Control blood sugar in pregnancy

Control blood sugar in pregnancy

Diabetes is a condition that causes high levels of sugar in the blood. Some women have diabetes before they become pregnant. Others develop it only during pregnancy, a form called gestational diabetes. About 2-3% of pregnant women have problems with their blood sugar.

Hormones cause a normal rise in blood sugar in all pregnant women. You may develop diabetes in pregnancy if your body has trouble with this increase in blood sugar. You may need to start a special diet or even take insulin shots.

If you had diabetes before you became pregnant, it may be harder for you to control your sugar levels during pregnancy. You may need to change your insulin dosage.

If diabetes is not treated before and during pregnancy, these problems might occur:

  • The high sugar levels in your blood might cause the baby to get too big before birth. Very large babies tend to have more problems before and after birth.
  • The baby might have birth defects, such as problems with his or her heart, kidney, or spine.
  • You might have high blood pressure during the pregnancy (preeclampsia), which can cause problems for both you and the baby.
  • You might go into preterm labor (before 37 weeks of pregnancy), or the baby might need to be delivered early.
  • After delivery the baby may have low blood sugar problems (hypoglycemia).
  • After delivery the baby may have trouble breathing because the lungs are not fully developed.
  • The baby could die in the uterus before delivery.

If you have proper treatment before and during your pregnancy, there is a good chance you will deliver a healthy baby.

Insulin is a hormone produced by the pancreas. It helps your body change sugar to energy. Pregnancy hormones can change the way insulin works, so during pregnancy the pancreas needs to release more insulin than normal. Sometimes the pancreas cannot make enough insulin to control the sugar level and you become diabetic. After delivery the sugar level usually returns to normal and you are no longer diabetic.

No one knows why some people develop diabetes and others do not. It may be a problem you can inherit from your parents.

Many pregnant women do not notice any symptoms of diabetes. However, urine and blood tests may show that they have diabetes. Symptoms of diabetes include:

  • excessive thirst
  • weight loss
  • eating too much
  • urinating a lot
  • unexplained fatigue.

A woman who already has diabetes and becomes pregnant will notice that her diabetes is harder to control.

Many health care providers recommend that all pregnant women should be tested for diabetes. Women with the following histories or conditions are particularly at risk for developing diabetes during pregnancy and need to be tested:

  • a family history of diabetes
  • overweight, especially over 200 pounds
  • a previous baby that weighed more than 9 pounds (4000 grams) at birth
  • a previous baby born dead
  • a previous baby with birth defects
  • previous miscarriages
  • age over 35 years.

If you are at risk for developing diabetes, you will probably be screened for diabetes at your first prenatal visit and again later in the pregnancy. If you are not known to be at risk, you may be screened around the 24th to 28th week of pregnancy. The screening is done by having you drink a sugar drink. A sample of your blood is then taken 1 hour later.

If the result of the first test is not normal, your health care provider may order a 3-hour glucose tolerance test. For this test, a sample of your blood is taken soon after you get up in the morning, when you have not eaten anything since the night before. Then you drink a sugar drink, and your blood and urine are tested every hour for 3 hours.

If you develop diabetes during pregnancy, you may be able to control your blood sugar level by:

  • checking your blood sugar level at home (your health care provider will tell you how often you need to check it)
  • following a special diet
  • getting regular, moderate exercise, as recommended by your provider.

If you have gestational diabetes, you may also need to take anti-diabetes shots to control your sugar level In some situations, oral medications can be used to control diabetes in pregnancy. Ask your doctor which method is most appropriate for you.

If you are a diabetic planning to become pregnant, you should discuss preparing for pregnancy with your health care provider. It is very important to have good control of your blood sugar before you become pregnant. While you are pregnant you may need extra care such as:

  • more frequent checks of your blood sugar at home
  • a change in your diet
  • frequent changes in your insulin dosage
  • more frequent visits with your health care provider.

More ultrasound scans, electronic fetal monitoring, blood tests, and other tests such as amniocentesis may be done to check the health of your baby. With ultrasound, your health care provider can see if the baby is getting too big to deliver vaginally. He or she will also check for normal development of the baby. Electronic fetal monitoring checks the heartbeat and activity of your baby and contractions of your uterus.

Sometimes, patients with diabetes need to have their labor induced at or before the due date. If you have diabetes, ask your doctor whether he or she plans to induce your labor.

When you are in labor, your provider will watch your blood sugar closely and test it often. During labor you may need to have sugar water and insulin given IV (into your veins) to control your blood sugar level.

