 |
Written by Dr. Manuela Vazquez, May 2023 Manuela Vazquez, MD has practiced as an OBGYN for over a decade in and around Orange County, CA for LA County and Kaiser Permanente. Dr. Vazquez specializes in both female reproductive health as well as gynecological health. As the founder of LaMaria – a GYN dryness skincare line, Dr. Vazquez celebrates advances in women’s’ healthcare. Learn more about Kaiser Permanente OBGYN here. |
Gestational Diabetes Mellitus (GDM) impacts 5% - 8.5% of pregnant women. It can occur in any pregnancy regardless of diet regimen and overall health. If left undiagnosed and uncontrolled, there are significant neonatal and maternal risks such as preterm birth, fetal anomalies, preeclampsia, macrosomia, and neonatal issues. To prevent complications associated with GDM, obstetricians, midwives, and doulas have a critical role in educating and screening patients.
Screening for gestational diabetes is usually performed between 24-28 weeks of pregnancy in women who have not been previously diagnosed with diabetes. To diagnose a patient, we evaluate blood glucose levels after the pancreas has been stressed by a very specific amount of anhydrous glucose. To screen for GDM, a patient will need to consume an approved diagnostic glucose beverage, also known as glucola. This is often provided by a healthcare provider or laboratory; patients are also allowed to purchase FDA Registered OTC glucose beverages. There are three different concentrations of glucola so it's important to consume the amount your provider prescribes. There are two distinct testing methods; a one-step approach, and the more common two-step approach. During the one-step approach, a 75-gram glucose beverage is administered. During the two step approach, a 50-gram and possibly a 100-gram glucose beverage are administered.
There are many brands of glucola around the world, some are premixed liquid and others are powder form, more commonly seen in Eastern Europe. Here in the United States, the validated brands currently available include Cardinal Health, Thermo Fischer, Azer and Fresh Test.
The glucose beverage and why it’s unique: Anhydrous glucose is metabolized differently than sucrose, fructose, maltose or other substances. Test results will vary greatly if there is an attempt to substitute a diagnostic glucose beverage with unvalidated food alternatives (ie. Jelly beans, Juice, etc.). This is due to the distinct metabolization of anhydrous glucose compared to other carbohydrates such as sucrose, fructose or maltose. In addition, factors such as fat, protein and fiber can also significantly effect how plasma blood glucose rises. Based on this information, following a physician’s protocol for gestational diabetes screening with a validated glucose beverage is essential.
As healthcare professionals, offering consultative support to our patients is crucial; especially for those women who 1) struggle to tolerate traditional glucose beverages, 2) have anxiety about the testing process, 3) suffer from allergies or 4) follow restrictive and non-gmo diets. In years past, there were no equivalent options that were free of additives until The Fresh Test™ became available a few years ago. With its organic ingredients, high tolerability and laboratory acceptance, it has become an extremely popular option. Numerous offices are now stocking the product because it’s eligible for reimbursement through HSAs, FSAs and the screening CPT Codes. Many physicians who have offered The Fresh Test have received stellar reviews from patients regarding their experience. The tolerability and ease of the test is a stark difference from years past when GDM Screening was often noted as a dreaded aspect of pregnancy care. As a practicing physician, I believe our patients deserve better than the antiquated testing that we have to offer and I support the development of better alternatives for the women we care for. Our patients are consistently educating themselves and asking for more natural and holistic options and it is our duty to have those options available for them.
Now, more than ever, pregnant women are more aware of environmental pollutants, toxic ingredients and nutrition labels. We, as providers, also need to be aware of the growing evidence linking exposure to certain toxins with health issues. For further information on this, please refer to the Reducing Prenatal Exposure to Toxic Environmental Agents printed in the 2021 ACOG Committee Opinion article, Number 832. As technology and products improve, it’s important to keep abreast of the growth in our field so we can provide the most up to date information when patients look to us for options.
As a practicing OBGYN, I am not paid by Fresh Test, but fully support advancements like this in womens’ healthcare.
