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What Does The Following Glucose Tolerance Test Result Suggest?

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Posted on Thu, 30 Jun 2016
Question: Hi Doctor,

My wife is 17 weeks pregnant.She has done the Glucose Tolerance Test.Attaching are the reports.

Kindky advise.

Regards,
XXXX
doctor
Answered by Dr. Dr. Soumen Patra (2 hours later)
Brief Answer:
Gestational diabetes as per OGTT report.

Detailed Answer:
Hello Dear,

Thanks for writing to us. I have reviewed attached report.

Followings are my comments:

1) Report indicates Gestational Diabetes as per Oral Glucose Tolerance Test. All values are above normal range.

In this case, you must consult with Diabetologist, dietician for diet chart as per her food habits and treating gynecologist for proper management.

2) I can suggest few basic things to control blood sugar level. It is must needed for fetal well being and to avoid associated complications. These are as follows:

a) Start diabetic diet. AVOID all type of higher carbohydrate items and sugary or fatty foods. Take more fresh vegetables and protein foods. Divide large meal in to 3 to 6 small meals. Drink more water. Calorie intake should be within 2000 to 2500 Kcal/ day.

b) She must walk for 30 to 45 min daily. Heavy exercise or weight loss is NOT recommended. Light exercise is permissible and she can go 500 meter to 1 KM (short distance).

c) Periodic monitoring of blood glucose and pressure is required. It can be done at home if you can arrange it. Blood glucose should be measured at 3 times on daily basis - before and 2 hr after (breakfast, lunch and dinner).

HbA1C level should be measured along with this. Abdominal Ultrasound scan (to detect Macrosomia) and other tests are to be done as per schedule.

d) If above measures fail to control blood sugar or there is excessive fetal growth, then oral hypoglycemic agent (like Metformin) or Insulin should be started after consultation with treating doctor.

Hope, I have answered your query. Wish her good health and take care.

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Regards,
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Soumen Patra (4 hours later)
Thanks for the response Dt.Patra.I had some queries on certain food.How about brown rice and are all fruits fine to consume?
doctor
Answered by Dr. Dr. Soumen Patra (4 hours later)
Brief Answer:
Brown rice and fruit can be taken.

Detailed Answer:
Hello Dear,

Thanks for follow up query..

Yes, brown rice and fruits like cranberry, blueberry, apple, avocado, orange, grape etc can be taken.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Regards,
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
Answered by
Dr.
Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4059 Questions

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What Does The Following Glucose Tolerance Test Result Suggest?

Brief Answer: Gestational diabetes as per OGTT report. Detailed Answer: Hello Dear, Thanks for writing to us. I have reviewed attached report. Followings are my comments: 1) Report indicates Gestational Diabetes as per Oral Glucose Tolerance Test. All values are above normal range. In this case, you must consult with Diabetologist, dietician for diet chart as per her food habits and treating gynecologist for proper management. 2) I can suggest few basic things to control blood sugar level. It is must needed for fetal well being and to avoid associated complications. These are as follows: a) Start diabetic diet. AVOID all type of higher carbohydrate items and sugary or fatty foods. Take more fresh vegetables and protein foods. Divide large meal in to 3 to 6 small meals. Drink more water. Calorie intake should be within 2000 to 2500 Kcal/ day. b) She must walk for 30 to 45 min daily. Heavy exercise or weight loss is NOT recommended. Light exercise is permissible and she can go 500 meter to 1 KM (short distance). c) Periodic monitoring of blood glucose and pressure is required. It can be done at home if you can arrange it. Blood glucose should be measured at 3 times on daily basis - before and 2 hr after (breakfast, lunch and dinner). HbA1C level should be measured along with this. Abdominal Ultrasound scan (to detect Macrosomia) and other tests are to be done as per schedule. d) If above measures fail to control blood sugar or there is excessive fetal growth, then oral hypoglycemic agent (like Metformin) or Insulin should be started after consultation with treating doctor. Hope, I have answered your query. Wish her good health and take care. For future query, you can directly approach me through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326 Regards,