PREGNANCY-BIRTH Messages for October, 2001: Re: gestational diabetes in second pregnancy

Re: gestational diabetes in second pregnancy - earlier

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 31 Oct 2001 16:19:24 -0600 (CST)

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In reply to: carol: "gestational diabetes in second pregnancy - earlier"

At Wed, 31 Oct 2001, carol wrote: >
>I had gestational diabetes in my first pregnancy. Because my mom had 5
>8.5lb+ babies, my dr decided to test me early (18 weeks) and I passed
>with flying colors. At 26 weeks I just barely made the cutoff, both on
>the 1-hour and 3-hour tests. It did progress, however, and I was on
>insulin when pregnant with my son.
>
>This time I was diagnosed with quite miserable numbers at 18 weeks.
>
>What caused it to show up earlier this time? If it is strictly related
>to placenta size & the hormones it produces shouldn't it start about the
>same time? Is it common for it to begin earlier with subsequent
>pregnancies?

It is not entirely clear, but the fact that you develop gestational diabetes may indicate that you may be prone to a degree of glucose intolerance, even when not pregnant. You are older than your previous pregnancy and your ability to compensate for the insulin resistance created by the pregnancy may not be as good... 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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In reply to: carol: "gestational diabetes in second pregnancy - earlier"

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