Gestational diabetes may be overdiagnosed

[BellyBelly]

But studies have shown that inducing GD mums for suspected macrosomia doesnt improve outcomes or reduce incidence of things like shoulder dystocia, only increase the rate of caesarean section.

[blondedoctor]

But studies have shown that inducing GD mums for suspected macrosomia doesnt improve outcomes or reduce incidence of things like shoulder dystocia, only increase the rate of caesarean section.

Exactly right - and thats part of the reason why my doc said that doesn't like inducing GD (or other) mums. Plus ultrasounds showing mocrosomia are notoriously wrong!

HotI - they refer to babies over 9 pounds as overweight. Funny because my generation (1970's kids) were often born at 10 pounds plus and don't believe there were any inherrent problems with that. We really have no idea whether GD played a part in that because they didn't fully test for it then; there was a 'sugar' test which sounds like a dipstick in urine type test, nowhere near as precise as the GTT used today, and obviously GD is very fashionable nowadays with the markers for it getting lower and lower, ostensibly to 'catch' more GD cases.

I am really in two minds about the whole thing. With DS1 I took it all as a bit of a joke, but I am taking it more seriously this time. I figure if I am already eating a no sugar, minimal bread, primarily vegan diet with no sweets except fruit, and I still get high BSL's...... then surely my pancreas isn't working like it needs to at this time. I am well aware of the commercialisation of the condition and that really bothers me as I then perversely tend to disregard a lot of the message. I just try and be objective, read a balance of various journal articles, and try not stress too much.

[forshelby]

The thought of a scheduled c/s because my baby 'might' be bigger than normal makes me so angry. I will be declining that! To me, that is not a medical indication for intervention. It's a 'just in case' slice n dice. No thanks.

I'm still in two minds about having the test or not. I find a lot of that information quoted very confusing.

[onthefly]

I thought macrosomic was over 4.5kg, so 10lb-ish.