Failed glucose test, Ketone in urine (pregnant)?

I am very concerned and could use some experience in all this. I went in on Wednesday for my 4 week appointment and had my glucose test (at 28 weeks, 5 days). I had gained a whopping 9 lbs and also for the first time, had some sugar detected in my urine. My doctor asked me if I had anything sweet the night before and I had had some cookies. She didn't seem too concerned, however, she was about the sudden weight gain and referred me to a dietician. I eat very healthy during the week and occasionally give in on the weekends (Chinese food, bacon egg %26amp; cheese on bagels).



I went into my doctor's office today because I believed I had developed a UTI so they checked my urine and found I did have "a little something there" as well as it was showing I was slightly dehydrated. The nurse said it's nothing i should be concerned about, but I drink water CONSTANTLY. When my doctor called me later on, she shared with me that I had traces of Ketone in my urine and I just failed the glucose test (had to get a 135 or lower, I got a 136).



I am not overweight in the least and have always been naturally skinny (on the lower end of average, bordering on an underweight BMI). My mother and I both have hypoglycemia but no history of diabetes. Not only am I terrified I have Gestational Diabetes (I don't want to have a C-section), but I've read up on Ketone in urine and studies have shown it can result in children with lower IQ's and various other developmental problems and/or delays. My doctor didn't seem too concerned and said as long as I get the 3 hour glucose test done within this month, that's fine. With all the things I've read up on Gestational Diabetes and Ketone levels, I'm terrified and very confused how this isn't considered more urgent. I mean, I would think drinking plenty of water and still being dehydrated is very bad for the baby and means she's not getting proper nutrients so something should be done quickly to fix that.



Sorry this is so long; I'm just really worried and confused. Any personal experiences or specific knowledge on this would be extremely helpful. Also, if you did have these problems while pregnant, did it affect your child's IQ and development? Was it still easy for you to lose weight after delivery?Failed glucose test, Ketone in urine (pregnant)?
If you are diagnosed with gestational diabetes your doctor will modify your diet and exercise. You should also be scheduiled to see a dietary specialist who will help you plan your menus in order to regulate your insulin levels and make sure your baby is safe. You may also be placed on medication but this depends on your tests and your doctor's recommendations.



To make sure the dietary adjustments and/or exercise are working properly for you, your blood sugar level may be tested regularly, before and/or two hours after meals, at your health care provider's office, or you may be taught to monitor your own blood sugar at home with a simple machine called a glucometer. Drinking water and still being dehydrated is a symptom of gestational diabetes.



If your blood sugar levels remain elevated despite a special diet, you may be asked to give yourself insulin injections. Few women with gestational diabetes (about 10%) have to use insulin, though. Pregnant women are not able to take pills to control blood sugar due to the potential effects on the fetus.



Depending on how well the diabetes is controlled and how your pregnancy is progressing, your health care provider may monitor your baby more closely during the last weeks or months before your due date with ultrasounds, non-stress testing, and/or fetal movements charting. If the baby appears to be growing very large, you may be given an ultrasound test to try to verify your baby's size. If you follow your doctor's instructions with diet, exercise and medication, if needed, your baby should be fine. My niece had the same problem and was diagnosed with gestational diabetes and her son is 18 now and in college with a scholarship. At the time, she gave herself daily insulin injections, followed a diet and walked everyday.



While most women with gestational diabetes are able to have a normal labor and vaginal delivery, some health care providers prefer to deliver the baby earlier than the due date or may even suggest a cesarean section if the baby becomes too large. This is an area of some controversy.



After delivery, your health care provider will check to make sure that your blood sugar levels have returned to normal. With maintaining diet and exercise you should have no problem returning to your original weight. You'll need to have this rechecked about six weeks after delivery, and then at least every three years after that and some recommend annually.



Try not to worry you'll be fine and so will your baby, just follow your doctor's instructions. Good luck to you.Failed glucose test, Ketone in urine (pregnant)?
I have diabetes, but I am feeling better and my Dr. was very happy with my last blood test. I have changed the way I eat, chicken is healthy in our view, but not if you are type B blood. Do some research, read "Eat Right 4 Your Blood Type" by Dr. Peter D'Adamo. If you can take the challenge it will change those test results and your life.Failed glucose test, Ketone in urine (pregnant)?
Glucose in the urine does not correlate well with blood glucose. I believe that you are correct that your glucose tolerance test should not be put off. I would have it done next week. If you have gestational diabetes and it is treated properly then your baby should be fine. I wish you and your growing family the very best of health and in all things may God bless. JR