Diabetes

Question
Posted by: Beryl | 2012/08/14

Q.

diabetics

there is no history of diabetes in the family my 32 year old son has just started insulin for type one diabetes and my 30 year old daugher who is 10 weeks pregnant looks like she has GD with a fasting sugar of 7.1. and wondering if this is just because of the pregnancy ,as in the first trimester is could be permanent thing.I what should fasting readings be in the morning?I am curious to know why two of my childrent should have this when there is not a family history. could it be Genetic?? their life styles are also so different.
many thanks

Expert's Reply

A.

Diabetes expert

Dear Beryl
Regarding your son with type 1 diabetes, there is often no family history of diabetes, and this type of diabetes is secondary to having a certain genetic makeup that puts a patient at risk along with an environmental trigger. Diabetes in pregnancy tends to happen in a patient who is predisposed to type 2 diabetes. The increased stress during pregnancy, secondary to pregnancy associated hormones causes glucose readings to go up, but then they revert back to the pre pregnancy state after delivery. Patients are, however, at increased risk for diabetes later on. Risk factors associated with pregnancy associated diabetes include: being overweight, family history of diabetes, polycystic ovarian syndrome, older age, and previously large baby >4.5kg. Target glucose levels in pregnancy are a fasting level of less than 5.5 and a 1 hour post meal(1 hour after first bite of food) level of less than 8.

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2
user comments

C.

Posted by: PAUL | 2012/08/31

WHAT IS THE EFFECT OF DIABETES IN THE POPULATION OF SOUTH AFRICA?

Reply to PAUL
Posted by: Diabetes Expert | 2012/08/15

Dear Beryl
Regarding your son with type 1 diabetes, there is often no family history of diabetes, and this type of diabetes is secondary to having a certain genetic makeup that puts a patient at risk along with an environmental trigger. Diabetes in pregnancy tends to happen in a patient who is predisposed to type 2 diabetes. The increased stress during pregnancy, secondary to pregnancy associated hormones causes glucose readings to go up, but then they revert back to the pre pregnancy state after delivery. Patients are, however, at increased risk for diabetes later on. Risk factors associated with pregnancy associated diabetes include: being overweight, family history of diabetes, polycystic ovarian syndrome, older age, and previously large baby >4.5kg. Target glucose levels in pregnancy are a fasting level of less than 5.5 and a 1 hour post meal(1 hour after first bite of food) level of less than 8.

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