From Sacramento, California, USA:
I am eight weeks pregnant with my third child, and had gestational diabetes during my previous pregnancies which was diet-controlled. My two boys came early and their birth weights were over six pounds.
Because of my history, the nurse suggested a one-hour glucose test at six week weeks -- which was 148 mg/dl [8.2 mmol/L]. So, I took the three hour glucose test and had an one abnormal reading at one hour. I am now being sent to the dietitian but currently there are no plans for me to monitor my blood sugars. I am concerned because, at only six weeks, I am now technically diagnosed as "borderline", and gestational diabetes usually occurs at 24 weeks. Do I have pre-existing diabetes and not know it? I am worried because if I do have pre-existing diabetes, obviously, it is not controlled and in poorly controlled diabetes, there is a huge risk of birth defects. Please clarify what my situation is.
One abnormal result on the three-hour test does not make a diagnosis of gestational diabetes. However, your risk is increased, and it will be important to repeat your three-hour test at 24-28 weeks. I doubt that you have preexisting diabetes, and therefore your baby is not at increased risk. One test that might be helpful is a hemoglobin A1c. If it is normal, then you have not had long-standing hyperglycemia. Ask your doctor about this.
[Editor's comment: Since it appears that you already know how to monitor blood sugars, it certainly will not hurt for you to do so, and it might relieve some of your anxiety. SS]
Original posting 7 Mar 2001
Posted to Gestational Diabetes
Last Updated: Tuesday April 06, 2010 15:09:20
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2016. Comments and Feedback.