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Re: Is it gestational diabetes?From: Braun, R. Daniel (rbraun@iupui.edu)Fri Mar 10 08:58:43 2000
You are absolutely right! We don't know if she has diabetes or not, because there are no levels established for Capillary whole blood levels. I think she needs to have the test done again using plasma values. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: treatment@mtu-net.ru [mailto:treatment@mtu-net.ru] Sent: Friday, March 10, 2000 10:44 AM To: Multiple recipients of list OB-GYN-L Subject: Is it gestational diabetes? 34 y.o. pregnant patient, G1P0, with 300 mg/dL sugar present in her urine, had full GTT done. Glucose was measured in capillary whole blood and following results were received: fasting - 79 mg/dL 1h - 181 2h - 160 3h - 96 I coudn`t find information about glucose threshold values in whole blood for 100-g OGTT. Above-mentioned results don`t correspond to criteria for gestational diabetes (105-190-165-145) estimated for glucose level in plasma. But for all I know, glucose level in whole blood is ~ 15% lower than in plasma. So, upper limit for glucose level in whole blood could be 90-162-140-123. I`am not sure I`am right but if I`am it means this patient has gestational diabetes. I will appreciate if someone sends me his/her opinion about this case.
-- Alexandra Borisova, MD AEA International - SOS Assistance International Medical Clinic Russia, Moscow.
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