Re: Pregnancy after lapscope gastric bypass/glucose testing

From: ainsron (ainsron@sbcglobal.net)
Tue Nov 23 17:41:44 2004


Try a FBS, 1 or 2 hour postprandial and HgbA1c. I've had three gastric bypasses who have had gestational DM, out of about five.

Ronald E. Ainsworth

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, November 23, 2004 3:10 PM To: Multiple recipients of list OB-GYN-L Subject: OB: Pregnancy after lapscope gastric bypass/glucose testing

I have 2 patients pregnant after gastric bypass, and have researched it a bit and had a very helpful Ob/Gyn who has had it done herself email off list with resources, articles, etc.

The "first one" is due for glucose screening, and the high sugar load is likely to give her nausea/diarrhea/cramps etc. However, she needs screening because she is NOT low risk for GDM.

Other than using jelly beans (which may not be any better), any thoughts?

I have considered: 1. Fasting glucose 2. Not worrying about it

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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