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What Are Clinical Trials And Are They Right For You
Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. Find out if clinical trials are right for you.
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Monitoring Blood Glucose Levels
Monitoring your blood glucose levels is essential. It gives you a guide as to whether the changes you have made to your lifestyle are effective or whether further treatment is required.
A diabetes nurse educator can teach you how and when to measure your blood glucose levels. They will discuss the recommended blood glucose levels to aim for.
Your doctor or diabetes educator can help you register with the National Diabetes Services Scheme for discounted blood glucose strips. Regular contact with your diabetes educator or doctor is recommended.
Glucose Tolerance Testing Diet
You will eat three meals per day and have a bedtime snack, and your meals should consist of at least 50% carbohydrates. 10 servings of carbohydrates equal approximately 150 grams of carbohydrates. You may check the package nutrition labels on most foods, as most labels will indicate the number of grams of carbohydrates the food contains. You must have at least 150 grams of carbohydrates each day for three days prior to your test.
The following are examples of one serving of carbohydrates :
- 1 slice of bread
- 1/2 cup of starchy vegetables
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Treatments For Gestational Diabetes
If you have gestational diabetes, the chances of having problems with your pregnancy can be reduced by controlling your blood sugar levels.
Youll be given a blood sugar testing kit so you can monitor the effects of treatment.
Blood sugar levels may be reduced by changing your diet and exercise routine. However, if these changes dont lower your blood sugar levels enough, you will need to take medicine as well. This may be tablets or insulin injections.
Youll also be more closely monitored during your pregnancy and birth to check for any potential problems.
If you have gestational diabetes, its best to give birth before 41 weeks. Induction of labour or a caesarean section may be recommended if labour does not start naturally by this time.
Earlier delivery may be recommended if there are concerns about your or your babys health or if your blood sugar levels have not been well controlled.
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Low Blood Sugar Chart And Action Plan
Low blood sugar is also called hypoglycemia. The numbers below represent values in the hypoglycemic range and require action to bring blood sugar levels up into a normal range.
|Alert Level and Treatment Plan|
|50 mg/dL or under||Red Flag: Blood sugar is critically low and requires immediate treatment.
If a person is unable to speak and/or is not alert, treat with glucagon via injection or nasal spray. Call emergency medical response if necessary. Do not place food or drink into the mouth.
If a person is alert and able to speak clearly, treat with 15 grams of rapid-acting carbohydrate such as glucose gel, 4 oz regular soda, or fruit juice. Re-test blood sugar in 15 minutes and repeat as needed to bring blood sugar within range.
|51-70 mg/dL||Red Flag: Blood sugar is below normal levels and requires immediate treatment.
Treat with 15 grams of rapid-acting carbohydrate and re-test in 15 minutes. Repeat treatment as needed to bring blood sugar within range.
|71-90 mg/dL||Yellow Flag: Blood sugar levels should be watched and treated as needed.
If youre having symptoms of low blood sugar, treat with 15 grams of rapid-acting carbohydrate and re-test in 15 minutes.
Repeat treatment or follow with a meal. If it is meal time, move forward with eating the meal. People often fall into this range when they are late for a meal or have been especially active.
Blood Sugar Levels 2 Hours After You’ve Eaten
Many foods have types of carbohydrates called starches and sugars. When you eat foods with these types of carbohydrates, your body breaks them down into glucose, which is a type of simple sugar, and releases the glucose into your bloodstream. Aside from glucose produced by your liver, food is the main source of plasma glucose.
Two hours after eating, your blood sugar levels rise. They rise more when you eat more carbohydrates, when you do not eat fiber, fat, or protein with your carbs, and when you eat certain types of carbohydrates, such as refined sugars and starches.
These are target values from The Joslin Diabetes Center, which include levels for people with diabetes:
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What Complications Are Associated With Gestational Diabetes
If your gestational diabetes is poorly managed, your blood sugar levels may remain higher than they should be throughout your pregnancy. This can lead to complications and affect the health of your child. For example, when your baby is born, he or she may have:
- a high birth weight
- low blood sugar
- shoulder dystocia, which causes their shoulders to get stuck in the birth canal during labor
They may also be at higher risk of developing diabetes later in life. Thats why its so important to take steps to manage your gestational diabetes by following your doctors recommended treatment plan.
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What Are The Symptoms Of Gestational Diabetes
It is normal for gestational diabetes to have no noticeable symptoms. When closely monitored, many women go on to have a healthy pregnancy and deliver a healthy baby.
However, mild gestational diabetes symptoms can include:
- Tiredness or general fatigue
- Excessive thirst and hunger
Gestational diabetes can also make other medical conditions worse. These include high blood pressure, known as preeclampsia, during the later weeks of pregnancy.
There is also an increased risk of delivering a larger-than-average baby, known as infant macrosomia. Higher birth weight can lead to an emergency cesarean delivery .
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How Does Blood Sugar Level Work
With a lack of nutrients and food that contain glucose, the blood sugar level will begin to decline. This is known as hypoglycemia.
After blood sugar becomes low, the pancreas releases a peptide hormone called glucagon. When this happens, the glucose that is stored in the body for energy is instructed to release due to the liver. This causes the glucose to turn into glycogen, known as the glycogenesis process. This is what can help a body to regain energy as the readily stored glycogen, in the liver and muscles, will release into the body.
