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.
You’ll 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 don’t lower your blood sugar levels enough, you will need to take medicine as well. This may be tablets or insulin injections.
You’ll also be more closely monitored during your pregnancy and birth to check for any potential problems.
If you have gestational diabetes, it’s 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 baby’s health or if your blood sugar levels have not been well controlled.
Find out more about how gestational diabetes is treated.
What Is Gestational Diabetes
Gestational diabetes is high blood sugar during the second and third trimester of pregnancy. The exact cause is unknown. It may be a combination of factors, including genetics, increased hormones triggered by pregnancy that lead to insulin resistance, and an inability to produce the extra insulin thats needed to compensate. By week 26 of pregnancy, women need about two times more insulin than normal to properly regulate blood sugar, says Alyssa Bixler, diabetes program coordinator at OhioHealth McConnell Heart Health Center. This need nearly triples by the end of pregnancy. For some women, this demand on the body is too much.
Alderman says gestational diabetes is fairly common. Around 10% of pregnant women develop gestational diabetes, and that number is climbing.
All You Need To Know About Reading Your Blood Glucose Test Report
Written by Dr Anitha Anchan | Updated : April 26, 2016 5:29 PM IST
Glucose is a type of sugar that is produced by the digestion of dietary carbohydrates. It is transported by the blood to all parts of the body and is body s main source of energy. Insulin, a hormone produced by the pancreas, transfers extra glucose from the blood to muscle, fat, and liver cells where it is stored. Blood glucose levels changes indicate abnormal digestion process. People with diabetes often have high levels of glucose in their blood.
Prediabetes is a condition where the blood glucose is higher than normal but not high enough to be confirmed as diabetes. It could lead to diabetes if appropriate measures are not taken.
Blood glucose tests what are they?
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What Can I Do To Avoid Gestational Diabetes
There are some factors that increase a womans risk for developing gestational diabetes, including an age > 30 years, body mass index > 25, having a first-degree relative with diabetes, and being a woman of Hispanic, African American, Native American, South or East Asian, or Pacific Island descent – and, clearly, not many of these factors can be adjusted!
However, no matter a womans size or presence of other risk factors, eating well and exercising often prior to and during pregnancy can help a woman achieve better health during pregnancy.
Between the 1-hour glucose test and my upcoming 3-hour test, I had to remind myself that even though I was doing the best that I could with eating and exercise, perhaps pregnancy could change my body in ways that I and others may not yet understand. Maybe my blood sugar regulating hormones just couldnt keep up, maybe my body was an overachiever at pumping out other hormones that impaired insulins action, or maybe there was a metabolic framework or genetic code that I couldnt control even with a healthy, balanced eating pattern! As challenging as it was, I had to give myself grace that I and some of my former choices – like the ice cream I had on my birthday and the candy I ate on a family vacation while pregnant – were not to blame or acknowledge in shame. So, I breathed. And I researched more
Can You Rig The Test
So you failed your one-hour glucose test, and now you have to do the dreaded three-hour test? Yeah, me, too. I have had to do the three-hour test with two of my pregnancies, and it stinks!
Alas, there is no way to really make it so that you pass this test, unless you really dont have gestational diabetes.
Sure, youll find tips around the Internet about what you could do that might help, but in all honesty, trying to do something to get a false passing reading on this test is dangerous to your health and the health of your baby, too.
Its important for the test results to be accurate so that if there really is a medical issue, your doctor can treat you properly and watch for the safety of both of you.
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What Is The Glucose Challenge Screening Test
No preparation is required prior to the test. During the test, the mother is asked to drink a sweet liquid and then will have blood drawn one hour from having the drink, as blood glucose levels normally peak within one hour. No fasting is required prior to this test.
The test evaluates how your body processes sugar. A high level in your blood may indicate your body is not processing sugar effectively . If the results of this screen are positive, the woman may have the Glucose Tolerance Test performed. It is important to note that not all women who test positive for the Glucose Challenge Screening test are found to have diabetes upon further diagnosis.
How To Pass The Gestational Diabetes Test
People sometimes ask how to pass the glucose tolerance test. But heres the truth: theres no passing or failing. If youre diabetic, the results will reflect thatand truly, thats important for you and your baby, so you can get the treatment you need to prevent problems. And if youre not, youre not. So no trying to cheat the system here.
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How To Pass Glucose Tolerance Test Pregnancy Mavres
Signs You Passed Your Glucose Test. So you want to know what it feels like? Thats right, pregnancy has been sweet enough for most people. But around week 24 your blood sugar will need some checking up on and that means testing four times in three hours at once! The one hour glucose challenge test isnt really fun either but if all goes
Is There Anything I Can Do To Help Me Pass The Glucose Tests
No. If you have gestational diabetes, the glucose tolerance test will detect it. However, there are steps you can take to reduce your chances of developing gestational diabetes, as well as to keep your blood glucose levels stable even if you do have the condition. These are:
- Healthy eating: Opt for whole grains, fruits, and vegetables, which are high in fiber, and cut back on foods and drinks that are high in added sugars.
