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Do blood sugar levels of 125 require medical attention?

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Posted on Tue, 23 Oct 2018
Question: My wife is 33 weeks pregnant. Her pp sugar level was normal level till last 2 week.But at 33 weeks her 2 hours pp blood sugar is 125. Should she take medicine to control sugar. Is the sugar level harm my child

21 weeks anomaly scan report is OK.And 16 weeks quadruple test report is also ok.
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Answered by Dr. Purushottam Neurgaonkar (1 hour later)
Brief Answer:

Some details. Diet, exercise, HbA1C, supplements?

Detailed Answer:

Hello,

First of all do not panic.

In my opinion, your wife's post-meal blood sugar levels of 125 mg appear quite within the range.

I have also noted about her anomaly scan USG and quadruple test for genetic screening.

I would like to know about a few things in detail.
Has she got her 75-gram glucose challenge test done?
What is the HbA1C level?

Does she have a family history of Diabetes?
What was her pre-pregnancy weight and how much is her weight gain till now?

What are the dietary instructions that she is following presently?

What is her exercise schedule?
What are the pregnancy supplements that she is taking currently?

Your concern about the rise in blood sugar levels and its effects on the developing baby is absolutely right.

High and uncontrolled blood sugars cause problems at various steps of pregnancy.

Now when she is approaching her due date, good blood sugar levels with I'll avoid various complications of delivery and newborn baby.

Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Purushottam Neurgaonkar (11 hours later)
I don't test glucose challenge test or hba1c. Her pre pregnancy weight is 57.5 and now she is 65. She practices exercise and walking about half an hour. Doctor give her supracal,ff12,omez and glyciphage sr 500 from this week to control sugar level and she also take thyronorm 37.5. her tsh is 3.1. her parents do not have diabetes but her grand mother was diagnosed little sugar at old age. My question to you that what should be the normal 2 hours pp blood sugar level range at 3 Rd trimester of pregnancy?

She stopped sugar riched food. Her diet is ok. She has some problem of digestion.
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Answered by Dr. Purushottam Neurgaonkar (35 minutes later)
Brief Answer:

Fasting below 100 and post lunch below 125 mg. probiotics.

Detailed Answer:

Hi,

As per WHO guidelines and recommendations, all pregnant women should be tested for gestational diabetes.

Suggested values are fasting sugar levels below 100mg% and 2 hours after lunch levels should be below 125 mg%.

I will suggest you continue with her diet and exercise regimen and current line if treatment. Weekly checkup of fasting and post lunch sugar levels is advisable.

Controlled sugar levels will help to prevent various complications during the later period of pregnancy and delivery.

Secondly, for her digestion issues, I will recommend the use of probiotics like Vibact DS once a day for 20 days. Use of curds, yoghurt and buttermilk are proved to be useful.

Hope I have answered your query.

Take care

Regards,
Dr Purushottam Neurgaonkar, OBGYN
Above answer was peer-reviewed by : Dr. Kampana
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Dr. Purushottam Neurgaonkar

OBGYN

Practicing since :1992

Answered : 2211 Questions

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Do blood sugar levels of 125 require medical attention?

Brief Answer: Some details. Diet, exercise, HbA1C, supplements? Detailed Answer: Hello, First of all do not panic. In my opinion, your wife's post-meal blood sugar levels of 125 mg appear quite within the range. I have also noted about her anomaly scan USG and quadruple test for genetic screening. I would like to know about a few things in detail. Has she got her 75-gram glucose challenge test done? What is the HbA1C level? Does she have a family history of Diabetes? What was her pre-pregnancy weight and how much is her weight gain till now? What are the dietary instructions that she is following presently? What is her exercise schedule? What are the pregnancy supplements that she is taking currently? Your concern about the rise in blood sugar levels and its effects on the developing baby is absolutely right. High and uncontrolled blood sugars cause problems at various steps of pregnancy. Now when she is approaching her due date, good blood sugar levels with I'll avoid various complications of delivery and newborn baby. Hope I have answered your query. Let me know if I can assist you further.