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Gestational Diabetes Blood Sugar Levels Too High

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7 Techniques To Reduce Post-meal Spikes During Pregnancy

“Gary, I think I need more insulin at breakfast.” “Why do you say that, Julianne?” “Because I’m always having high readings right afterwards, and my obstetrician said I shouldn’t spike after I eat.” “And what happens after the spike?” “It usually comes down to normal before lunch. So do you think I should take more insulin?” After-meal blood sugar spikes can create quite a quandary for anyone with diabetes, particularly during pregnancy. Research has shown that fetal macrosomia (overgrowth of the baby) becomes more common when post-meal blood sugars exceed 120 mg/dl (6.7 mmol). With post-meal readings above 140 mg/dl (7.8 mmol), the risk more than doubles from baseline. Fetal macrosomia can cause many problems during pregnancy. When the baby grows and develops too rapidly, it can lead to a premature and more complicated birth. It may also cause injuries to occur to the baby during delivery. Why do after-meal blood sugars have such a major influence on the baby’s growth? Nobody knows for certain. Perhaps, when the mother’s blood sugar “spikes” suddenly after meals, the baby is fed more sugar than its pancreas can “cover” with insulin, and high fet Continue reading >>

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  1. GreenEight

    Hello, all
    I'm almost 18 weeks pregnant and was diagnosed with GD at 14w. I had it with my last pregnancy and was diet controlled (but didn't find out till far later on in pg that time as had a routine GTT rather than an early one).
    I've been OK at my mealtime control (few blips here and there, but for understandable reasons), generally readings starting 5, 6 and 7.
    But my fasting reading should be 5.3 or below and since I started measuring 23 days ago, it's only been under that once. I've had a few under 6, but the majority are between 6.2 and 6.7. I started taking a bedtime dose of 500mg Metformin about a week ago but it hasn't done anything to the fasting sugar levels (which I was advised might be the case, but we thought it was worth a try!). I've tried having a snack before bed, not having a snack before bed, eating my last meal earlier, eating it later, etc. I've been for walks after dinner (harder in the freezing cold/rain!). Nothing seems to have any effect - my fasting sugar is only really a little bit less than my hour post evening meal level.
    Any suggestions before I go onto insulin, please? Thanks in advance!

  2. azure

    What did you try for snacks? And have you tried setting an alarm during the night to test to see when it's rising? That might be useful information.

  3. GreenEight

    Thank you for replying! Various things - peanuts, cheese, glass of full-fat milk.
    I took my levels after a 7.0 reading after lunch and it was 4.6 (three hours after lunch).
    I do get up to the loo most nights, so I could test then too!

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Mothers' High Normal Blood Sugar Levels Place Infants At Risk For Birth Problems

Pregnant women with blood sugar levels in the higher range of normal — but not high enough to be considered diabetes — are more likely than women with lower blood sugar levels to give birth to babies at risk for many of the same problems seen in babies born to women with diabetes during pregnancy, according to a study funded in large part by the National Institutes of Health. These problems included a greater likelihood for Caesarean delivery and an abnormally large body size at birth. Infants born to women with higher blood sugar levels were also at risk for shoulder dystocia, a condition occurring during birth, in which an infant’s shoulder becomes lodged inside the mother's body, effectively halting the birth process. The study authors declined to make recommendations for acceptable blood sugar levels for pregnant women. The researchers were unable to identify a precise level where an elevation in blood sugar increased the risk for any of the outcomes observed in the study. Rather, the chances for the outcomes were observed to increase gradually, corresponding with increases in the women’s blood sugar levels. It is well known that high blood sugar levels characteristic o Continue reading >>

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  1. FreeSpirit

    What is "too high" for gestational?

