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From Oklahoma, USA:

Can gestational diabetes be reversed? In other words, I'm a diabetic and if I get pregnant can my blood sugar actually go low on its own? I was told it was possible but I would like another opinion.


Your diabetes cannot be reversed during pregnancy. However, your glucose control may become erratic with both lows and highs. This requires close attention. See my comments below.

Probably one of the most significant factors contributing to successful pregnancy outcome is preconceptual glucose control. Basically the closer that fasting and postprandial blood sugar values are to normal (I use below 105 mg/dl fasting, and below 130 mg/dl at 1 hour postprandial as guidelines) the greater the likelihood that the risk of congenital abnormalities will be minimized. However, do not drive yourself crazy over an occasional elevated blood glucose value. Similarly, your hemoglobin A1c should also be in the normal range. Check with your doctor's office to find out what the normal values are (usually between 5 and 7% depending on the assay).

The more times you check your blood sugar the more information can be gained about your glucose control. However, you have to be practical. At a minimum I would recommend checking a fasting, before lunch, before dinner and bedtime blood sugar. If you want to check at 1hour after meals this would also be useful but not necessary after each meal.

Depending on your blood sugar control and any other problems, you will be seeing your obstetrician once a week to maybe once every two weeks.

Your overall medical condition is important. As long as your blood pressure is normal and you have no evidence of kidney disease then the risk to a pregnancy is minimized. Therefore, it is important to assess these factors prior to conception. As I mentioned above it is important that you work with a diabetes team (an obstetrician, an internist or endocrinologist with expertise in diabetes during pregnancy, and a dietitian). This group usually will have established contacts with other useful specialists such as an ophthalmologist. In addition, they will be able to put you in touch with other resources about diabetes in pregnancy.


Original posting 5 Nov 97


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Last Updated: Tuesday April 06, 2010 15:08:54
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