I had my 1 hr test 2 weeks ago. The nurse told me I didn't have to fast (not my Dr's regular nurse). But when the doc saw me he told me to fast. He said the official recommendations do not include fasting anymore, however, he has many more women fail the 1 hr test if they don't fast. He figures no one wants to spend 3 hrs being tested again, so he ALWAYS recommends fasting before the test (and therefore recommends coming into the lab ASAP in the morning to do the test). Our clinic/hospital allows you to come into the lab anytime between 7 am and 8 pm as long as the Dr's orders have been sent down to the lab. It is pretty nice.