Most women who develop diabetes during pregnancy are not diabetic after the baby is born. The body’s need for insulin usually decreases after delivery because the balance of hormones returns to normal. However, you have a good chance of becoming diabetic later in your life. In fact, 15% to 20% of women who were diabetic during pregnancy become diabetic again within the first year after delivery. To decrease this risk of becoming diabetic, you may need to lose weight after the pregnancy. Also make sure your diet is healthy. Your health care provider will test your blood sugar level often.

If you were diabetic before pregnancy, you will probably return to your previous condition and treatment. However, complications of diabetes may worsen during pregnancy. If you did not have good control of your blood sugar before pregnancy, your baby has a higher risk of birth defects. Ask your health care provider about these risks.

If you became diabetic in one pregnancy, you are more likely to be diabetic in future pregnancies. You should be tested early for diabetes the next time you are pregnant.

  • Follow the diet, medication, and exercise program recommended by your health care provider.
  • Keep your blood sugar level under control. You may need to check your blood sugar level one or more times a day.
  • Always follow your prescribed treatment.
  • Keep all of your appointments with your health care provider.

Stay at a healthy weight. Beginning a pregnancy at a healthy weight puts less strain on your body. This takes long-range planning. "Crash diets" are always unwise, and any weight loss can be dangerous during pregnancy.

If you have diabetes not caused by pregnancy, you should keep your blood sugar in the normal range for 3 months before you become pregnant and continue this good control throughout the pregnancy. The critical time to prevent birth defects is the first 8 to 10 weeks of pregnancy. Many women do not even know they are pregnant at this early stage. If you have diabetes, you need to plan the pregnancy and discuss your health with your health care provider at every step along the way.

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How to Control Blood Sugar Level in Pregnancy

Whether you have diabetes before you become pregnant or you develop gestational diabetes, it is important to control your blood sugar levels during pregnancy. Working closely with your medical team, you should use proper diet and moderate exercise to help keep your blood sugar levels in check. If diet and exercise can’t bring your blood glucose levels under control on their own, your doctor may prescribe medication such as metformin or insulin injections.

Steps Edit

Method One of Three:

Eating a Nutritionally Balanced Diet Edit

Blood Sugar Levels During Pregnancy

Blood glucose control is one of the most important factors during pregnancy. Tight blood glucose control, helps to ensure the best chance of a successful pregnancy.

Diabetes control is important for people who have diabetes going into their pregnancy as well as people who develop diabetes during their pregnancy (gestational diabetes).

What is gestational diabetes?

It has been reported that on average 2% to 4% of women develop temporary diabetes also known as gestational diabetes.

This happens because they are unable to produce an increased amount of insulin to overcome the resistance levels.

In gestational diabetes there is not normally any show of external symptoms normally recognised as characteristic of the disease for example excessive thirst, tiredness and increased urination.

Blood sugar control during pregnancy

Good blood glucose control reduces the risks of complications developing for the mother and baby.

The target HbA1c for mothers before and during pregnancy is 6.1% (or 43 mmol/mol). [91]

People with diabetes before their pregnancy will be advised to keep excellent control of their blood sugar before and throughout the pregnancy.

The first eight weeks of the pregnancy are a critical period and so it is highly recommended that strong control is achieved prior to becoming pregnant wherever possible.

Mothers who develop gestational diabetes will be treated initially with diet and exercise but may be put onto oral hypoglycaemics (tablets) or insulin injections if blood sugar levels remain high.

Diabetes management

To help you to meet the challenging blood glucose targets, you will be expected to test your blood glucose before each meal and 1 hour after eating.

People taking insulin for their diabetes will also need to test before bed each night.

You will have blood tests performed at various intervals during your pregnancy to check your diabetes is under good control.

Diabetes can be present before pregnancy or may develop during pregnancy itself. If you develop diabetes during pregnancy, in most cases this will be a specific type of diabetes known as gestational diabetes.

Blood sugar levels are important for all mothers to be with diabetes –as well controlled blood glucose levels can significantly increase the likelihood of having a healthy baby. The NHS advises the target HbA1c for mothers before and during pregnancy is 43 mmol/mol (or 6.1%).

If you have diabetes prior to your pregnancy, the NHS advises achieving the target HbA1c before conceiving.

The target HbA1c target may require dedication to reach, but its important that you strive to achieve it. You might find that, Regular blood glucose testing, including before each meal and 1 hour after will help you to keep your blood glucose levels under control.