- Exercise:Moderate exercise, such as walking briskly and swimming, can help keep your blood sugar under control.
- Maintaining a healthy weight: Use our pregnancy healthy weight gain calculator to estimate how much you can expect to gain and whether you are on target.
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What Happens During The 3
Before taking the three-hour glucose tolerance test, you will need to fast overnight.
You should have nothing to eat or drink for at least eight hours .
Water is definitely okay to drink, however!
When you arrive at the lab or testing site, youll have blood drawn first to get a fasting glucose level. Then, you will consume a 100-gram oral glucose drink.
Your blood will be drawn one hour after you finish the drink, two hours later, and three hours later. .
The most commonly used criteria for determining if you pass the three-hour glucose test is listed below. Typically, you will fail if two or more of these values are elevated. However, some doctors may diagnose you with GDM even if you just have just one elevated number.
- Fasting: less than 95 mg/dL
- 1 hour after: less than 180 mg/dL
- 2 hours after: less than 155 mg/dL
- 3 hours after: less than 140 mg/dL
Gestational Diabetes Risk Factors
More important than looking for the signs and symptoms of gestational diabetes is knowing if youre at risk. Certain women may be more likely to develop the condition, including:
- Women older than 25 years old
- Family history of type 2 diabetes
- Personal history of prediabetes
- Gestational diabetes in previous pregnancies
- Overweight or obese
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What Happens If I Fail My Glucose Test During Pregnancy
What Happens if I Fail My Glucose Test During Pregnancy? Around 24-28 weeks gestation, most practitioners will order a blood glucose test to see if the pregnant patient has gestational diabetes. Gestational diabetes is a high blood sugar condition that 2-5 percent of pregnant women develop during pregnancy.
Staying Aware Of Increased Cardiovascular Risk After The Pregnancy
While gestational diabetes usually resolves after delivery, women who have experienced it have a 68% higher risk of developing cardiovascular disease later in life than women who didnt have gestational diabetes. This risk is there whether the pregnancy was last year or 40 years ago. Women should be aware of their increased risk and be sure their healthcare providers are aware of their medical history.
The Riverside Womens Heart Center specializes in caring for women with this increased risk. To learn more about the cardiovascular risks from a high-risk pregnancy or to make an appointment at the Riverside Womens Heart Center, please visit www.riversideonline.com/womensheart.
I Failed My Prenatal Glucose Test Now What
When your doctors office calls with the news that youve failed your first prenatal glucose test, a flurry of thoughts can start to run through your head.
Did I do something wrong? Does failing a glucose test mean I have diabetes? What do I do after I failed my glucose test?
You might feel disappointed, frustrated and scared. And thats normal! But a failed glucose test doesnt always mean you have gestational diabetes, and even if you do, you and your baby can live perfectly healthy lives.
So, while you wait in suspense for your three-hour test, heres a little advice from our experts about what to expect.
What Causes A Pregnant Womans Blood Sugar Level To Be High
Sugar, or glucose, is the bodys main source of energy. Glucose from the food we eat passes from the intestines into the bloodstream. In order to be used as energy, glucose needs to move from the bloodstream into the bodys cells. It does this with the help of insulin. Insulin acts like a key to unlock the cells and move glucose into the cell, where it can be used as energy.
When someone has diabetes, there is not enough insulin in the body or the cells arent responding to the insulin the way they should.
During pregnancy, the placenta secretes hormones that can cause the body to be resistant to insulin. Most women will produce more insulin to compensate.
Some women, however, are unable to make enough extra insulin. Glucose cant move from the bloodstream into the cells, so it builds up in the blood, causing high blood sugar levels, which leads to gestational diabetes.
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Are Sata Questions Higher Level
Some people believe that SATA questions are more challenging to answer than common questions. Others believe that the questions are more challenging to trick test-takers.
The truth is, no one can say how difficult the SATA questions are when it comes to the NCLEX-RN.
We know that if you can answer most of the SATA questions correctly, you have a high chance of passing the NCLEX-RN.
What Is The Normal Range For The 1 Hour Glucose Test
A normal test result for the 1 hour 50-gram glucose test is lower than 140 mg/dL.
- Some clinics will use a lower threshold of 130 mg/dL. This lower level is used if the population is at increased risk of gestational diabetes.
If you happen to have a value greater than 200 mg/dL, then you meet the criteria for the diagnosis of gestational diabetes.
If you take the 2-hour 75g challenge, a normal result is less than 180 mg/dL at the 1-hour mark, and less than 155 mg/dL at the 2-hour mark
In addition, your fasting blood glucose level should be lower than 95 mg/dL for the 2-hour test.
