From Dallas, Texas, USA:
I have PCOS, I am 14 weeks into my first pregnancy, I'm having twins, and since my glucose screen was high, my doctor ordered a three-hour GTT. The results are as follows: Fasting -- 78 mg/dl [4.8 mmol/L], one-hour 240 mg/dl [13.3 mmol/L], two-hours -- 255 mg/dl [14.2 mmol/L], and three-hours -- 165 mg/dl [mmol/L].
What do you think about these readings? How come my one- and- two-hour readings were that high when my fasting was only 78 mg/dl [4.8 mmol/L]? Does my PCOS increase my chances of getting gestational diabetes? Is there a high chance of getting gestational diabetes with a twin pregnancy? I am going to see a dietitian tomorrow.
You have gestational diabetes. Your main risk is probably some degree of glucose intolerance due to the Polycystic Ovary Syndrome, and the twins may contribute slightly to the risk of gestational diabetes.
You make enough insulin to produce a normal fasting blood sugar. However, when you eat there is insulin resistance to the insulin that is released, so it takes longer to get a response. This results in the prolonged elevation in the blood sugar. The three-hour test is artificial. In a well regulated diet, you would not take in as much glucose all at once as you do during a glucose tolerance test.
Original posting 30 Jan 2002
Posted to Gestational Diabetes
Last Updated: Tuesday April 06, 2010 15:09:30
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.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.