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Pregnant, diagnosed with gestational diabetes. Can I consume fenugreek soaked water, bitter gourd juice?

Hi I am Ayesha, I am 28 weeks pregnant diagnosed with gestational diabetes , can i consume bitter gourd juice or fenugreek seed soaked in water on a empty stomach in the morning, so that I control my sugar, as doctor has suggested that I have 168 sugar and if it does not come down in a week or 2 to go on insulin . Please advise.
Asked On : Tue, 8 Jan 2013
Answers:  2 Views:  495
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Endocrinologist 's  Response

American Diabetes association recommends start of Insulin if the sugars are above the following levels in Gestational Diabetes mellitus:

Fasting blood glucose concentration >95 mg/dL (5.3 mmol/L)
One-hour postprandial blood glucose concentration >140 mg/dL (7.8 mmol/L)
Two-hour postprandial glucose concentration >120 mg/dL (6.7 mmol/L)

Since you have not mentioned at what time post breakfast you have measured you sugar... it may be difficult to judge , however in general values of >168 is high and we may require insulin.

I would advise you to consult a Diabetologist / Obstetrician and discuss this issue with him/her. I would also advise "Continous glucose monitoring" (CGM) a new tool for monitoring sugar continuously in patients with Gestational diabetes. Gestational Diabetes is an absolute indication for going for CGM .

Dr. Om Lakhani
Consultant Diabetologist (online expert diabetes care consultantion)
Answered: Wed, 9 Jan 2013
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Internal Medicine Specialist Dr. Akhilesh Dubey's  Response
Welcome to HCM,
Please understand that you have Gestational diabetes where diagnostic criteria are more strict and ,we need to take care blood sugar level by preferably by insulin.
In pregnancy even FBS 100 mg/dl is considered high and in diabetic range.
Please take care of diet diabetic and take insulin as per advise of your Physician/Endocrinologist.
In pregnancy with diabetes Insulin theraoy is best,alog with some control by diet.
Please do not worry about insulin many gestational diabetic do not require insulin or drug for diabetes after delivery.
Please Take care.
Good Luck.
Answered: Tue, 8 Jan 2013
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