– Manuela Vazquez, OBGYN & Jacqueline Berg, Founder
Comments (45 Responses)
Mona
Hi My name is Mona. I just want to share my experience with the world on how I got my love back and saved my marriage… I was married for 7 years with 4 kids and we lived happily until things started getting ugly and we had fights and arguments almost every time… it got worse at a point that he filed for divorce… I tried my best to make him change his mind & stay with me cause I loved him with all my heart and didn’t want to lose him but everything just didn’t work out… he moved out of the house and still went ahead to file for divorce… I pleaded and tried everything but still nothing worked. The breakthrough came when someone introduced me to this wonderful, great spell caster Dr Zuma, who eventually helped me out… I have never been a fan of things like this but just decided to try reluctantly cause I was desperate and left with no choice… He did special prayers and cast a love spell on him. Within 24hours he called me and was sorry for all the emotional trauma he had cost me, he moved back to the house and we continue to live happily, the kids are happy too and we are expecting our fourth child… I have introduced him to a lot of couples with relationship problems across the world and they have had good news… Just thought I should share my experience cause I strongly believe someone out there needs it… You can contact him on spiritualherbalisthealing@gmail.com
Mona
Hi My name is Mona. I just want to share my experience with the world on how I got my love back and saved my marriage… I was married for 7 years with 4 kids and we lived happily until things started getting ugly and we had fights and arguments almost every time… it got worse at a point that he filed for divorce… I tried my best to make him change his mind & stay with me cause I loved him with all my heart and didn’t want to lose him but everything just didn’t work out… he moved out of the house and still went ahead to file for divorce… I pleaded and tried everything but still nothing worked. The breakthrough came when someone introduced me to this wonderful, great spell caster Dr Zuma, who eventually helped me out… I have never been a fan of things like this but just decided to try reluctantly cause I was desperate and left with no choice… He did special prayers and cast a love spell on him. Within 24hours he called me and was sorry for all the emotional trauma he had cost me, he moved back to the house and we continue to live happily, the kids are happy too and we are expecting our fourth child… I have introduced him to a lot of couples with relationship problems across the world and they have had good news… Just thought I should share my experience cause I strongly believe someone out there needs it… You can contact him on spiritualherbalisthealing@gmail.com
janny
HOW DO I RECOVER MY LOST CRYPTO FROM A SCAMMER? CONTACT // CHRIS FRANKLY ASSETS RECOVERY HACKER
There is an expert hacker that can help you in recovering all the money lost to scammers online. CHRIS FRANKLY ASSETS RECOVERY HACKER It recently worked for me and I now have peace of mind after the huge recovery of all my lost funds. I’m truly grateful for their service and I recommend their service to everyone who needs to recover their stolen crypto funds. I will advise you to contact them with the details below.
Email:cfranklyassetrecovery@gmail.com whatsapp: +12494794844
Hailey Bradwell
RECOVER YOUR LOST CRYPTO ASSETS & IMPROVE YOUR CREDIT SCORE WITH ASORE HACK INTELLIGENCE. NO UPFRONT PAYMENT REQUIRED.
Asore Corp. is a team of Cyber Intelligence, Crypto Investigation, Asset Tracing and ethical hacking experts. Working together to form a private cyber and crypto intelligence group focused on providing results.
Using the latest Cyber Tools, Open Source Intelligence (OSINT), Human Intelligence (HUMINT), and cutting edge technology, we provide actionable intelligence to our clients.
WHY CHOOSE US?
– Expert Cyber Investigation Services —Our cyber investigators operate professionally and anonymously to crack all firewalls known to man.
– Cryptocurrency And Digital Asset Tracking — We are able to track the movement of different crypto currencies and assets. If the asset has been moved, we are able to follow it.
– Strategic Intelligence For Asset Recovery — The first step to recovery is locating recoverable assets. Our experienced team will be able to walk you through the process.
Schedule a mail session with our team of professionals today via – asorehackcorp (@) gmail (.) com to get started immediately.
BEWARE of FABRICATED reviews and testimonies endorsing tricksters, do not get scammed twice.
Disclaimer: Asore Corp. is not a law enforcement agency and not a law firm. Like all legitimate private investigators, we can guarantee specific results. We apply our expertise and resources to every case professionally and ethically.7
12 March, 2026
Mona
Hi My name is Mona. I just want to share my experience with the world on how I got my love back and saved my marriage… I was married for 7 years with 4 kids and we lived happily until things started getting ugly and we had fights and arguments almost every time… it got worse at a point that he filed for divorce… I tried my best to make him change his mind & stay with me cause I loved him with all my heart and didn’t want to lose him but everything just didn’t work out… he moved out of the house and still went ahead to file for divorce… I pleaded and tried everything but still nothing worked. The breakthrough came when someone introduced me to this wonderful, great spell caster Dr Zuma, who eventually helped me out… I have never been a fan of things like this but just decided to try reluctantly cause I was desperate and left with no choice… He did special prayers and cast a love spell on him. Within 24hours he called me and was sorry for all the emotional trauma he had cost me, he moved back to the house and we continue to live happily, the kids are happy too and we are expecting our fourth child… I have introduced him to a lot of couples with relationship problems across the world and they have had good news… Just thought I should share my experience cause I strongly believe someone out there needs it… You can contact him on spiritualherbalisthealing@gmail.com