Gestational diabetes is one of the most talked-about topics in pregnancy, and for good reason. Between 24 and 28 weeks, many women face the infamous glucose tolerance test (GTT). Yes, it’s that bright orange drink that raises concerns for artificial dyes, preservatives, and a sugar spike that may not reflect your normal diet!
As a pelvic health and orthopedic physical therapist with over a decade of experience, I’ve navigated this decision in multiple pregnancies. Each time, I made a choice that aligned with holistic pregnancy care and evidence-based science. Today, I’m sharing my experience, research-backed alternatives, and actionable tips so you can make an informed choice that supports both you and your baby.
EPISODE 30 | HOLISTICALLY WELL PODCAST: WHY I CHOSE A GLUCOSE MONITOR INSTEAD OF THE GLUCOLA TEST
Whether you learn best by listening or watching, there is something for you! You can catch the full conversation on the Holistically Well Podcast—available on all your favorite platforms!
🎧 Holistically Well Podcast on Apple | Episode 30
🎙️ Holistically Well Podcast on Spotify | Episode 30
💻 Holistically Well Podcast on YouTube | Episode 30
What is Gestational Diabetes and Why Screening Matters
Gestational diabetes mellitus (GDM) is a temporary form of insulin resistance that develops during pregnancy, usually in the second or third trimester. Placental hormones like human placental lactogen, progesterone, cortisol, and growth hormone can interfere with insulin, which normally moves glucose from your bloodstream into your cells for energy.
During pregnancy, insulin resistance ensures extra glucose stays in your blood to nourish your growing baby. The problem arises when your pancreas can’t produce enough insulin, leading to elevated blood sugar levels.
Uncontrolled gestational diabetes can increase risks for:
- Preeclampsia (high blood pressure and organ stress)
- Cesarean birth due to macrosomia (larger baby size)
- Type 2 diabetes later in life (up to 50% of women with GDM)
- Fatigue, frequent urination, and blood sugar crashes that impact mood and energy
The good news: Early detection allows you to manage GDM with balanced nutrition, movement, and blood sugar-stabilizing habits.
Effects on Baby
Gestational diabetes can also impact your baby, including:
- Macrosomia (high birth weight), which can increase birth complications
- Neonatal hypoglycemia (low blood sugar after birth)
- Long-term metabolic or weight regulation issues
Proper monitoring ensures both mother and baby have the best possible outcomes.
Traditional Glucose Tolerance Test vs. Holistic Alternatives
The standard approach is the one-hour glucose tolerance test with a 50-gram glucose drink, usually taken between 24–28 weeks. Many women hesitate due to:
- Artificial dyes (bright orange coloring)
- Preservatives and synthetic flavors
- High sugar spike not representative of normal diet
If this doesn’t sit well with you, you’re not alone! I’m so happy to share that there are three evidence-based holistic alternatives!
Curious about which gestational diabetes screening option aligns best with your health and pregnancy goals? Schedule a free consultation with the Holistically Well team and get personalized guidance on safe, evidence-based alternatives that honor both you and baby!
1. Ask for a Dye-Free Glucola Option
This is the simplest change you can request. Many hospitals carry a lemon-lime, clear alternative that removes artificial coloring while keeping the glucose content the same.
Tips:
- Advocate politely: mention the “lemon-lime” option
- Works in hospital-based settings with most lab providers
Ask your provider today if a dye-free glucose drink is available for your screening. Small requests can make a big difference!
2. Use the Fresh Test
The Fresh Test is a cleaner alternative available in 50g, 75g, or 100g packets. Ingredients are minimal!
- Organic glucose
- Crystallized lemon
- Mint
It’s supported by holistic OBs and midwives, and works the same way as the traditional glucose drink—lab draws after one hour—without unnecessary preservatives.
Learn more about ordering the Fresh Test for your next appointment HERE.
3. Finger-Prick or Continuous Glucose Monitoring
For a more personalized and real-time approach, consider daily glucose monitoring with:
- Finger-prick kits: Low-cost, easy to use, immediate results
- Continuous glucose monitors (CGM): Tracks patterns over days, more expensive
With this method, you monitor:
- Fasting glucose (goal: <90 mg/dL)
- Two hours post-meal (goal: <120 mg/dL)
This approach empowers you to track how your actual meals affect blood sugar, rather than a single high-dose snapshot from a glucose drink.
Supporting Holistic Blood Sugar Management
Whether you choose traditional or holistic testing, remember these strategies to support balanced glucose levels:
- Prioritize protein, fiber, and healthy fats at every meal
- Take post-meal walks to aid glucose metabolism
- Maintain adequate sleep and manage stress through breathing or grounding exercises
- Collaborate closely with your midwife or OB to interpret readings
Hundreds of women have already felt the difference expert guidance can make during pregnancy. If you’re ready for comprehensive pregnancy support as you navigate not only holistic gestational diabetes screening, but also a holistic approach to childbirth, then join our Holistically Well Pregnancy Program! You’re guaranteed personalized support with nutrition, movement, and stress regulation… so you can thrive throughout every trimester!
Key Takeaways
- Gestational diabetes screening is essential.
- You have options! Dye-free Glucola, Fresh Test, or finger-prick/CGM monitoring.
- Holistic monitoring empowers informed choices about your diet, lifestyle, and pregnancy care.
- Early detection plus nutrition, movement, and stress management leads to the best outcomes for you and your baby.
Remember, an informed choice is an empowered pregnancy! Advocate for yourself and personalize your testing approach to align with your holistic values.
DM me on Instagram @drkaylaborchers to share your gestational diabetes screening story and help other women feel confident in their choices!
