WOMENS-HEALTH Messages for May, 1997: Re: Yet another Gest. Diabetes Question

Re: Yet another Gest. Diabetes Question

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 30 May 1997 17:00:21 -0500 (CDT)

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In reply to: Pam: "Re: Yet another Gest. Diabetes Question"

At Thu, 29 May 1997, Pam wrote:

>>What do you mean by "slightly high"?
>
>2 of the 4 results were about 10 points high.
>>
>>>However, now I am
>>>monitoring my glucose levels at home and all the results are in the
>>>middle range of normal.

>>Abnormal 1 hr. leading to an abnormal 3hr. glucose tolerance test is
>>indication of gestational diabetes. If, with adequate dietary changes,
>>you have normal blood glucose levels, you've done your job well.
>>"Positive glucola" is positive glucola and diabetes is diabetes, but
>>gestational diabetes is usually a chemical (proven by blood tests alone
>>as opposed to overt symptoms of diabetes) finding, soooo, if your tests
>>were abnormal, you have gestational diabetes.
>
>I am getting these results with absolutely no dietary changes. I was
>also given a blood test to measure how my body has handled sugar over
>the last 120 days (sorry, I forget the name of the test at the moment)
>and that came up normal as well. The doctors at the clinic seem to
>agree that I do not actually have gestational diabetes and that maybe
>the studies suggesting that the GCT and GTT tests are not the best
>predictors of GD may be right.

I'm glad to hear you're doing so well, but the definition of gestational diabetes, not formulated by me, still stands as noted above. You may have no problems with the Class "A" (g.d.) diabetes, but your labs fulfill the criteria.

I'll look into Dr. Brewer's work when I get back to work next week. I love to learn new things, especially if they can help a patient.

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/heroes/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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Previous message: D. Ashley Hill, M.D.: "Re: What is Endometriosis and is there a cure?"
In reply to: Pam: "Re: Yet another Gest. Diabetes Question"

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