 |
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
52 comments
My testimony on how I became an illuminati member. My name is Leroy Smurk and am 46 years old, I’m from France I want to testify on how i joined the illuminati (N.W.O) to the people who desire to join the illuminati ,I was helped by the Great Illuminati (N.W.O) in regaining back my business position after been sacked for about 7 Months. I have been frustrated and troubled ever since I was sacked from the company where I work, called ‘ESA Deposit Insurance corporation’ as an agency executive. I have been hopeless, financially down for months. But one day, as I was browsing through the Internet, I came across the post of the Great Illuminati world society saying you can be famous, rich and successful in life by been a member of the great Illuminati, immediately I contact and explained everything to Richard Fred then he asked some questions and he guide me through the steps I provided some specific things for my Initiation, and also Richard Fred gave me all the guidelines and told me where to meet for the initiation and there I was initiated fully as a complete Illuminati member at first i had doubt about this but as i followed the steps along the way i was convinced. Surprisingly 48hours after i was initiated, I receive a call from the company that I have been accepted back again as the agency executive of the company this was after the surprised when the brotherhood offered me 600,000.00 USD a car and house with other things that has changed my life for good i will forever be grateful, be humble and respectful WhatsApp Mr Richard Fred on +2348138516093 or Email illuminatisociety579@gmail.com
Good day viewers, I wish to share my testimony with all of you. I have daily 9 to 5 jobs, but while I work, I try my luck at playing instant Lotto. On this particular day I decided to seek help online regarding tips for winning the lottery and I saw many individuals testifying about Priest Meduza spells. I reached out to him and informed him that I needed help to win the lottery and he clarified the process to me stating that after he casts the spell it will take 48 hours for him to provide me the winning numbers which I accepted. I followed all his instructions and he provided me with the numbers to enter the Lottery.. After the draw the following morning I received a notification on the Lottery app on my phone indicating that I was the lucky winner of $273 million on the New Jersey Lottery. I’m here to extend my heartfelt gratitude and praise to Priest Meduza. If you need help in your life, Whats_App +18077983042 or Email: lordmeduzatemple@hotmail.com or visit: lordmeduzatemple.com
Good day viewers, I wish to share my testimony with all of you. I have daily 9 to 5 jobs, but while I work, I try my luck at playing instant Lotto. On this particular day I decided to seek help online regarding tips for winning the lottery and I saw many individuals testifying about Priest Meduza spells. I reached out to him and informed him that I needed help to win the lottery and he clarified the process to me stating that after he casts the spell it will take 48 hours for him to provide me the winning numbers which I accepted. I followed all his instructions and he provided me with the numbers to enter the Lottery.. After the draw the following morning I received a notification on the Lottery app on my phone indicating that I was the lucky winner of $273 million on the New Jersey Lottery. I’m here to extend my heartfelt gratitude and praise to Priest Meduza. If you seek help in your life, Whats_App +18077983042 or Email: lordmeduzatemple@hotmail.com or visit: lordmeduzatemple.com
HOW I RECOVERED MY LOST CRYPTO FROM A FAKE ONLINE BROKER
I lost over $210,000 to someone I met online through a fake investment project. After realizing I had been scammed, I spent a long time researching possible ways to recover my funds.
During my search, I came across several testimonials about TREK Tech Corp. I decided to contact them and provided all the necessary information. To my surprise, their experts were able to locate and help recover my stolen funds within 27 hours.
I’m sharing this to help anyone who may be a victim of online investment scams or crypto fraud. If you’re looking for a recovery firm, you can reach out to TREK Tech Corp.
Contact details:
Email: trektechcorp1@gmail.com
Email: trektechcorp@consultant.com
Good day viewers, I wish to share my testimony with all of you. I have daily 9 to 5 jobs, but while I work, I try my luck at playing instant Lotto. On this particular day I decided to seek help online regarding tips for winning the lottery and I saw many individuals testifying about Priest Meduza spells. I reached out to him and informed him that I needed help to win the lottery and he clarified the process to me stating that after he casts the spell it will take 48 hours for him to provide me the winning numbers which I accepted. I followed all his instructions and he provided me with the numbers to enter the Lottery.. After the draw the following morning I received a notification on the Lottery app on my phone indicating that I was the lucky winner of $273 million on the New Jersey Lottery. I’m here to extend my heartfelt gratitude and praise to Priest Meduza. If you seek help in your life, Whats_App +18077983042 or Email: lordmeduzatemple@hotmail.com or visit: lordmeduzatemple.com