diabetestalk.net

Reasons For Early Glucose Test

Are We Testing For Gestational Diabetes Too Late?

Are We Testing For Gestational Diabetes Too Late?

A new study shows that babies are already showing the effects of gestational diabetes by the time expectant moms are tested for it. So are we testing too late? No one likes the glucose tolerance test—having to chug down that nasty orange drink, and hoping there are no side effects. Unfortunately, screening for high blood sugar is a necessity in pregnancy, as gestational diabetes mellitus (GDM) can cause problems ranging from stillbirth to childhood obesity. But a new study published in journal Diabetes Care suggests that unborn babies are showing the effects of GDM before expectant mothers are even tested for it, throwing the screening's relevance into question. Should pregnant women be tested even earlier? Diagnosis after baby is already affected Researchers looked at data from over 4,000 pregnant women to measure baby's growth, as large size is an indicator of gestational diabetes, and compared that info to the 171 moms who actually developed GDM later on. They also looked at which women were obese, another risk factor for GDM. "Gestational diabetes and obesity were both associated with accelerated growth of the [baby's] abdomen between 20 and 28 weeks," study author Gordon Smith, M.D., Ph.D., the head of the department of obstetrics and gynecology at the University of Cambridge in the UK, tells Fit Pregnancy. "In relation to gestational diabetes, measurements were normal at 20 weeks, but were large by 28 weeks. Women who were both obese and had a diagnosis of gestational diabetes were almost five times more likely to have a baby with a large abdominal measurement at 28 weeks." Because GDM wasn't actually diagnosed in the women until 28 weeks, "the effects of gestational diabetes [are] already present at the time we normally make the diagnosis," Dr. Smith says. Alth Continue reading >>

Glucose Test During Pregnancy For Gestational Diabetes

Glucose Test During Pregnancy For Gestational Diabetes

Congratulations! A baby is on the way. Your nine months will be filled with preparations, from decorating the nursery to stocking up on bibs and booties to going for regular checkups to ensure that you and your baby are as healthy as possible. One of the tests that you’ll have during this time is to check for gestational diabetes. A few weeks ago, we looked at Type 1 and Type 2 diabetes. Gestational diabetes, which is growing more common among pregnant women, will be our focus this week. What is gestational diabetes? Gestational diabetes, or GDM for short, is diabetes that occurs during pregnancy. In fact, it only occurs during pregnancy. (Gestational diabetes is not the same as diabetes in women who have existing diabetes and become pregnant). Diabetes, as most of you know, is a condition in which blood glucose levels go too high. High blood glucose levels can be harmful to you and, in the case of pregnancy, to your unborn child. Fortunately, blood glucose, or sugar, levels can be controlled during pregnancy, and in most instances, high blood sugar levels return to normal after the baby is delivered. According to the National Institutes of Health, up to 10% of pregnant women in the United States have gestational diabetes. What causes gestational diabetes? A lot of changes occur in the body during pregnancy, many of them occurring due to widely fluctuating hormone levels. The placenta, which is what connects the baby to the mother’s uterine lining, makes various hormones, and while this is a good thing, these hormones can sometimes make it hard for the body’s insulin to work properly (a condition called insulin resistance). As a result, blood sugar levels can start to climb in women who cannot produce enough insulin to deal with the insulin resistance. How do you Continue reading >>

Early Glucose Test???

Early Glucose Test???

I'm am 20 weeks and 36 yrs old. My dr office called today and requested that I come in for an early glucose test and then a follow up test at 28 weeks. Has anyone else had this done early an if so for what reason? @cleorolen I have to go to an early glucose test tomorrow at 10 weeks. Reason for me is that I was borderline last pregnancy and had to follow the gestational diabetes diet for the last 3 month. My OB tests at the first appointment for women over 35. In fact ALL women get an a1c test (which gives an average over 3 months) at the first appointment. They are finding GD is much more common than previously believed. It's really a good idea to get screened as early as you can. I had an early test done with my last pregnancy (last year, I was 40) because I am overweight. It was no big deal. @cleorolen My Dr had me start following diabetic diet and monitor blood sugar, had GD with last pregnancy, controlled by diet. It's presumed I will be again. Skipped screen for now, I was very sick last Glucose tolerance test, first sign I didn't pass it. Good luck @cleorolen I might be mistaken but if they find some elevated protein in your regular urine test, they would like to issue GD test. It is for your baby's sake. @cleorolen I just has an early test at 19 weeks. I assumed it was because if my weight. Maybe it was my age. I didn't ask. took one at 16, will take one at 24 and i believe another at 28 or 32- overweight @cleorolen I had to do one at 12 weeks this time, because I had GD with ds. Luckily I passed, so I will do it again at 28 weeks. @mommy2owen I did one at my first ob appt. @ 6 weeks. I was told it was due to the fact my last baby was born @ 8 pds 14 ounces. & I'm 35. The drink wasn't too bad and the blood work was fast. I waited 30 minutes after I finished the Continue reading >>