If blood glucose levels are higher than recommended, you may need to change your medication regime to help lower your sugar levels Your health team will provide you with advice for managing your blood glucose levels throughout your pregnancy.

Sometimes, The emphasis on achieving tight blood glucose control may bring on hypoglycemia, particularly amongst those using insulin. Your health team should ensure you know how best to spot and treat hypoglycemia.

You should expect to receive a high standard of care from your health team throughout your pregnancy and should have the opportunity to ask any questions you may have about achieving your health targets.

How does diabetes affect the baby?

There have been reports that diabetes during pregnancy brings increased chances of having a bigger babies and birth defects.

Infant mortality and birth defects

There is a slight increase in the risk of infant mortality or birth defects in baby’s of mother with diabetes than without, however preconception care can reduce this risk by ensuring the mother is as healthy as possible before and through out pregnancy.

In addition to this if a woman has diabetes before pregnancy, diabetes related complications can worsen; this includes things like hypertension, kidney disease, nerve damage and retinopathy which is a form of diabetic eye disease.

Excess insulin

The baby of a woman with diabetes often produces excess insulin in response to high blood glucose levels within the body of the mother.

In type 1 diabetes no significant extra insulin will be produced by your body so you may see your insulin requirements increased. Your health team should be able to advise with the best way to manage your diabetes.

At birth the baby’s blood glucose levels may be hypoglycemic; the blood glucose level is reduced as a result of the removal of the maternal glucose source.

This is detected by a heel stick blood test and can be restored to a normal level with either oral or intravenous glucose. In addition to this a further glucose tolerance test should be done at the six-week postnatal check in order to establish whether any further treatment needs to be considered.

Foetal Macrosomia

When a pregnant woman has an abnormally high level of blood glucose, the baby will naturally store excess glucose as body fat. For this reason, the baby will be larger than average upon reaching the gestation date.

This is a condition known as foetal macrosomia.

If a woman has gestational diabetes, there have been reports that 50% of these women will go on to develop type 2 diabetes within 10 to 15 years.

Risk factors for developing diabetes during pregnancy

There is an increased risk of diabetes during pregnancy if:

  • The woman is overweight
  • The woman is a smoker or around smokers more than average
  • The woman is older (over 30)
  • There is a family history of diabetes
  • The woman is from an ethnic minority
  • There is previous history of the birth of a large baby (more than 4.5 kg or 10lbs)

There is a routine antenatal test used to measure glucose levels in urine; however it has been noted it is relatively unreliable for diagnosing diabetes.

Therefore blood sugar levels are checked between 26 and 30 weeks of gestation. This is done of two separate occasions using one of two tests, either the fasting glucose test or the random glucose test. In addition to this if there are any abnormal results of these tests or there is a family history of diabetes, or a woman is regarded as obese she will be offered a glucose tolerance test.

Often with gestational diabetes, the woman is advised to take a number of steps to change their diet and exercise habits to ensure the best possible pregnancy.

It is reportedly advisable to increase participation in low-impact activities such as walking, swimming, yoga and pilates. In addition to this it is advisable to eat regular meals watching the amount of fat being eaten, remembering it is controlling the amount of fat not cutting it out of the diet completely.

Also reducing the amount of salt in the diet and ensuring that plenty of fruit and vegetables are included in the diet.

Control blood sugar in pregnancy

AVERAGE BLOOD SUGARS IN NORMAL PREGNANT WOMEN

Fasting: 70.9 ± 7.8 mg/dl (3.94 mmol/L ± .43)

One Hour Post Meal: 108.9 ± 12.9 mg/dl (6.05 ± .72 mmol/L)

Two Hours Post Meal: 99.3 ±10.2 mg/dl (5.52 ± .57 mmol/L )

Fasting: 79 mg/dl (4.4 mmol/L)

One Hour After Meals: 122 mg/dl (6.8 mmol/L)

Two Hours After Meals: 110 m/gdl (6.1 mmol/L)

The challenge during pregnancy, of course, is to lower blood sugar without going too low because hypos can also cause problems for the fetus. In addition, the solution that works so well for non-pregnant people–cutting way back on carbs–raises issues.

74 comments:

"abnormal blood sugars in pregnancy almost always point to the pre-existence of abnormal sugars in the non-pregnant state that were missed by your doctor"

I'm in Europe so perhaps that is why I am stumbling on this "2 hour reading only" criteria.

Lower is better, BUT, lowering sugars in a way that starts to feel like self-denial can backfire. For a while you'll be enthusiastic, but blood sugar control has to be for life, and if you are too stringent, you may end up burning out a couple years down the line and when that happens it is very easy to lose control.