On the other hand, the blood sugar can also rise and become too high which is known as hyperglycemia.
When the body does not produce enough of the insulin hormone, blood sugar levels begin to increase. This is because glucose relies on the insulin hormone to help it absorb into the bloodstream. Usually, this occurs when the body cannot produce enough insulin, known as type 1 diabetes, or does not respond to insulin correctly, known as type 2 diabetes.
Eating too many processed foods can also cause your blood sugar level to rise. If there is not enough insulin present in the body, too much bad food can cause your blood sugar level to build up.
For those with a normal blood sugar level, this will be due to eating the right foods and your body being able to produce and respond to insulin.
You may be wondering what exactly causes an imbalance in blood sugar levels, so here is a roundup:
How The Test Is Performed
During the first step, you will have a glucose screening test:
- You do not need to prepare or change your diet in any way.
- You will be asked to drink a liquid that contains glucose.
- Your blood will be drawn 1 hour after you drink the glucose solution to check your blood glucose level.
If your blood glucose from the first step is too high, you will need to come back for a 3-hour glucose tolerance test. For this test:
- DO NOT eat or drink anything for 8 to 14 hours before your test.
- You will be asked to drink a liquid that contains glucose, 100 grams .
- You will have blood drawn before you drink the liquid, and again 3 more times every 60 minutes after you drink it. Each time, your blood glucose level will be checked.
- Allow at least 3 hours for this test.
You need to go to the lab one time for a 2-hour glucose tolerance test. For this test:
- DO NOT eat or drink anything for 8 to 14 hours before your test.
- You will be asked to drink a liquid that contains glucose .
- You will have blood drawn before you drink the liquid, and again 2 more times every 60 minutes after you drink it. Each time, your blood glucose level will be checked.
- Allow at least 2 hours for this test.
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Tips To Maintain Normal Blood Sugar Levels During Pregnancy
Well, being careful with what you eat is of utmost importance. Here are other tips.
- Eat less but eat right, have more proteins and fewer carbs.
- Eat frequently in little quantities, probably for every 2 hours.
- Avoid processed foods.
- Be physically active.
- Go for regular checkups.
- Keep an eye on your medicines, dont take any drug without prior approval of your doctor.
Follow these steps and you will have the ideal blood sugar level during pregnancy.
Sudheendra is a passionate blogger for 8 years and holds a Degree in Journalism & Mass Communications. His writings particularly focus on health, medicine, diet & lifestyle. For him, everything that interlinks and relates to health & medical world entices him. His write-ups aim at educating people not by just giving facts but by infusing human touch.
Research Data On Race And Ethnicity
The risk of gestational diabetes rises with an increase in body mass index across racial and ethnic groups. But people with both high and low BMIs can get gestational diabetes.
Still, in studies, it has been found that even in cases of low BMI among people who are Asian and Hispanic, there is an increased risk of gestational diabetes.
Additionally, though People of Color are disproportionately affected by type 2 diabetes, non-Hispanic Black women have the of developing type 2 diabetes after gestational diabetes than all racial and ethnic groups, according to the CDC.
A 2019 study compared the rate of gestational diabetes in Asian women to women of other ethnic backgrounds in a group of 5,562 women who had participated in a previous study in Los Angeles. Researchers also looked at whether cultural assimilation had any impact on the outcome.
None of the participants had type 1 or type 2 diabetes before pregnancy. Researchers adjusted for the known risk factors of the condition.
Study results showed the following prevalence rates:
- 15.5% of Asian American women
- 9.0% of Hispanic women
- 10.7% of non-Hispanic Black women
- 7.9% of non-Hispanic white women
No evidence suggested other factors, including acculturation, affected the rates of gestational diabetes.
The American Diabetes Association encourages doctors to routinely screen pregnant people for signs of gestational diabetes.
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Levels In The Morning
The best time to check blood sugar levels in the morning is right when you wake up and before you eat anything. This gives you a glimpse of what may be happening overnight, and it gives you a baseline for the day.
These are goal levels, according to The Joslin Diabetes Center:
- Under 70 mg/dl if you do not have diabetes.
- 70 to 130 mg/dl if you have diabetes.
The dawn effect can often lead to a high morning measurement in diabetes. This is your bodys tendency to get ready for the day by raising blood sugar by increasing levels of counter-regulatory hormones the ones that counteract insulin as in normal blood sugar. For people with diabetes, you do not have the capacity to counterbalance this rise in blood sugar, so levels can be dangerously high.
Ways to lower your morning blood sugar value include:
- Eating dinner earlier
- Checking your medications making sure you are taking them properly and asking your doctor if they are correct
- Going for a walk after dinner
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Can Gestational Diabetes Be Prevented
Its not possible to prevent gestational diabetes entirely. However, changing your lifestyle can help reduce your risk of developing it.
If youre pregnant and have one of the risk factors for gestational diabetes, aim to eat a balanced diet and get regular exercise. Even light activity, such as walking, may be beneficial .
If youre planning to become pregnant in the near future and have overweight or obesity, consider talking with a doctor about ways to safely lose weight while preparing for a pregnancy.
A doctor can help you create a plan to reach and maintain a moderate weight. Even losing a small amount of weight can help reduce the risk of gestational diabetes.
Furthermore, its important to seek prenatal care and attend all doctor-recommended visits to get the necessary screenings and evaluations during your pregnancy.
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