Gestational Diabetes

Gestational Diabetes

only happens during pregnancy. It means you have high blood sugar levels, but those levels were normal before you were pregnant. If you have it, you can still have a healthy baby with help from your doctor and by doing simple things to manage your blood sugar, also called blood glucose. After your baby is born, gestational diabetes usually goes away. Gestational diabetes makes you more likely to develop type 2 diabetes, but it won’t definitely happen. During pregnancy, the placenta makes hormones that can lead to a buildup of glucose in your blood. Usually, your pancreas can make enough insulin to handle that. If not, your blood sugar levels will rise and can cause gestational diabetes. It affects between 2% and 10% of pregnancies each year. You are more likely to get gestational diabetes if you: Were overweight before you got pregnant Are African-American, Asian, Hispanic, or Native American Have high blood sugar levels, but not high enough to be diabetes Have a family history of diabetes Have had gestational diabetes before Have high blood pressure or other medical complications Have given birth to a large baby before (greater than 9 pounds) Have given birth to a baby that was stillborn or had certain birth defects Gestational diabetes usually happens in the second half of pregnancy. Your doctor will check to see if you have gestational diabetes between weeks 24 and 28 of your pregnancy. Your doctor may test sooner if you're at high risk. To test for gestational diabetes, you will quickly drink a sugary drink. This will raise your blood sugar levels. An hour later, you’ll take a blood test to see how your body handled all that sugar. If the results show that your blood sugar is higher than a certain cutoff (anywhere from 130 milligrams per deciliter [mg/dL] or hig Continue reading >>

Glucose Screening And Glucose Tolerance Test

Glucose Screening And Glucose Tolerance Test

Nearly 1 in 10 women will develop gestational diabetes (GD or GDM) during pregnancy — which is why almost all practitioners screen for it in all their patients. Fortunately, gestational diabetes is also one of the most easily managed pregnancy complications. When blood sugar is closely controlled through diet, exercise and, if necessary, medication, women with gestational diabetes are likely to have perfectly normal pregnancies and healthy babies. When a glucose screening is done The glucose screen is usually done between week 24 of pregnancy and week 28 of pregnancy. Some practitioners may test earlier if you're at higher risk for the disorder, including if you're obese, 35 or older, have a family history of diabetes or had gestational diabetes in a previous pregnancy. How a glucose screening is done The glucose screening is simple, especially if you have a sweet tooth. First, you'll drink a very sweet glucose (aka sugar) drink, which usually tastes like flat orange soda. Then you'll wait for one hour before having some blood drawn and tested for glucose. Most women chug the stuff with no problem and no side effects; a few, especially those who don't have a taste for sweet liquids, feel a little queasy afterwards. How a glucose tolerance test is done If the results of your glucose screening show elevated levels of glucose in your blood, it's possible that you might not be producing enough insulin to process the extra glucose in your system. Your doctor may then order a glucose tolerance test. For this diagnostic test, you'll be asked to fast overnight. Your blood will be drawn in the morning, and then you'll drink a higher-concentration glucose mixture. Your blood will be drawn three more times, at one, two, and three hours later. If a glucose tolerance test diagnose Continue reading >>

