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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Gestational Diabetes, High Sugar Levels On Eating Something Sweet. Insulin Needed?

hi.. i m pregnant and in my 7th mnth now. i have diagnosed of gestational diabetes . initially i had 170 post breakfast. after that my doc advised me to go on diet and it reduced to 104.. i had sweets for a week after that and it went up again to 156. now again i m on diet and within 2 days of diet it has come down to 147 is it a good sign.. or is an insulin necessary?
Mon, 7 Jan 2013
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Endocrinologist,  's  Response
Hi

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 >170 or >156/147 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 .

Regards
Dr. Om Lakhani
Consultant Diabetologist
http://www.healthcaremagic.com/doctors/dr-om-lakhani/60313 (online expert diabetes care consultantion)
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Pregnant, Gestational Diabetes, High Sugar Levels On Eating Something Sweet. Insulin Needed?

Hi 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 170 or 156/147 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 . Regards Dr. Om Lakhani Consultant Diabetologist http://www.healthcaremagic.com/doctors/dr-om-lakhani/60313 (online expert diabetes care consultantion)