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How Common Is It To Fail The 1 Hour Glucose Challenge Test
In general, anywhere from 15-25% of women will fail the glucose challenge test. But keep in mind that failing the 1-hour test does not give you the diagnosis of gestational diabetes.
According to the CDC, the prevalence of gestational diabetes is about 2-10%.
But failing the test should raise some red flags that you need to pay attention to your diet.
How The Test Is Performed
The most common glucose tolerance test is the oral glucose tolerance test .
Before the test begins, a sample of blood will be taken.
You will then be asked to drink a liquid containing a certain amount of glucose . Your blood will be taken again every 30 to 60 minutes after you drink the solution.
The test may take up to 3 hours.
A similar test is the intravenous glucose tolerance test . It is rarely used, and is never used to diagnose diabetes. In one version of the IGTT, glucose is injected into your vein for 3 minutes. Blood insulin levels are measured before the injection, and again at 1 and 3 minutes after the injection. The timing may vary. This IGTT is almost always used for research purposes only.
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What To Eat Before The Gestational Diabetes Test
Whether youre doing the one-step strategy or the two-step strategy, theres going to be some fasting involved at some point. If youre instructed to fast, dont eat anything for at least eight hours before your test.
You can drink water if youre fasting, but no coffee, tea or any other drinks, Hieronymus says.
If youre not instructed to fast , you should eat your regular diet, so that if youre required to do an initial blood draw, its as close to what it would normally be as possible.
What To Eat Before The Glucose Test And How To Pass It
For long-lasting energy, balance your meal with protein-filled foods such as dairy, nuts, fish or lean meat like poultry. Examples of healthy breakfasts during pregnancy that will help you pass the glucose test include: Whole wheat toast topped with natural peanut butter or mashed avocado. Plain Greek yogurt with blueberries.
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What Is A Glucose Test During Pregnancy
Glucose tests are used to screen for and diagnose gestational diabetes. They measure how efficiently your body processes sugar, which is key, since pregnancy hormones can affect this natural regulation process. Gestational diabetes is one of the most common pregnancy conditions up to 10 percent of pregnant women in the US develop it, according to the Centers for Disease Control and Prevention . Left untreated, gestational diabetes has some potentially dangerous consequences. An increased chance of preeclampsia, preterm labor and c-section are among the risks Mom may face. Whats more, baby may be born at a higher birth weight or with complications, such as respiratory distress or low blood sugar. Fortunately, proactive monitoring and treatment can help ensure you and baby stay healthy and safe. Suffice to say, the glucose test is a small price to pay.
So exactly what is a glucose testand what does it entail? First, its important to clarify that there are actually two different glucose tests during pregnancy: The first is a screening that identifies if youre at an elevated risk for gestational diabetes. If the initial glucose blood test shows that youre not processing sugar quickly, youll move on to the second, more involved glucose tolerance test. The latter is diagnostic, meaning youll have a definite answer.
Final Thoughts On Glucose Screening
The glucose test in pregnancy is an easy way to check your bodys ability to tolerate sugar.
Theres no way to cheat this test, and you should prepare for it by eating a well-balanced diet as soon as you find out youre pregnant.
If you fail the test, make sure that you follow up very closely with your doctor to try and prevent the development of type 2 diabetes mellitus.
Now I want to hear from you.
Did you fail your glucose test?
What did you do to prepare for it?
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How The Test Will Feel
Drinking the glucose solution is similar to drinking very sweet soda.
Serious side effects from this test are very uncommon. With the blood test, some people feel nauseated, sweaty, lightheaded, or may even feel short of breath or faint after drinking the glucose. Tell your doctor if you have a history of these symptoms related to blood tests or medical procedures.
When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or a slight bruise. This soon goes away.
What Are The Warning Signs Of Gestational Diabetes
Pregnant women have heard tales or experienced it themselves of the orange drink they have to take around 24 to 28 weeks of pregnancy. Its a story thats passed from woman to woman about the overly sweet, syrupy taste of the drink and having to sit in the doctors office for blood tests.
But this important screening is worth the inconvenience. It detects and diagnoses gestational diabetes in pregnant women. Gestational diabetes affects nearly 10 percent of pregnant women, according to the American Diabetes Association.
Gestational diabetes, left untreated and unmanaged, can pose serious health risks to your baby, including:
- Excessive birth weight
- Preterm birth and respiratory distress syndrome
- Low blood sugar at birth
- Increased risk of type 2 diabetes later in life
Fortunately, gestational diabetes is easy to diagnose and manage, says Barbara E. Simpson, M.D., a board-certified obstetrician/gynecologist. The fasting blood sugar test can make sure mom and baby stay healthy and happy.
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