Early Screening Of Women At High Risk For Gestational Diabetes Recommended

Early Screening Of Women At High Risk For Gestational Diabetes Recommended

Early Screening of Women at High Risk for Gestational Diabetes Recommended May 13, 2008 (New Orleans) The outcome of gestational diabetes appears similar whether a woman is screened early (during the first trimester of pregnancy) or later (during the second trimester). Furthermore, more women can be managed with oral agents rather than with insulin if risk is managed early. Two teams of investigators announced these results here during presentations at the American College of Obstetricians and Gynecologists 56th Annual Clinical Meeting. In the first study, Patricia L. Maran, MD, of Lehigh Valley Hospital, in Allentown, Pennsylvania, and colleagues took a retrospective look at 152 patients with gestational diabetes presenting for prenatal care from December 1, 2004, to June 30, 2006. The patients were matched 2:1 for age, race, and parity with nondiabetic controls. Their objective was to determine whether early screening, using a 50-g glucose challenge, improves pregnancy outcomes. Women were screened either at their first prenatal visit or between 24 and 28 weeks' gestation, at the discretion of the physician. Women with a negative early screen underwent repeat screening at 24 to 28 weeks, using a 3-hour glucose-tolerance test. Of the 252 women screened, Dr. Maran's team identified 84 patients with gestational diabetes. Those screened early were more likely to be Hispanic (76% vs 55% of other ethnic origin; P=.02), to have a family history of diabetes mellitus (41% vs 27% with no family history; P=.02), or to have a history of gestational diabetes (21% vs 5% with no history; P=.001). Women with a higher body-mass index (BMI) (average, 31.9kg/m2) had a higher risk for gestational diabetes than those with a BMI less than 28.4kg/m2 (P=.002). Overall, 51% of those with a B Continue reading >>

All You Need To Know About The Glucose Tolerance Test

All You Need To Know About The Glucose Tolerance Test

Most of the food people eat is turned directly into glucose when digested, and the body uses it as energy. The pancreas is responsible for making the hormone insulin which helps to get glucose into the cells of the body. Diabetes is a long-term disease that occurs due to the pancreas not producing enough insulin or the body being unable to use the insulin it produces effectively. The body is unable to process food properly to use for energy. Glucose builds up in the blood, which can lead to severe health problems. There are two main types of diabetes. Type 1 diabetes is usually diagnosed in children and young adults and is also known as juvenile diabetes. With type 1 diabetes the body does not produce insulin. According to The American Diabetes Association, only 5 percent of people with diabetes have type 1. Type 2 diabetes is the most common form of diabetes. In people with type 2 diabetes, their body does not use insulin properly, which is known as insulin resistance. The pancreas responds by making more insulin to cover the deficiency but is not able to keep blood glucose at normal levels. As glucose builds up in the blood, the body's cells do not receive the energy they need. Over time, high blood glucose levels can damage the eyes, kidneys, nerves, and heart. Glucose tolerance test: Testing for diabetes A simple blood test can often detect diabetes. If the test produces borderline results, a glucose tolerance test may help with the final diagnosis. In a healthy person, glucose levels will rise after eating a meal and return to normal once the glucose is used or stored by the body. A glucose tolerance test can help to work out the difference between normal glucose levels and the levels seen in diabetes and prediabetes. The glucose tolerance test is used to measure t Continue reading >>

Gestational Diabetes

Gestational Diabetes

Gestational diabetes definition and facts Risk factors for gestational diabetes include a history of gestational diabetes in a previous pregnancy, There are typically no noticeable signs or symptoms associated with gestational diabetes. Gestational diabetes can cause the fetus to be larger than normal. Delivery of the baby may be more complicated as a result. The baby is also at risk for developing low blood glucose (hypoglycemia) immediately after birth. Following a nutrition plan is the typical treatment for gestational diabetes. Maintaining a healthy weight and following a healthy eating plan may be able to help prevent or minimize the risks of gestational diabetes. Women with gestational diabetes have an increased risk of developing type 2 diabetes after the pregnancy What is gestational diabetes? Gestational diabetes is diabetes, or high blood sugar levels, that develops during pregnancy. It occurs in about 4% of all pregnancies. It is usually diagnosed in the later stages of pregnancy and often occurs in women who have no prior history of diabetes. What causes gestational diabetes? Gestational diabetes is thought to arise because the many changes, hormonal and otherwise, that occur in the body during pregnancy predispose some women to become resistant to insulin. Insulin is a hormone made by specialized cells in the pancreas that allows the body to effectively metabolize glucose for later usage as fuel (energy). When levels of insulin are low, or the body cannot effectively use insulin (i.e., insulin resistance), blood glucose levels rise. What are the screening guidelines for gestational diabetes? All pregnant women should be screened for gestational diabetes during their pregnancy. Most pregnant women are tested between the 24th and 28th weeks of pregnancy (see Continue reading >>

