PREGNANCY-BIRTH Messages for August, 2001: Re: 1 Hour Glucose Tolerance Test Result 139

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Re: 1 Hour Glucose Tolerance Test Result 139 - Need to take 3 hour?

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 15 Aug 2001 09:47:46 -0500 (CDT)

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In reply to: Julie: "1 Hour Glucose Tolerance Test Result 139 - Need to take 3 hour?"

At Wed, 15 Aug 2001, Julie wrote: >
>I am almost 30 weeks pregnant w/ my second child. My first child was
>born at 38 weeks via C-section, 9.9 pounds w/ hypoglycemia. I gained 50
>pounds w/ the prior pregnancy. Although my doc suspected GDM, the lab
>had lost the 1 hour GTT results, so it was not confirmed, and I didn't
>have a chance to re-test. This pregnancy, I took the 1 hour GTT at 28
>weeks w/ the result at 139. I understand that the "cut-off" for
>ordering the 3 hour test is 140. Given my history and the 139 result,
>is it recommended to take the 3 hour test, just to definitely rule out
>GDM?
>
>Thanks for your help.

Julie, In your case, with your history, personally I would just start you on glucose monitoring with your current diet. I would have you check your fasting blood glucose and then values 2 hours following each meal. If the values were above what I like to see, I would then begin with an ADA diet and continue to follow the sugars. The values I would use are a fasting of 95 or less and two hours values less than 120... 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 ;-)

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