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Doctor insights on: Gestational Diabetes Glycosuria At The First Prenatal Visit

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At what point is insulin necessary for gestational diabetes?

At what point is insulin  necessary for gestational diabetes?

Insulin NG in GDM: Gestational diabetes is the result of excessive sugar and carbohydrate intake which causes high blood sugar levels, which then make your Insulin levels rise. Plus the hormone changes in preg make prob worse. . Over time the chronically high Insulin levels lead to Insulin resistance and you will need to make higher and higher levels of insulin. Rx should be directed at reducing Insulin resistance. ...Read more

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Dr. Michael Carson
387 doctors shared insights

Diabetes Onset During Pregnancy (Definition)

Gestation diabetes is diabetes that occurs during pregnancy. This develops when pregnancy hormones change a patient's metabolism so that they can not regulate their blood sugar. A patient with GDM will have to go on a low sugar and low carb diet and monitor blood sugars very carefully. Sometimes they will require medications. There is a 30% chance ...Read more


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Is ac1 glycohemoglobin the best test for gestational diabetes?

Is ac1 glycohemoglobin the best test for gestational diabetes?

No.: Gestational diabetes testing involves a screeing test with 50 grams of glucose in liquid, then checking the blood sugar level an hour later. If that level is too high, then a formal glucose tolerance test should be done (several hours long). An A1c level of glycohemoglobin which is elevated would be suspicious for gestational diabetes, but it's not the preferred diagnostic test. ...Read more

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Diagnosed with gestational diabetes at 12 weeks. What level of sugar spike is needed to cause birth defects ?

Diagnosed with gestational diabetes at 12 weeks. What level of sugar spike is needed to cause birth defects ?

Discuss w/ providers: Your OBGYN and other providers need to clearly explain the situation to you and provide you with info on what to do to avoid problems or what to watch for, when to call them or go to an ER. Working closely w/ them is the very best thing you can do. That way you'll have the safest birth and both you and your baby will be glad to be part of a team. Best wishes. ...Read more

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What are the optimal blood glucose levels for pregnant women with gestational diabetes?

What are the optimal blood glucose levels for pregnant women with gestational diabetes?

Low!: Less than 95 fasting, and less than 120 2 hours after meals. (some are a little more liberal with fastings, allowing less than 105). Gestational diabetic are less likely to have problems with fasting sugars as they are with postprandial (after meals) sugars. ...Read more

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Can you have anemia and gestational diabetes at the same time?

Can you have anemia and gestational diabetes at the same time?

Yes: Anemia is most commonly caused by low iron levels, but that must be confirmed by your doctor with bloodwork since there are many causes. Gestational diabetes means your blood sugar goes too high. Different issues. ...Read more

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What are the complications of gestational diabetes and third pregnancy?

What are the complications of gestational diabetes and third pregnancy?

Several: Dm in pregnancy increases risk of diabetic retinopathy which is eye disease caused by high sugar. Also if the blood sugar is uncontrolled women are at risk for having large babies>9-10lbs, low blood sugar in the baby after birth and multiple defects. These risk can be decreased however with tight control of the blood sugar. ...Read more

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Is gestational diabetes harder to control as the pregnancy progresses?

Is gestational diabetes harder to control as the pregnancy progresses?

No: It should not be difficult as well as you follow your doctor's advice, like controling carbohydrate, watching blood sugar level, taking medication as your doctor's prescription if needed. ...Read more

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What are the chances of getting gestational diabetes in first pregnancy?

What are the chances of getting gestational diabetes in first pregnancy?

Other risk factors: Risk factors for gestational diabetes include your weight, your age, your and your parents history of diabetes/abnormal blood sugars, and your ethnicity. Also there are other diseases, which if you have a history of, are directly associated with diabetes themselves. ...Read more

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What level of blood sugar during gestational diabetes causes you to have big babies?

What level of blood sugar during gestational diabetes causes you to have big babies?

Pattern not number: Baby begins to make their own Insulin during mid pregnancy & any moment that moms levels are high will push glucose across the placenta, forcing baby to store the excess as fat.Any maternal levels above normal can lead to enlarged organs, defects, large baby & the need for IV fluid treatment after birth . The better mom's control, the less problems for baby, the worse control, the bigger the pbs. ...Read more

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What are the exact dates of conception if 22 weeks this week at first prenatal visit?

What are the exact dates of conception if 22 weeks this week at first prenatal visit?

Too late to be exact: At 22 weeks it's too late for ultrasound scans to be very accurate - even in the first few weeks of pregnancy they can be a few days off either way. By 22 weeks even knowing your last period is not easy unless you record your periods every month. Your OB will give an 'estimated' due date, but can't say exactly when you conceived. If it's a paternity question dna paternity testing will be needed. ...Read more

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Waht is the prognosis of fetus, newborn and mom with gestational diabetes mellitus>?