Need For Testing Glucose Tolerance In The Early Weeks Of Pregnancy

Need For Testing Glucose Tolerance In The Early Weeks Of Pregnancy

Need for testing glucose tolerance in the early weeks of pregnancy 1Diabetes in Pregnancy Study Group India, Bengaluru, Karnataka, India 2International Association of Diabetes and Pregnancy Study Group, Bengaluru, Karnataka, India 3Dr. Balaji Diabetes Care Centre and Dr. V. Seshiah Diabetes Research Institute, Bengaluru, Karnataka, India 4Expert Review Committee, Bengaluru, Karnataka, India 5Expert Group Committee on GDM, Bengaluru, Karnataka, India 6Ministry of Health Government of India and Indian Council of Medical Research, Bengaluru, Karnataka, India 7Federation of Obstetrics and Gynecology Society India, Bengaluru, Karnataka, India 8Divakar's Speciality Hospital, Bengaluru, Karnataka, India 1Diabetes in Pregnancy Study Group India, Bengaluru, Karnataka, India 1Diabetes in Pregnancy Study Group India, Bengaluru, Karnataka, India 2International Association of Diabetes and Pregnancy Study Group, Bengaluru, Karnataka, India 3Dr. Balaji Diabetes Care Centre and Dr. V. Seshiah Diabetes Research Institute, Bengaluru, Karnataka, India 5Expert Group Committee on GDM, Bengaluru, Karnataka, India 6Ministry of Health Government of India and Indian Council of Medical Research, Bengaluru, Karnataka, India 1Diabetes in Pregnancy Study Group India, Bengaluru, Karnataka, India 2International Association of Diabetes and Pregnancy Study Group, Bengaluru, Karnataka, India 3Dr. Balaji Diabetes Care Centre and Dr. V. Seshiah Diabetes Research Institute, Bengaluru, Karnataka, India 4Expert Review Committee, Bengaluru, Karnataka, India 5Expert Group Committee on GDM, Bengaluru, Karnataka, India 6Ministry of Health Government of India and Indian Council of Medical Research, Bengaluru, Karnataka, India 7Federation of Obstetrics and Gynecology Society India, Bengaluru, Karnataka, India 8Di Continue reading >>

Gestational Diabetes

Gestational Diabetes

Overview Gestational diabetes develops during pregnancy (gestation). Like other types of diabetes, gestational diabetes affects how your cells use sugar (glucose). Gestational diabetes causes high blood sugar that can affect your pregnancy and your baby's health. Any pregnancy complication is concerning, but there's good news. Expectant women can help control gestational diabetes by eating healthy foods, exercising and, if necessary, taking medication. Controlling blood sugar can prevent a difficult birth and keep you and your baby healthy. In gestational diabetes, blood sugar usually returns to normal soon after delivery. But if you've had gestational diabetes, you're at risk for type 2 diabetes. You'll continue working with your health care team to monitor and manage your blood sugar. Symptoms For most women, gestational diabetes doesn't cause noticeable signs or symptoms. When to see a doctor If possible, seek health care early — when you first think about trying to get pregnant — so your doctor can evaluate your risk of gestational diabetes as part of your overall childbearing wellness plan. Once you're pregnant, your doctor will check you for gestational diabetes as part of your prenatal care. If you develop gestational diabetes, you may need more-frequent checkups. These are most likely to occur during the last three months of pregnancy, when your doctor will monitor your blood sugar level and your baby's health. Your doctor may refer you to additional health professionals who specialize in diabetes, such as an endocrinologist, a registered dietitian or a diabetes educator. They can help you learn to manage your blood sugar level during your pregnancy. To make sure your blood sugar level has returned to normal after your baby is born, your health care team wil Continue reading >>