    Hey everyone,
    So my friend, Tangie, is 4 months pregnant, and she was just diagnosed as a gestational diabetic. Being a diabetic myself, I've been helping her monitor her diet and exercise. Her sugars are normally 100 (5.6), and her highest EVER in the past month was 129 (7.2). The doctor wants her to take insulin for the rest of her pregnancy, saying her fasting numbers should be between 70 - 90 (3.9 - 5)in the morning. This seems a little extreme to me, and I think insulin may do more harm than good to her. I'm really confused, since I thought a normal blood sugar level was between 80 - 120 (4.4 - 6.7). Is it different for gestational diabetics?
    Robyn

  2. tralea

    Actually, when you're pregnant most OB's like to see your blood sugars in the high 70's-100 if at all possible - especially for a non-diabetic. I don't think her numbers are all that bad either, but the moment when they start going up (and they will if she's gestational), I wouldn't hesitate encouraging her to take insulin. The OB probably suggested it as a precaution or to prevent her sugars from sky rocketing - and they can better figure out her units now than later and make adjustments when they are needed. Pretty hard to hear, I know. She's not doing bad so far!!

  3. Tiger Lily

    Robyn, the guidelines are much stricter for gestational diabetes because of the risk of damage to the fetus by high blood glucose levels
    she will have excursions beyond what her ob/gyn wants her at, but hopefully those are few and far between
    insulin is the safest med for a pregnant diabetic
    she has an almost 100% chance of getting type 2 diabetes within 10 years of her gestational diagnosis.......... i hope she can follow diet/exercise/meds closely and avoid that diagnosis

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Treatment

If you have gestational diabetes, the chances of having problems with the pregnancy can be reduced by controlling your blood sugar (glucose) levels. You'll also need to be more closely monitored during pregnancy and labour to check if treatment is working and to check for any problems. Checking your blood sugar level You'll be given a testing kit that you can use to check your blood sugar level. This involves using a finger-pricking device and putting a drop of blood on a testing strip. You'll be advised: how to test your blood sugar level correctly when and how often to test your blood sugar – most women with gestational diabetes are advised to test before breakfast and one hour after each meal what level you should be aiming for – this will be a measurement given in millimoles of glucose per litre of blood (mmol/l) Diabetes UK has more information about monitoring your glucose levels. Diet Making changes to your diet can help control your blood sugar level. You should be offered a referral to a dietitian, who can give you advice about your diet, and you may be given a leaflet to help you plan your meals. You may be advised to: eat regularly – usually three meals a day – a Continue reading >>

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Popular Questions

  1. FreeSpirit

    What is "too high" for gestational?

    Hey everyone,
    So my friend, Tangie, is 4 months pregnant, and she was just diagnosed as a gestational diabetic. Being a diabetic myself, I've been helping her monitor her diet and exercise. Her sugars are normally 100 (5.6), and her highest EVER in the past month was 129 (7.2). The doctor wants her to take insulin for the rest of her pregnancy, saying her fasting numbers should be between 70 - 90 (3.9 - 5)in the morning. This seems a little extreme to me, and I think insulin may do more harm than good to her. I'm really confused, since I thought a normal blood sugar level was between 80 - 120 (4.4 - 6.7). Is it different for gestational diabetics?
    Robyn

  2. tralea

    Actually, when you're pregnant most OB's like to see your blood sugars in the high 70's-100 if at all possible - especially for a non-diabetic. I don't think her numbers are all that bad either, but the moment when they start going up (and they will if she's gestational), I wouldn't hesitate encouraging her to take insulin. The OB probably suggested it as a precaution or to prevent her sugars from sky rocketing - and they can better figure out her units now than later and make adjustments when they are needed. Pretty hard to hear, I know. She's not doing bad so far!!

  3. Tiger Lily

    Robyn, the guidelines are much stricter for gestational diabetes because of the risk of damage to the fetus by high blood glucose levels
    she will have excursions beyond what her ob/gyn wants her at, but hopefully those are few and far between
    insulin is the safest med for a pregnant diabetic
    she has an almost 100% chance of getting type 2 diabetes within 10 years of her gestational diagnosis.......... i hope she can follow diet/exercise/meds closely and avoid that diagnosis

  4. -> Continue reading
read more

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