Glucose tolerance test

I was due to have a GT test in a few weeks but it was cancelled about two weeks ago by the hospital as they’re happy with how my pregnancy is going and they’re not concerned — I had a call with a midwife today (one from the hospital that I’ve never seen or spoken to before) and she was being really pushing and kept telling me “well you’re at risk of having a stillbirth” because my bmi was over 30. Considering all those who are actually involved in my care aren’t concerned and were happy enough to cancel my upcoming appointment and scans, why did she feel like she had the right to try and scare me? What an arse. 🙄

Anyway, do I HAVE to do it? I never requested it in the first place and as I said, those involved in my care are happy with how things are going and baby’s growth etc.

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While the test is optional and you can absolutely refuse it, if it were me, I’d push to have it done. It is surprising and concerning to me that the people involved in your care are sort of brushing it off, especially because it is standard in prenatal care. Even if things are good and baby is growing (which is great!!!), gestational diabetes can impact baby and MOM.

Hi! Midwife here! Did you get any glucose tolerance test or anything similar (like controlling your glucose before and after meals for 2 weeks) earlier in your pregnancy? If not, I wouldn’t skip it. Not because of what the midwife said, she really shouldn’t have scared you, because having a BMI over 30 doesn’t mean you directly have gestational diabetes, but the risk of getting it is higher compared to other women.
I live and work in Spain, and here the protocol is very strict about that: every women gets the O’sullivan test between 24-28 weeks pregnant and women with BMI > 30, PCOS, age over 35 and some nationalities (with higher risk of GD) get an extra test at 10 weeks.
Only case I’d cancel that test would be for women with bariatric surgery because it’s dangerous and wouldn’t give us the results we want, or women with pre-gestational diabetes, because it’s no use.
I don’t know the protocols in your country, but that what I’d do as a spanish midwife ☺️
Hope that helps!

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