Waht is the prognosis of fetus, newborn and mom with gestational diabetes mellitus>?

Prognosis: Good for all if the diabetes is well controlled during pregnancy. Work closely with your physicians. Be mindful of what you eat and do. Gestational diabetes is not a death sentence. There are many effective treatment options currently available. ...Read more

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What are the delivery comlications with gestational diabetes?

What are the delivery comlications with  gestational diabetes?

C-section, dystocia.: Poorly controlled diabetes mellitus in pregnancy can cause large fetus (macrosomia) and increase the risk of labor dystocia requiring cesarean section, or even shoulder dystocia with severe complications. Large babies can also cause uterine atony and severe postpartum hemorrhage. ...Read more

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What are the chances of a person developing diabetes if they had gestational diabetes during pregnancy?

What are the chances of a person developing diabetes if they had gestational diabetes during pregnancy?

Increased risk: Gestational diabetes is a risk factor for adult onset diabetes. Watch your weight, exercise and get yearly check up. ...Read more

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Are the glucose readings that they do at the doctors office with the glucose drink the same as a person testing the glucose levels at home ?

Are the glucose readings that they do at the doctors office with the glucose drink the same as a person testing the glucose levels at home ?

Basically: Blood sugar determinations done in the physician's office are usually done with same type of strips that patients use with their glucometer at home as opposed to techniques used in major laboratories. However in hospitals, bedside fingerstick glucose levels are often done with testapes as well. ...Read more

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What's the next step if tested positive for gestational diabetes?

Get treated: If gestational dm is confirmed, next step is to start tracking your blood sugar (before and after meas), go see a certified diabetes educator/nutritionist, dietician to learn about dietary choices and what you should start cutting down. See your physician to get treated for the diabetes: either with a drug, drugs or Insulin depending on severity. ...Read more

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Can symptoms of nondiabetic renal glycosuria happen only in the evening? (invert sleep cycle too) see nephrologist soon, +ketostix urine=sweet smell

Can symptoms of nondiabetic renal glycosuria happen only in the evening? (invert sleep cycle too) see nephrologist soon, +ketostix urine=sweet smell

This doesn't add up: Non-diabetic renal glycosuria (i.e., the kidney spills glucose despite normal blood levels) doesn't produce symptoms. Urine odor doesn't reflect glucose levels at all reliably. Ketostix often yield +1 for no reason, or because you're hungry. With dysautonomia and gastroparesis, is there perhaps a misunderstanding, with diabetes a possibility? You have a right to full information. ...Read more

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Will the obgyn test for nicotine at the first prenatal?

Will the obgyn test for nicotine at the first prenatal?

No: To my knowledge, i've never seen a blood, urine or hair test for nicotine. If you are smoking, and tell your doctor, they will remind you to try to lessen or quit and hopefully offer your strategies to do so. If not you can try a national hotline http://www.Tcsg.Org/tobacco/hotline.Htm. ...Read more

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Whats the 3 hr glucose test for gestational diabetes?

Whats the 3 hr glucose test for gestational diabetes?

A Drink/Bloodwork: Some obs do this at their office, or you go to a lab. The test is done first thing in the morning after you have not eaten overnight. They draw your blood to check the "fasting" (pre-breakfast) blood sugar, then you drink a bottle of liquid with 75 grams of sugar. Blood is drawn at 1, 2, and 3 hours after the drink. If 2 of 4 levels are elevated then you'll be diagnosed with gestational diabetes. ...Read more

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Will a vanishing twin (lost at 7 weeks) affect first trimester downs syndrome testing with blood test and ultrasound?

Will a vanishing twin (lost at 7 weeks) affect first trimester downs syndrome testing with blood test and ultrasound?

Vanishing twin: No, it would not affect your test result. Ultrasound would show it for a while, but the developing twin will eventually grow big enough to hide it from view. ...Read more

Dr. Alison Stuebe
252 doctors shared insights

Gestational Diabetes (Definition)

Gestational diabetes occurs in women who are pregnant. Prior to becoming pregant the woman was not diabetic and once the woman delivers the baby the diabetes goes away, although she has a higher chance of getting non-insulin-dependent diabetes in the future. With gestational diabetes, hormones from the pregnancy ...Read more


Dr. Walter Husar
86 doctors shared insights

Sugar In Urine (Definition)

Glucose in urine also known as 'glycosuria' is mostly seen in diabetes mellitus with elevated blood sugar. Very very rarely ( 1 in 1000 or even less) it is seen in a defect of kidney ...Read more