PREGNANCY-BIRTH Messages for October, 2000: Re: 1st trimester glucose questions

Re: 1st trimester glucose questions

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 11 Oct 2000 14:49:28 -0500 (CDT)

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In reply to: Alison: "1st trimester glucose questions"

At Wed, 11 Oct 2000, Alison wrote: >
>Hi, I am wondering about gestational diabetes in the first trimester? I
>am 9 1/2 wks and have made it past my progesterone bottoming out at 6
>wks. My OB (of course out of town this week) referred me to a dietician
>(for weight control) and prescribed me a glucose meter because my
>pre-pregnancy fasting insulin level was high normal.
>
>The dietician is having me do fasting morning glucose and 1 1/2 hrs post
>meals. She wants the fasting test <95 and the post meal ones <120. I
>am doing okay on the fasting, getting 92 - 96, but the post meal ones
>were varying between 123 - 171. The dietician seemed very concerned and
>had me cut out anything "pure sweet" (i.e. hot cocoa, syrup, jam &
>fruit juice) until I can get in to see my OB next week.
>
>I can't seem to find any references for the glucose levels in pregnancy,
>just the diabetes ones, and these levels aren't particularly concerning
>compared to diabetic guidelines. I am assuming pregnancy guidelines are
>different? The dietician also mentioned that the GCT (in reference to
>negative previous pgcy) isn't always accurate?
>
>Could my glucose levels be elevated because of the progesterone
>supplements I am on? (400mg 3x/day vaginally, my blood level is staying
>about 35 now.)
>
>Thanks so much for catering to my paranoia!
>Alison

Alison, The answer to your question is that the values utilized in pregnancy are different. We are significantly less tolerant of higher glucose values during pregnancy. The values you state are concerning and I would continue the dietician's recommendations, recording your glucose values honestly and see your physician next week. It may be that you will even require insulin therapy during the pregnancy... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Need reassurance: Great beta but light spotting in early pg."
Previous message: Lynn D. Montgomery, MD: "Re: can i still get pregnant even though i haven't missed the pill?"
In reply to: Alison: "1st trimester glucose questions"

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