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Question: From Rhode Island, USA: I'm now in the (approximately) 20th week of pregnancy. My A1c is down to 4.6% or so. My meter readings average 114 mg/dl [6.3 mmol/L]. So far, I've been diet controlled and no insulin. I'm prone to lows to begin with and fear that insulin is going to make that problem worse. If I have a one-hour reading of 176 mg/dl [9.8 mmol/L], and a two-hour reading of 86 mg/dl [4.8 mmol/L], is this cause for concern? Should I only be testing at two hours to make sure that my two-hour number is less than 120 mg/dl [6.7 mmol/L]? Does it matter if my one-hour number spikes, if my two-hour number is then low or within parameters? Will a high one-hour number be a problem for the baby? Answer: In my practice I follow patients with gestational diabetes on diet control with a fasting and a one-hour post meal blood glucose test. If the fasting is greater than 100 mg/dl [5.6 mmol/L] and or the post-meal is greater than 130 mg/dl[7.2 mmol/L], then I will start insulin. Sometimes not very much is required. For example, if the post-meal is elevated but the fasting is normal, then some patients do well with a single injection of NPH (a long-acting type of insulin) in the morning. However, patients are different and insulin requirements will change during the course of the pregnancy. In your case, it seems that, right after a meal, you have a significant elevation in blood glucose. This needs to be treated. Even just a mild elevation in blood sugar can result in excess fetal growth. OWJ DTQ-20001013094220 Original posting 8 Nov 2000 Posted to Gestational Diabetes

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:15
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