Thanks Jenny, and thank you for all the info.

"Blood sugar control is particularly important in pregnancy because a fetus that is exposed to continually high blood sugars will experience significant changes in the way that its genes express which will affect its blood sugar metabolism for the rest of its life."

The best way to find out if you have abnormal blood sugar is to follow the instructions you'll find HERE.

I am concerned that your worries about the epigenetic effects of ketosis during gestation may be misplaced. Can you provide the citations for this, please? I have looked at the main site and have not been able to find them. Thanks.

The main data we have about starvation and its impact on diabetes in offspring is the WWII Dutch Famine study: http://www.ncbi.nlm.nih.gov/pubmed/9449872?dopt=Abstract.

"Even the most enthusiastic of the low carb diet doctors do not advise eating at ketogenic levels during pregnancy."

I am T1 and 27 weeks pregnant and normally agree with anybody recommending tight control; however in this case I have to say that these targets are neither realistic nor reasonable. It might be workable for GD patients who

are able to manage on diet/exercise. But it's not possible – and could even

be unsafe – for women using exogenous insulin.

realized that if I was under 7.8 at PP+1, I was guaranteed a hypo at PP+2 and then another hypo at PP+3.

article is arguing is too high) has been to watch my blood sugar like a

hawk for up to five hours after eating and catch hypos before they hit. This is only possible on the days when I work from home.

life-threatening, which is not good for either mum or baby. If PP+3/4/5 is 'normal', then PP+1 is abnormally high and PP+2 is high – but there is little chance of hypos.

work but I also have to balance risks. And based on my own personal experiences thus far, I have to say I am more afraid of the risks posed by trying to reach the blood sugar targets proposed in this article.

In my household, we have been eating very low-carb for nine years. We have not encountered any problems and certainly have seen no sign of T3 (BTW this is the first time I have heard that this is a problem associated with LCHF). My eleven year old son eats some carbs but no sugar. My two year old daughter has no taste for carbs which I think is because she is the product of a very low carb gestation. She is growing like a weed and is very precocious in every way.

I'm going to resist the temptation to debate Paleo here, as that isn't what my blog readers come here to discuss.

When you said T3, I thought you meant Type 3. Although we have had no problems with thyroid, I believe there is evidence that reducing carbs does result in lower thyroid output. There is a physiological explanation for that. A normal blood sugar represents about a teaspoon of glucose in the circulation. The body wants to keep that in a very tight range. When you eat a carb heavy meal, you create a "metabolic emergency" with the sudden influx of glucose. Your body responds by secreting insulin to push the glucose into the cells to be burned for energy, to convert excess glucose to fat in the liver and to push the fat into the fat cells where it is out of the way and won't interfere with the burning off of the glucose. In that scenario, increased T3 is useful in terms of increasing the rate at which the glucose is burned. Doing this on a chronic basis, in susceptible people, leads to burn out of the beta cells. I think that the thyroid burns out for the same reason. If you stop eating carbs, the thyroid responds by lowering T3 production. For some people, whose thyroid capacity has been damaged, T3 will go too low when the stimulus of high carbs is removed. It doesn't happen to everyone and it's not an indication that carbs are needed. It's just another indication that high-carb diets are not healthy.

I'd be the last person to argue for high carb diets.

I had a look at the link and I agree it is a sensible approach to getting blood sugar under control. The one concern I would have, though, is that raising carb intake to the threshold where blood sugar starts to rise may be problematic in the long run. Blood sugar may be normal but at the cost of continuing pancreatic beta cell burn out. Once somebody has been diagnosed with T2, they have lost about half their beta cell capacity. The approach they take from that point on should be to maximally preserve beta cells by not taxing them with the need to produce any more insulin than absolutely necessary. That means minimal carbs (I don't include non-starchy vegetables in that, btw). Beta cell preservation is also the rationale for introducing insulin early in the conventional management of T2.

I have not seen any research that convinces me that beta cells "burn out" just by secreting insulin. Instead, what seems to happen is that beta cells in people with Type 2 succumb to glucotoxicity because people with Type 2 are encouraged to maintain blood sugar levels that spend hours a day in the high 100s which is the range where glucotoxicity kicks in.

It is important to realize that the amount of carbohydrate is not an exact amount. The USDA allow the amount on the label to be within plus or minus 20%. So if it says 100 grams it could be anyplace between 80 g and 120 g. That's a big difference if you are taking insulin. Who measures any one package? Maybe a batch and who knows how often and probably only a calculation so there is lots of room for error. The only way you can know is to measure what it does to your blood glucose.

