goes for cinnamon rolls or other sugary treats.

I also found this study about jelly beans as an alternative to the beverage and shared it with my OB who was happy to let me eat them instead of drinking. Keep in mind that while the study says it takes 28 jelly beans, you need to look on the “nutrition” label on the back of the jelly bean brand you choose; the glucose level is different in different products. We did the math together and I wound up having to eat a whopping 47 of  the beans I bought for the purpose. Kind of gross and I would have preferred something else but I suspect it would be harder to measure out the exact grams of glucose in a pancake breakfast. I was so jazzed I left the office during my hour wait and did 5 errands before I came back for the blood draw.

While my OB was open and willing to let me swap where I was getting the glucose from, the nurse who took my blood did look at me like I had three heads when I mentioned I had eaten jelly beans instead of had the drink. Her bias didn’t phase me. I drank the glucose drink when I was pregnant with my daughter, now 6, and vowed never to do it again. I’m glad I didn’t have to.

I know people who are allergic to various food dyes and I think this is a great alternative for them, too.

Let me know how it goes.

Best,

Alexandra

Earth Week On The Today Show

  • April 18, 2012 11:56 am

Had a good time quizzing audience members on their eco-IQ today with Hoda and Kathie Lee.

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