SOOOOOOO MAD!!!! Another midwife "fail"

Discussion in 'Family Life - Stories, Pictures & Updates' started by anbhean, Jul 18, 2010.

  1. anbhean

    anbhean Chirping

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    So I recently took my prenatal glucose test (a non-fasting test) and according to my midwives' office, failed it miserably. So today I went and did the three hour test. On a hunch I asked for my results before I left and guess what I found out? According to all my lab results at the hospital, I've passed every glucose test INCLUDING the one hour non-fast I took Tuesday. By national standards I test normal. But apparently my midwives office is "fudging" their numbers (their required blood glucose numbers) by having them wwwaaayyyy lower that AMA, or national standards to, I believe, pretty much guarantee I (and other "chunky" mommies) flunk the tests!

    I know it sounds paranoid, but here's what they've told me so far. When I tested at 14 weeks (I'm heavier and my mom is diabetic-- so it was important to test early) and got an one hour non-fast result of 132, the midwives' nurse told me I "Just squeaked by" and "almost failed". But from everything I've read... a non-fast one hour under 200 is considered "normal". Even if I were being judged by fasting numbers, anything under 180 is considered normal. So right there, I was suspicious that there was an "agenda" concerning my blood sugar. After the 29 week one hour non-fast glucose test, my results were considerably higher... 176. Again, by national standards... I should have passed. According to the nurse however, I failed it because she needed it under 135!

    My three hour results on a fasting glucose tests were, fasting= 87 (less than 95 is considered normal), one hour= 177 (less than 180 is considered normal) and two hour=152 (less than 155 is considered normal). I haven't got my three hour yet, but will before calling the midwives office in the morning. But my gut tells me even though according to national, AMA and diabetic standards, not to mention the numbers given to me by the HOSPITAL... I passed-- I'm betting the nurse is going to tell me I failed and I need to see a nutritionist. I'm sorry but to me this smacks of a "teach the overweight mommies a lesson".

    I'm mad as hell, but as I said in previous posts, I don't have a lot of options on changing midwives. The only other clinic in town that takes my insurance is literally a scary, scary place that gets sued for malpractice almost yearly. But all the same, I am NOT letting this one slide. Any advice?
     
  2. MysticScorpio82

    MysticScorpio82 Songster

    May 2, 2009
    Maine, USA
    Wait for the call, if they tell you that you failed CALL THEM OUT! Tell them "Really? that is funny considering....." And explain all the information you learned! I did have gestational diabetes both times I was pregnant (no I am not chunky in my opinion) so I can tell you from experience that those numbers are indeed PASSING. You do NOT have diabetes.

    You have every right to be livid, I know I would be. I think you need to file a complaint to any and every board you can about your experiences, and the harrassment you have endured. This should be a happy time for you, not a living hell because "professionals" are being judgmental jerks.

    I hope things get better for you! [​IMG]
     
  3. Sonoran Silkies

    Sonoran Silkies Flock Mistress

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    Okay, so they said you failed and sent you in for more tests. All of which cost, and they probably get their portion. Your insurance is paying for these repeat tests that are unnecessary. That is insurance fraud.

    Call and speak to your insurance company. I know that it can be difficult to work with the people manning the phones, but if you call and say, I need to speak with a senior supervisor, I am concerned that my medical practicioner is commiting insurance fraud, it will CERTAINLY get their attention., and probably a rapid transfer to someone who is quite eager to listen to you. Insurance companies also often have medical staff to answer questions and provide medical information about specific conditions.

    Once you have finished telling them what has been going on, as well as the way you have been treated, ask if they have any other OBs or midwives that they will cover in your area. Do explain your concern about the other OB whose practice scares you. You may have to drive a bit further or pay a higher portion of the costs, but I would be really surprised if they are completely unwilling to work with you.
     
  4. Your practitioner should NEVER purposely stress you out, period.

    By harping on you when you are perfectly fine they are stressing you out.
    Not good for you, not good for the baby.

    I would want to know what their agenda is that makes it worth it to stress out mommies like this? Must be something pretty darn good if they're willing to risk their clients health. Perhaps there some kind of special program, grant, etc that they're trying to qualify for?

    Definitely worth asking about... not a clue who you would ask... other docs/midwives... would they answer a question like that? Maybe if they don't know who you are seeing so no risk of slander? I donno, but I'd want to know what they're up to.

    Oh, question... do they do their own lab work or is it sent off? If they're doing their own then maybe they are fudging the results for some reason ... program or somesuch that requires good 'grades' maybe? No clue... but at the same time they don't want you to get hurt by their fudging so they're telling you to watch out? Sheesh talk about paranoid... really sorry this is so hard on you. They're supposed to be making life easy so you can enjoy your pregnancy... not making you stress.

    [​IMG]
     
  5. ChooksChick

    ChooksChick BeakHouse's Mad Chicken Scientist

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    Larry, KS
    My Coop
    I'm probably not going to be popular in this, but I go with your midwife. I have a diabetic husband, mother, aunt, grandmother, am pre-diabetic myself, and founded a Diabetes Clinic for the uninsured in our town of 100K. I am passionate about diabetes and endocrine health. NO ONE should be above 140 an hour post-prandial (after eating) even if it was a hunk of wedding cake and half-gallon of ice cream.

