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Postprandial blood sugars are slightly elevated during pregnancy. Anything serious? - Online Doctor Chats

Date : 05-Jun-2013
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1565 Questions
User:Hi Doctor
Doctor:How can I help you?
User:Good Evening Dr. XXXXXXX
Doctor:Good evening.
User:actually my wife is pregnent
User:8 months over now
User:today i have done a scanning
User:the doctor was saying the sugar level is high
User:in the report it is mentioned that PLBS is 146.5 mg/dl
User:what does that mean?
Doctor:I presume you mean PPBS (post prandial blood sugars).
Doctor:The normal values of PPBS is under 140mg/dl.
User:yes may be
User:oh ok
Doctor:It looks like she has mild sugar.
User:is there any risk?
Doctor:If the fasting blood sugars are normal, she can bring in some diet changes to reduce the sugars.
Doctor:Uncontrolled sugars during diabetes can cause some problems,
User:what kind of diet changes?
Doctor:but in your wife case, the sugars are not much elevated, so I do not foresee any problems.
Doctor:Any thing which has high calories need to be restricted.
User:so what will you suggest her for diet change?
Doctor:Her daily food should not contain more than one serving of rice.
User:fruits can be taken?
Doctor:Let her take plenty of green leavy vegetables.
Doctor:Avoid some fruits such as papaya, seethaphal, watermelon, grapes.
Doctor:Not more than one banana per day.
Doctor:If she likes oranges, not more than one per day.
User: XXXXXXX grapes and pineapple etc?
Doctor:In addition to these, avoid any drinks with sugar.
Doctor:Apples and pine apples are ok, restrict grapes.
Doctor:In addition to these diet changes, discuss with her gynecologist if further testing such as Hba1c and glucose tolerance test is required.
Doctor:Pregnancy can increase the chances of diabetes, so we need to evaluate it and treat it accordingly.
Doctor:I hope the dietary changes gets her sugars back.
Doctor:Have you followed?
Doctor:Do you have any other query?'
User:yes, one more concern is,
User:the baby is slightly horizontal now
User:is it possible for a normal delivery
Doctor:Generally as she reaches term, the position of the fetus gets fixed.
Doctor:If the lie is still horizontal at the time of delivery, normal delivery is slightly difficult.
Doctor:She may need to opt for C section.
User:by walking or any other yoga, can it be normal?
User:I did not understand what is C section?
Doctor:If the lie isn't horizontal at time of labour, few doctors consider external cephalic version to rotate the fetus.
Doctor:But they have varied results.
Doctor:C section or caesarian section is the preferred means of delivery in unfavorable lie such as transverse lie.
Doctor:Yoga and physical exercise have less effect on the lie.
User:oh ok
Doctor:However encourage her to do the physical exercise as suggested by her doctors
Doctor:and hope the lie changes over the next few weeks.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:hope so
User:she has due date on nov 6th
User:let's see what happe
Doctor:I wish her good luck!!!
Doctor:Do you have any other query?
User:Thanks doctor for your clarifications and suggestions.
Doctor:You are welcome.
User:Thank you very much
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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