Did Fine On Glucose Test, But Doc Is Making Me Take It Again

Did Fine On Glucose Test, But Doc Is Making Me Take It Again

Did fine on glucose test, but doc is making me take it again Subject: Did fine on glucose test, but doc is making me take it again Am with a new OB this time around since we moved. New OB made me do the glucose test early (I think it was at around 12 weeks or so). Passed it with flying colors. At my 23-24 week visit yesterday, he tells me that I need to take another 1-hour test at 26 weeks. WTH? He even said that I did fine the first time around, but that's it's standard to do the test again at 26 weeks. My last OB did the test once (I think somewhere in the late second trimester). I did fine. End of story. Am I missing something here? I probably should check if my insurance even covers a second go-round with the awful orange drink. I thought it odd when he said he was doing the test so early on in the pregnancy, but figured - hey - he's the doctor. Am I overreacting or does it seem silly to others to make someone do this test twice? Anyone else have a similar experience? For what it's worth, my weight is healthy and I've never had any sugar issue, nor do I have any other markers for gestational diabetes. I don't want to do anything to put my baby at risk, but this seems like overkill to me. Thanks in advance for any insight other posters can provide. Subject: Re:Did fine on glucose test, but doc is making me take it again The problem was that the frst test was meaningless. At26 weeks is the "normal" time for the test. If you jut don't like the orange drink, there are options. There's an established prtocol for using jelly beans; google it. My midwives used regular 100% juice. All that said, your doctor can't "make" you do anything; if you think the costs outweigh the benefits, you're allwed to decline. Subject: Re:Did fine on glucose test, but doc is making me take it Continue reading >>

Glucose Tolerance Test - 1st Tri??

Glucose Tolerance Test - 1st Tri??

Hi LizzieJane, firstly try not to worry. The exact same thing has happened with me. Basically at my 10&3 scan they took blood, rang me a week later to say my blood sugar was too high to go in for a GTT (Glucose Tolerance Test). The test lasts 3 hours. Once you go in they will take 4 testtubes of blood. Afterwards you drink a really sugary glucose drink which isn't the most pleasant. One hour later they take another 2 testtubes of blood. Another hour later then take another two then they fed me with food and i was able to go. The worst part for me was the throwing up before the test as i had M/S and was sick if i didn't eat first thing. You need to fast from the evening before until after the test. Test was for 8.30am so didn't get eating to 12. They rang me that afternoon to say that all 3 readings were too high - fasting, one hr later and two hours later. I am now with the Metabloic Clinic and i have to go every 2 weeks. The upside is i now receive scans every 4 weeks as they want to check the size of the baby. The problem is the stomach can get bigger than the head and there is an increased chance of stillborn therefore they won't let me get to full term. Ideally they would induce at 39 or if have too at 37-38 but baby wld be on steriods for lungs to build up. 50% get a Caescaran. Firstly you will try to control with diet. This is my 3rd day of it and it's ok, just no sweets/cakes/buns etc. I have to prick myself 7 times a day and record readings. will discuss when go back to hospital. Worse case scenario is that insulin will need to be injected but hoping with diet/exercise it won't get this far. Apprantely after 20 weeks it will get gradually worse. I am now 13&1. Sorry this is so long but wanted to try and help you out as i know how scared it was. If you need any Continue reading >>

Early-pregnancy Glucose Screening For Gestational Diabetes Mellitus

Early-pregnancy Glucose Screening For Gestational Diabetes Mellitus

From the Departments of Obstetrics and Gynecology, Duke University School of Medicine, Durham, North Carolina; University of Hawaii School of Medicine, Honolulu, Hawaii; and California State University, Stanislaus, Turlock. Dr. Nahum is Associate Clinical Professor, Residency Program Coordinator and Director of Medical Student Education, Department of Obstetrics and Gynecology, Duke University School of Medicine. Dr. Wilson is in private practice in Honolulu, Department of Obstetrics and Gynecology, University of Hawaii Medical Center. Dr. Stanislaw is Professor and Chair, Department of Psychology, California State University, Stanislaus. Address reprint requests to: Gerard G. Nahum, M.D., Department of Obstetrics and Gynecology, Duke University Medical Center 3241, Durham, NC 27710 ([email protected]). Financial Disclosure: The authors have no connection to any companies or products mentioned in this article. 0024-7758/02/4708-0656/$15.00/0 Journal of Reproductive Medicine OBJECTIVE: To determine the accuracy of the 50-g, one-hour glucose screening test administered at 16 weeks patients without diagnoses of gestational diabetes during the second trimester of pregnancy underwent standard RESULTS: Gestational diabetes mellitus was diagnosed in 25 patients. Glucose screening tests administered at 16 weeks of pregnancy identied 96% (24) of these pa- tients. Patients with 16-week glucose screening test re- sults 135 mg/dL had a 55% risk of developing diabetes during pregnancy, while the risk was 0.6% for patients with 16-week test results 110 mg/dL. Patients with 16- week glucose screening test results in the intermediate range, 111134 mg/dL, had a 4.8% risk of developing di- This latter nding is superior to the 8.622% found dur- ing the third-trimester. (J Reprod Med 2 Continue reading >>

