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How To Control Blood Sugar Levels?
Brief Answer:
GDM CONTROL
Detailed Answer:
Hello,
Thanks for the query to HCM for an opinion,
gestational diabetes mellitus has to be quantified first if its gestation induced or yu have been diabetic before pregnancy.
Firstly, get a HbA1c levels done , if value more than 6.5% then you have been diabetic before pregnancy.
but if less than 6% but OGTT with 75gm glucose F=92, 1HR=180, 2HR=153 mg/dl then if any one value is high then she is gestational diabetes patient.
GDM can be controlled by following a strict protocol of diet with 3 major meals divided into 2/3rd and 1/3 rd = 6 small meals and 3 minor meals as n snacks daily after calculating the total calorie intake required as per her BMI.
Regular blood sugar 6 point profile is required to be done 3 weekly to establish control. I
If after diet control, still few values are raised then glibenclamide can be added , and if still uncontrolled then only insulin should be resorted to.
I feel switching directly to insulin is not the right thing to do. Please discuss with your physician regarding specific GDM MANAGEMENT FROM obstetrics point of view and not from endocrinology point of view at all.
REGARDS
GDM CONTROL
Detailed Answer:
Hello,
Thanks for the query to HCM for an opinion,
gestational diabetes mellitus has to be quantified first if its gestation induced or yu have been diabetic before pregnancy.
Firstly, get a HbA1c levels done , if value more than 6.5% then you have been diabetic before pregnancy.
but if less than 6% but OGTT with 75gm glucose F=92, 1HR=180, 2HR=153 mg/dl then if any one value is high then she is gestational diabetes patient.
GDM can be controlled by following a strict protocol of diet with 3 major meals divided into 2/3rd and 1/3 rd = 6 small meals and 3 minor meals as n snacks daily after calculating the total calorie intake required as per her BMI.
Regular blood sugar 6 point profile is required to be done 3 weekly to establish control. I
If after diet control, still few values are raised then glibenclamide can be added , and if still uncontrolled then only insulin should be resorted to.
I feel switching directly to insulin is not the right thing to do. Please discuss with your physician regarding specific GDM MANAGEMENT FROM obstetrics point of view and not from endocrinology point of view at all.
REGARDS
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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