Blood sugar levels during pregnancy
Question: Dear Oleg! I'm 36 weeks of pregnancy (32 years). Pregnancy first and I feel good. Analysis of blood sugar showed a result of 6. 6 (?). Endocrinologist immediately appointed a detailed analysis: daily urine (result = no sugar) and glycemic blood (result = sugar fasting – 3,8, 2 hours – 6. 0). It was diagnosed with a predisposition to GIST. diabetes. Before pregnancy and in early pregnancy with sugar problems have never been (at 12 weeks of pregnancy glikemich analysis showed. 4 3 and 4. 8, respectively). In general, a diet, constant control of blood glucose sugar, glycosylated hemoglobin and lose weight, because of the pregnancy has already gained 12 kg (with normal endocrinological should not exceed 10 kg), although I now weight 66 kg with an increase of 168 and gynecological standards such as in the standard fit in (but for some reason the rules are different). I was alerted to such recommendations, and I'm not quite sure of their validity and necessity. Can you please tell how valid these recommendations and what to do? Is there a predisposition to GIST. diabetes and the threat to the child? Sincerely, Elen
Answer: In pregnancy may increase the level of sugar (gestational diabetes), and it is really threatening the child and increases the risk of pregnancy complications for you. This diagnosis can be made on the basis of the test with a "sugar-laden" (the definition of sugar before and 2 h after receiving 75 g of glucose in the form of sugar – you have to understand you such a test is conducted…), Or if twice (on different days ) was detected above the normal fasting sugar (above 6. 1 of thumb, above 7. 0 of veins). Do you have these formal criteria there, so there is no basis for a diagnosis. But once the sugar above normal identified (possibly – laboratory error, possibly – unusual food before, because of what some sugar rose). Therefore, caution does not hurt – really, is keep to a diet with the exception saharopovyshayuschih products (see FAQ about gestational diabetes). Pregnancy – not the best time for weight reduction, and in 36 weeks later, his cut. Now you can calmly prepare to leave (there is no stable high sugar, so do not worry), after giving birth – make sure that there was no weight gain, the weight is gradually returned to what it was before pregnancy (proper diet + sufficient physical activity).