PREGNANCY-BIRTH Messages for February, 2001: Re: 1st child large & hypoglycemic: 2d PG Test Early for Gest. Diabetes?

Re: 1st child large & hypoglycemic: 2d PG Test Early for Gest. Diabetes?

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 28 Feb 2001 18:41:16 -0600 (CST)

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In reply to: Julie: "1st child large & hypoglycemic: 2d PG Test Early for Gest. Diabetes?"

At Wed, 28 Feb 2001, Julie wrote: >
>HISTORY:
>I am 5'4" tall, of Hawaiian, Philipino, German, Irish descent. Family
>history is unknown; I'm adopted. I had my first child at 32 years old.
>I exercised throughout my pregnancy and followed a healthy diet.
>Pre-pregnancy weight: 126. Although I took the 1 hour glucose test in
>that pregancy, the lab lost the results and I was not notified of that
>fact until my 36th week. By week 36 I had gained 40 pounds. From the
>36th to the 38th week, I gained 10 pounds, without an increase in food
>consumption. C-Section performed at 38 weeks. My baby was 9.9 pounds
>and hypoglycemic. He spent 1 week in NICU to stabilize his blood sugar
>level.
>
>CURRENT FACTS:
>I am now 6 weeks pregnant. 36 years old. Pre-pregnancy weight 125
>pounds. I am very active (run, weights, step aerobic, etc. at least 5
>days a week), with a very healthy diet.
>
>Qs:
>(1) Although there was never any definite diagnosis in my prior
>pregnancy, what is the likelihood that I had Gestational Diabetes?
>(2) Since I am at a greater risk now (over 35, prior large baby), should
>I be tested for GD early? Or does GD only begin to develop later in
>pregnancy?
>
>Your help is greatly appreciated.
>Julie

Julie, First, it seems that you had a degree of glucose intolerance with your first pregnancy, thus you are at risk for a repeat performance. You should have a glucola test now and if normal, repeated at 28 weeks... 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: 3rd shift in temps and implantation."
Previous message: Lynn D. Montgomery, MD: "Re: ITP/Vaginal delivery"
In reply to: Julie: "1st child large & hypoglycemic: 2d PG Test Early for Gest. Diabetes?"

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