Aviva Romm, family health practioner, herbalist, midwife, and MD, discusses the risks associated with gestation diabetes in this article. She discusses the need for pregnant mothers and practitoners to asses the mother's risk at developing GD and their nutrition and diet. But she posits that universal glucose testing may not be the best solution. The best take away here though is this...
"One thing that I know for sure is that you can’t be forced to have GDM testing, and nobody should bully or “guilt” you into it. Autonomy is one of the foundational principles of modern medicine – patients, including pregnant women, have the right to choose what is best for them. Bullying does happen to pregnant women too often in prenatal encounters. It is unacceptable. We all have the right to stop and consider tests and procedures on an individual basis; medicine would be a much better profession if more doctors did so!
So should you get the test? It really comes down to a practical and personal choice. If you are high risk for diabetes then yes, in my opinion, you should get tested, make the appropriate dietary adjustments, and track your progress with periodic home glucose testing."
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