    The beauty of our bodies when they work appropriately is that the system measures what we've eaten, then releases insulin and supportive hormones to manage the sugar that was in what we ate. The highest measurement in someone who is working correctly is not over 140, REGARDLESS of what was eaten, because their body is responding appropriately, and 120 is normal.

    If you were at anything above 140, you are getting microvascular and nerve damage, even if it's not a 'big deal.' This is all in the endocrinology guidelines, and in general, the AMA is considered 'old school' and BAD medicine by the ACE. If you read this whitepaper, any HbA1c that results in a reading of over 6% is indicative of someone who is suffering damage whether they know it or not.

    ACE Concensus

    I agree that you should be doing something further and be aware of what your body is supposed to be doing that it isn't right now, as well as how this can affect the baby and your own health. You should not have been as high as you were, bottom line, and it is not good for either of you.
     
  6. ChooksChick

    ChooksChick BeakHouse's Mad Chicken Scientist

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    ASK for...NO: DEMAND an HbA1c. This is a test that can see BEYOND A DOUBT what your average blood sugars have been and how your body has responded to food over a 9-12 week period. If no one has done this, they are ignorant. It's a cheap test- not over $50 before insurance.

    If your score is over a 6, you're past the top threshold of any standard for health. If you're under a 5.8, your response has corrected fast enough for you to be doing okay, even if you've had spikes. This would indicate the spikes are quick and relatively controlled. Over 6, you should be being cared for differently.

    One more edit.

    Look here to see a very common lab resource.
     
    Last edited: Jul 18, 2010
  7. breezy

    breezy Songster

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    Im diabetic and agree with Chookschick. The numbers that are considered normal or safe are right on target with what she said. An A1c test is imperative. Best Wishes and good luck
     
  8. oldchickenlady

    oldchickenlady Songster

    May 9, 2010
    Cabot, AR
    Just a thought here...are they testing you for regular diabetes or 'gestational' diabetes (get it while pregnant)? Ask a doctor what the differences are and are the normal ranges different before you assume anything. Talk to your midwife (not a nurse)...if you don't get answers that you are comfortable with, then find a good OB and ask him/her! Even if you have to go to another town! Also, ask for a hemoglobin A1c test. That is a test of your 'average' blood sugar level over an extended time, not just what is in your blood at that particular moment. Again...I highly recommend you find a good obstetrician to answer your questions. Oh and before you do, get copies of all your lab tests, blood pressure readings, urine tests, etc...anything the midwife has done since you started seeing her. Then he/she has info at hand concerning your situation. You may be perfectly fine staying with your midwife (if you are happy with her) or you could need more specialized care, depending on your situation (age, number of pregnancies, blood pressure, etc). Good luck and I hope your pregnancy goes well and your baby is born healthy as a horse!
     
  9. anbhean

    anbhean Chirping

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    Colorado
    You know, I don't totally disagree with you ChooksChick. My blood sugar is higher than I would like it to be and that is concerning. I let bad eating habits get away with me for a couple of months... and now I'm in a definite caution zone. I am not denying that. I've also had a huge amount of stress lately and that's also effecting (I believe) both my blood sugar and pressure. I've started major changes lately to get me thru these last two months and have returned to the healthier eating I was practicing in my first thru fifth months.

    That being said... medical professionals should be basing their testing requirements and their results on national standards. Not personal beliefs, or standards. As per national standards which have been determined, I'm assuming by the AMA, I am not currently under the gestational diabetic category and should not be treated as such. This does not mean that I do not think I should be concerned, or should consider my results "shining".

    If the midwife has much stricter standards than other medical providers, then she should have disclosed that before she claimed I "failed miserably" and given me the option of weighing in on whether or not the additional testing was advisable. Most likely, knowing me-- I would have agreed. But by treating me like an idiot, lying to me and not giving me any option to go into it with an educated view, that's where she went terribly wrong. And yes, I believe it is because she has a guilt based agenda meant to teach overweight moms a "lesson". I think this because she has acted this way all along. In fact, despite only gaining 11 lbs so far my entire pregnancy (I'm now 7 months), I STILL spend half of each visit being chewed out for my weight. This from the same midwife that ignores me when I tell her I have pretty intense pains and cervical cramping because she claims that it's impossible for my cervix to be thinning at my stage of pregnancy. Clearly, this isn't true since women have early babies and incompetent cervices every day. My point is, I am not being treated the same as her other mothers, and that's not ok. Anyway you look at it, it's midwife fail.
     
    Last edited: Jul 18, 2010
  10. ChooksChick

    ChooksChick BeakHouse's Mad Chicken Scientist

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    Quote:I think the problem is that there are multiple national standards, and the AMA hasn't changed theirs for decades, even though the specialists organizations that focus on diabetes and gestational diabetes HAVE changed their standards. It's like going to an old mechanic who follows an old manual for tune-ups, and thinks you need lead replacer in your car- not so much, right? It's been like that with cholesterol, with one organization after another upgrading their standards, until finally, the large group might agree to upgrade their guidelines...but in the medical community the standards don't change until the political climate of practitioners votes for it. It's really a horrible thing.

    I'm sorry you have a midwife with horrible bedside manners. You need someone who can convey info and concerns without making you feel inadequate or as if you are being convicted of something.

    -AND she should be checking your cervix physically for thinning by now. You should consider a visit with another midwife- this is no way to bring your baby into the world!
     

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