I agree with you if you stay away from all packaged foods you don't have to worry about any labels but if you read Bernsteins form and others it seems that a lot of readers have a biblical attitude towards them that is that they are exact and they need to understand that they are not exact but an estimation at best.

Jenny, I'm sorry that this question is off topic, but I'm not sure where else to ask it.

Chicken wings without a floury coating should have no impact on your blood sugar at all, but the fast food ones are usually full of flour. So that result doesn't make much sense. Did you repeat your meter readings to make sure it wasn't a bad strip?

Jenny, I apologize again for continuing this off-topic intrusion, but it's getting interesting to me. I have also been asking Seth Roberts (also off-topic on his blog) about my binges . I mean self-experiments here, with more details about my 200-point drop in blood sugars. My doctors would be shocked, but I'm going to repeat this experiment to check the results. Oh, and the chicken wings were plain, with no breading or anything else, except for being deep-fried in peanut oil. And, yeah, I know that this goes against all medical advice, but a 200-point drop im blood sugar is amazing to me.

Jim, If you can survive a 200 point drop in your blood sugar it is WAY too high, and you need to give up looking for magical solutions like this one and get the help you need–before you irreversibly damage your organs.

Jenny, I love your blog and I am also a fan of Dr. Js. You are both on the same side fighting the same fight. It was a great back and forth. Obviously Dr. J is a reader of yours. Please check out his web and the movie they shot of his work with 2 Indigenous Tribes in Canada. I am forwarding these comment threads to Dr. Bernstein and Dr. Ron Rosedale. They should enjoy them. Lastly Jenny, do you have any desire to present or attend the Ancestral Health Symposium in 2012? You are quite often mentioned in the Paleo blogosphere with regards to your brilliant work and breakdowns. With your anthro background, it would be fun to see you there.

"As an anthropologist what most fascinates me is the way in which ALL ways of eating take on religious overtones and spark cult behaviors in those who adopt them. This doesn't benefit any of us whose concern is the restoration of health!"

Jenny, Paul is an astrophysicist and an entrepreneur. He is not an MD. He gives reasons for why it should be 50gms, which are formed from his own experiences. But yes that is just a starting point.

I think 80 gms is about what is recommended in Life Without Bread book.

Ketones in the presence of normal blood sugars is a completely different condition from diabetic ketoacidosis which is what your endo is trying to treat.

Jenny, have you looked at The Barker Theory. It's on barkertheory.org. He has conducted studies for a long time. I recently saw a documentary he featured in, about some women in India, poor and underfed during pregnancy, and the incidence of their children ending up as thin T2s is very high. In fact, from what I know India has one of the highest rates of T2, yet not all are obese.

Sooz, No one has really investigated how far the the similarities go, metabolically, between ketogenic diets and starvation resulting in ketone formation, but I agree this is a concerning issue, and I would not recommend eating a ketogenic diet in pregnancy.

I know this post is several months old, but having just found out I have gestational diabetes a few weeks ago, I've been reading everything I find on the internet, and have read this several times. I did want to address something that Joyce mentioned about ketones. I'm new to GD, but I know that it is actually normal for pregnant women to have some ketones in their urine. Not all pregnant women do, but some do, and I'm not just referring to pregnant women with GDM, but sometimes there are low levels of ketones even in totally normal pregnancies. I haven't read why, but I have read several times that it's normal to have a little more than trace for some women.

Hi Jenny, just want to say I really appreciated this post. Some of the "normal" blood sugar charts out there are ridiculous. I've been testing my blood sugar with a family friend's meter (type 1, physician) because I was having hypoglycemic episodes at 24 weeks pregnant, and he was very concerned I had GDM. I haven't had the GTT yet, so I don't have a diagnosis there.

I'm 30 yrs old female, now I am pregnant 33 weeks,

My GTT is fasting 6.6 mgdl

After meal 2hr 7.7 mgdl

Then my scan report is my baby is bit heavy

And my family history is my mother have DM

Is it I high risk DM patient . I'm very confused now pls help me ,

Before pregnant my GTT was normal .

5.3 mmol/l (95 mg/dl) fasting, 5.7 (103) 1h and 5.1 (92) 2h postprandial.

I'm quite young, of normal weight and although I don't restrict carbohydrates, I'm on a relatively carb-conscious diet (would estimate having around 100-150g per day).

