Diabetes

Question
Posted by: Daleen | 2011/11/02

Q.

Gestational diabetes

Good day Dr.

My gynae has diagnosed me with gestational diabetes. I am 31, 33 weeks pregnant, and this morning my sugar level was 12.9.

I have also been for a GTT test.

Please let me know what is a " severe"  sugar reading - and when will the right time of the day be to test my sugar, i.e. before or after meals etc. I have a week to bring my levels down otherwise he is going to put me on insulin, should he not have done so already?

Your help is much appreciated.

Kind regards

Expert's Reply

A.

Diabetes expert

Dear Daleen,

With gestational diabetes, the aim is to get morning glucose levels below 6 and levels I hour after meals (i.e 1 hour after the first bite of food) to less than 8, and therefore I would suggest testing at these times. Certainly if you are unable to attain these levels, then insulin should be started after about 3 days.

Also remember that diabetes in pregnancy puts you at risk for diabetes later on, and therefore you must have glucose levels reassessed 3 months post delivery.

Dr May

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user comments

C.

Posted by: Diabetes expert | 2011/11/21

Dear Daleen,

With gestational diabetes, the aim is to get morning glucose levels below 6 and levels I hour after meals (i.e 1 hour after the first bite of food) to less than 8, and therefore I would suggest testing at these times. Certainly if you are unable to attain these levels, then insulin should be started after about 3 days.

Also remember that diabetes in pregnancy puts you at risk for diabetes later on, and therefore you must have glucose levels reassessed 3 months post delivery.

Dr May

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