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3rd Trimester
antiqueyouth
member
Gestational Diabetes Question
antiqueyouth
member
Hello all! I've mainly been a lurker here on the board, but really enjoy reading the posts and have noticed that many of you have received very useful answers to questions that were really bothering you, so to ease my mind I have a question.
What glucose levels are considered normal versus categorized as in gestational diabetes range if you are measuring 2 hours after a meal? My midwife has been very persistently having me measure my glucose, both fasting every morning and three times a day, two hours after meals. If I actually have gestational diabetes, I am more than happy to be doing this. However, I compared the fasting levels that she is "highly concerned" about with the ones that the American Diabetes Association considers as gestational diabetes, and they do not even come close to matching up. She has mentioned several times sending me to a specialist due to these fasting numbers. I am not on a quest to prove my midwife wrong, but she seems to be expecting numbers that are very hard for me to achieve, even though I have made drastic dietary and exercise changes that have resulted in 5+ pound weight loss and massive stress in the past week. Please let me know what numbers your doctors/midwives have said are normal for two hours after eating just so I can stop worrying.
Sorry this was so long-winded....
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Re: Gestational Diabetes Question
My Dr requires a fasting under 90 and a reading under 130, 1hr after eating.
I think they are all different so you will probably get an array of answers.
My requirements are: under 90 for fasting and under 120 1 hour after I begin eating.
Anyone else wonder why the numbers/times vary? I know everyone is different and each physician has their own practices, but it seems like the "ideal" numbers would be universal. Interesting!!
my fasting # is supposed to be lower than 105
my 1 hour after meal # is supposed to be below 130
TTC#1 Chart
TTC#2 Chart
IUI #1 - #4 (repronex trigger) = BFN
IUI#5 on 10/28/2008 ** BFP 11/10/08 ** EDD 07/21/09 *** It's a GIRL (07/14/09)
med/treatment free BFP 06/28/10. EDD 03/05/11 *** GIRL #2 (02/23/11)
beta#1 @ 17dpo = 1296 .... beta#2 @ 19dpo = 3034
it's the Bug and Baby Belle!
My doctor required 60 to 90 for fasting and <140 one hour after first bite of a meal.
You really shouldn't be losing weight while pregnant. Does your MW have you checking for ketones? Eating too little can cause you to pass ketones, which can be harmful to your baby. Make sure you're eating your whole diet plan... if you're still too high on glucose when you're following the plan, then you may need to be on insulin. You definitely need to make sure your baby's getting what he or she needs to grow, even if it means treating your diabetes more aggressively.
GL!
I was told that my fasting numbers should be between 60 and 89, and between 100 and 129 an hour and a half after every meal. From what I understand, your specialist determine what your own personal target blood sugar levels should be. But its always good to ask, why your specialist came up with the numbers they gave you.
My midwife has checked for ketones and hasn't found any. Right now the best guess is that the weight loss has been a result of me being sick with fever, throwing up, and a throat swollen to 3 times the normal size for the past two days. This has prevented eating a lot of solid foods but thankfully is getting better and I just weighed myself and had gained some since last night's weight check.
Thank you so much for all the useful information! You ladies have all been so helpful in putting my mind at ease.
I was told by the diabetic educator that I should be 95 or less fasting and 120 or under 2 hours after a meal.
That being said, my OB said he goes more by the "old school" fasting number or 105. With a couple of exceptions where I ate something I hadn't eaten before and it didn't work well for me, all of my 2 hour readings have been under 120. My fasting numbers range from the low to upper 90's. My OB said that if the fasting numbers go consistently into the 100's then we may look at medication.
Hakakha, M.D., OB/GYN & Brown, M.D., Pediatrician (2010) state "The cut-off for normal and abnormal [glucola test results] can vary, but in generail is between 130 and 140. Above 140 is considered abnormal. FYI: Many practitioners are being more conservative with this test, especially in moms-to-be who already have other risk factors for diabetes. In these cases, test results in the 120's or 130's may be flagged as abnormal. Of course, there is a downside to this conservative approach: more women who don't have diabetes have to endure additional testing." (p. 143)
from: Expecting 411: The insider's guide to pregnancy an childbirth