I'd like to comment on this post because this is a topic that really gets me: I wholeheartedly agree that a fetus' blood glucose environment likely has many implications for a child's health. And, like you point out, no one is willing to truly 'experiment' with pregnant human subjects. It is therefore very frustrating to me that there isn't there more intelligent thought and discussion on the topic.

thank you for your response earlier! My readings continued to be around 100 mg/dl for fasting glucose when I tested them. My antenatal clinic thought I didn't need extra surveillance and should only measure my values occasionally after the initial monitoring period. At ultrasounds and doctor appointments, I was told my baby seemed to be of normal size, which reassured me, and since I suspected having MODY2 (in which case the hyperglycaemia shouldn't be treated in case the foetus has the same mutation), I didn't follow a strict diet at all.

I know that a1c is not a reliable marker but from studies what seems to be the non diabetic average? How much does a1c increase during non diabetic pregnancy? Also the fasting and post meal numbers listed here do they apply just to everyday eating or the ogtt also ?

Holly, I'm not sure what the normal A1c is considered to be in pregnancy. Usually doctors just administer the ogtt and don't understand the impact of post-meal numbers, but I would assume that for pregnancy as in non-pregnant states the best results come from getting those numbers after meals, too.

while its good to know what normal is, i'm afraid you're off base with your suggestion of changing the "target" for pregnancy, which would mean medicating large numbers of women. to do this you need not only to know what "normal" is, but what level of abnormal is detrimental. you have not put forth any evidence that medicating women to acheive such levels will produce better outcomes at all, especially considering the very small difference in outcomes by pregnant women who are below the current treatment thresshold.

kisaria, It isn't "My" suggestion to change the target. It's the suggestion of those whose research I cited and of other experts who published commentary on that research.

What about Metformin during pregnancy—does it continue to be effective? I'm curious because as pregnancy progresses doesn't insulin resistance worsen?

Anna, I don't know the answer to that question. You would have to discuss Metformin with your OB/GYN. Years ago they took pregnant women off all meds except regular human insulin, which seems like good advice to me but I don't know what the practice standards are now.

addendum to last note: in addition to highly restrictive diets

Jenny, I just wanted to thank you for this blog. I was non-diabetic prior to pregnancy. I am now 14 weeks into my pregnancy. I wasn't feeling well one day so I went in to see my OBGYN. Since I was in there at 8 am and hadn't eaten anything she decided to see what my glucose was. She found it to be 135 mg/dl. She decided to schedule me for an OGTT the next day. My one hour was 183, 2 hour 171, and 3 hour 159. I don't remember what she said my fasting was. She's diagnosed me with GD and is treating me for it but wants to see me at a post delivery follow up for another OGTT, auntoantibodies check, c peptide levels, and a a1c reading. I'm not sure what she's looking for with those.

I am 27 week and today I had the OGTT. The results were a bit surprising: 90- fasting, 129 after 1 hour and 159 after 2 hours. To my understanding the value after 2 hours should normally be less than the value after 1 hour. Is that correct and if not could you give me any explanation? Thanks a lot in advance!

Galena, Mostly blood people will see higher sugars at I hour but not all. Blood sugar is very variable. Your liver may be dumping glucose for some reason–perhaps the physiological stress of the test. I wouldn't worry about it too much. Just see what the doctor suggests.

Thank you so much, Jenny! Yes, I will talk to my gynaecologist but he is not a specialist. To my understanding the glucose drink is something which should be absorbed very fast in the blood and the jump should be seen immediately, correct? As my mom has diabetes I asked her to measure my post meal sugar, 30 min, 1 h, 2 h. There was nothing like that, the numbers were declining, so for me this is a possible error. She checked me over 5 times. What do you think? Thank you so much again.

Thank you so much, Jenny! I will do so.

Have a great Sunday!

Now I'm 34 week pegnant lady. I done gtt test, there for the fasting blood suger I got 76.6 mg/dl. After 1st hour blood suger level is 230 mg/dl and after 2nd hour blood suger level is 216.00 mg/dl. Is that effected to my baby? Before 34 week I do not have this range. When doctor scans baby and tall she is ok. But I'm fear @ my blood suger. It will effect to my baby?

По материалам:

http://endocrinology-online.com/Content/For%20Patients/diabetes_in_pregnancy.htm

http://www.wikihow.com/Control-Blood-Sugar-Level-in-Pregnancy

http://www.diabetes.co.uk/diabetes_care/blood-sugar-levels-during-pregnancy.html

http://diabetesupdate.blogspot.ru/2011/10/normal-blood-sugars-in-pregnancy.html

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