Early Gestational Glucose Screening And Gestational Diabetes.

Early Gestational Glucose Screening And Gestational Diabetes.

Early gestational glucose screening and gestational diabetes. Department of Obstetrics and Gynecology, University of Illinois at Chicago 60612-7313, USA. The purpose of this study was to determine the benefit of early glucose screening prior to 24 weeks' gestation in detecting gestational diabetes. A retrospective analysis of 329 patients who received both early and complete prenatal care at the University of Illinois was performed. A 50-g, 1-hour glucose screen was performed at the first prenatal visit. An abnormal glucose screen, defined as blood sugar > 135 mg/dL, was followed by a 100-g, 3-hour glucose tolerance test. Gestational diabetes was defined as the presence of two or more abnormal values on the three-hour test. This protocol was repeated again at 28 weeks in all patients except those diagnosed as diabetic by having abnormal early three-hour tests. Data collected included maternal age, race, gravidity, presence of risk factors, pregnancy weight gain at glucose testing and delivery, neonatal birth weight and trauma. Data were analyzed using analysis of variance and chi 2 testing, with P < .05 considered significant. Gestational diabetes was diagnosed in 20 (6.1%) of the study patients. Eight (40%) of the gestational diabetics in the study population were detected with the early screening protocol. Factors associated with early detection of glucose intolerance included maternal age > 30 years (P < .001), black race (P < .001) and the presence of risk factors (P < .0001). Poor pregnancy weight gain was associated with the late development of glucose intolerance (P < .001). Gestational diabetes was subsequently diagnosed in 16% (6/38) of those patients who had, on early testing, an elevated one-hour glucose screen and negative three-hour glucose tolerance test Continue reading >>

Anyone Else Have To Do An Early Glucose Test?

Anyone Else Have To Do An Early Glucose Test?

I had to with my last pregnancy. I have PCOS and my OB thought that with some mild insulin resistance, I should take it early. I begged her not to make me because I always fail the one hour and pass the three hour. Sure enough, that's what happened with the early test. But then I had to do it again later in the pregnancy, which meant 2 one hour tests and 2 three hour tests. Some people dread epidurals or stretch marks...I dread the glucose tests. Hate them! I'm sure you will do fine, though, especially if you are down some weight. Good luck! Is this the test to look for gestational diabetes? I wanted my OB to test me early since I have PCOS but she won't because I'm not overweight. Not sure if I should push for it or not. Based on all of your responses it sounds pretty nasty so maybe it's a good thing that I don't have to do it early!? NTNP since 11/12, actively trying since 8/14 12/17/15: Got to see the heartbeat (105bpm)! Yep, also due to my weight I had to do an early test. I was kind of close to the minimum level of concern, so then I did a second 1-hour test and I was borderline, so my doc had me do the 3-hour test - fasting, with a baseline blood draw before drinking, and then a blood draw every hour. My blood sugar was perfectly fine, and actually my level at the 3rd hour was really low, even lower than my baseline. Which explains why I feel like crud when I eat too much sugar, and why I left the lab that day feeling woozy and headachey. The thing is, I wish they would do the 1-hour test as a fasting test and take a baseline blood draw before you drink the drink. I feel like that would give more accurate results from the very beginning, and then maybe people in our situation wouldn't potentially have to do 3 tests. I have some backup on this from my husband who Continue reading >>

More in blood sugar