PREGNANCY-BIRTH Messages for August, 2002: Re: Fasting #s and gestational diabetes ... necessity of insulin?

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Re: Fasting #s and gestational diabetes ... necessity of insulin?

From: Samir Fouad Aziz MD (anonymous@obgyn.net)
Mon, 19 Aug 2002 12:59:58 -0500 (CDT)

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In reply to: Charlotte: "Fasting #s and gestational diabetes ... necessity of insulin?"

At Mon, 19 Aug 2002, Charlotte wrote: >
>Hello,
>
>I was diagnosed at 30w with GD after borderline-high #s on the 3-hour
>GTT. I've been on the diet for two weeks now, and all of my post meal
>blood glucose #s are excellent.
>
>My fasting numbers are hovering around 100, however. My Dr. thinks
>insulin is indicated. I have an acquaintance with the same fasting #s,
>and her Dr. thinks that if all other #s are fine, a fasting # is around
>100 is not of concern.
>
>I'm very confused -- my baby measured right on target for growth at 32
>weeks (in fact, a tad on the small side), so macrosomia doesn't appear
>to be a concern at this stage.
>
>Also, my understanding is the fasting # is the result of the liver
>dumping sugar into the bloodstream upon awakening. If this is the case,
>I fail to see how taking insulin before bed at night makes sense when my
>post-dinner #s are fine/low. My morning #s do not change whether I have
>a bedtime snack or not.
>
>Any thoughts/explanations would be so appreciated.
>
>Thank you,
>Charlotte

Most Pregnant women with gestational Diabetes are controlled with diet only and the outcome is usually good, however, there is some cases in which diet alone could not control blood sugar, for this we give insulin, if fasting blood sugar exceeds 105mg or postprandial exceeds 140mg in repeated measurments.

-- Samir Aziz MD Assist.Professor Ob.Gyn Director Gynecologic Oncology Al-Azhar University-Egypt Editorial advisor Obgyn.net, Pregnancy and birth & Gyn.Oncology

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 intervention.

Next message: Jennifer: "odor at 18 weeks"
Previous message: Samir Fouad Aziz MD: "Re: small uterus? how far along am I ??"
In reply to: Charlotte: "Fasting #s and gestational diabetes ... necessity of insulin?"

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