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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Gestational Diabetes

Hi , i am in my 20th week of pregnancy and has developed gestational diabetes from the begnning of pregnancy, i think dats b coz of 5 mg of prednisone i am taking on regular basis for some auto immune disease m suffering from. Doctors has done TIFFA scan during 13th week of pregnancy abd they find everything to be normal and again i just had another scan in 19th week it shows everything to be normal as well. Pls tell me how accurate is the report of Tiffa scan. till now i have tried controlling my blood sugar thru diet but it dosent seems to help .. my sugars are range around 90 to 100 fasting and 140 to 150 2 hrs after meal, i am 65 kg and 5 feet 4 inches tall.. pls tell me are these blood sugar levels really very high as i have read somewheer that a normal person blood sugar can go up to 160 mark.. pls help.<br><br>Thanks<br>Shweta
Wed, 27 Aug 2014
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Diabetologist 's  Response
Dear shweta
i can understand your concern
in my opinion its very wise to start insulin in your condition since you are already taking steroid to control your autoimmune disorder.
usually TIFFA scan is having very good sensitivity and specificity in diagnosing many anomalies but it depends on the experience and skill of Radiology.
A good radiologist can identify the anomaly with good precision.
your sugar levels are not very bad but its safe to take insulin due to steroid usage.
there are safe insulin like levemir which can be take once daily and they work for 24 hrs.
kindly discuss with your treating doc for necessary advice
Regards
Dr vamsi
Diabetologist
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Suggest Remedy For Gestational Diabetes

Dear shweta i can understand your concern in my opinion its very wise to start insulin in your condition since you are already taking steroid to control your autoimmune disorder. usually TIFFA scan is having very good sensitivity and specificity in diagnosing many anomalies but it depends on the experience and skill of Radiology. A good radiologist can identify the anomaly with good precision. your sugar levels are not very bad but its safe to take insulin due to steroid usage. there are safe insulin like levemir which can be take once daily and they work for 24 hrs. kindly discuss with your treating doc for necessary advice Regards Dr vamsi Diabetologist