Diabetes in Pregnancy: Quicker Routes For Diagnosis

Desert Rose
If you are planning pregnancy and you already have risk factors for diabetes it's possible your gyno will want to test you for this condition before you conceive to aid in having a healthy pregnancy. If you are pregnant your gyno will probably screen you in pregnancy. If you have a blood sugar monitor and are on a diabetic diet, perhaps this step could be skipped and you can just be monitored very closely. If you are at risk you should be tested during your pregnancy, if you are very low risk, some physicians will agree to omit the testing. Some physicians have done a screen, then a three hour test, but others are now saying two hour tests can be used in some instances to skip the two step procedure and make an earlier diagnosis. Or you can start with a fasting blood test and a Hba1c test and if either is abnormal, you have your diagnosis, no long glucose tolerance test necessary. The goal is to get to treating your blood sugar so that it normalizes as soon as possible. But for women who want to know if they are at risk. I like this list right here:
Risk factors are as follows from Up To Date.com:
RISK FACTORS — Pregnant women with any of the following appear to be at increased risk of developing diabetes in pregnancy:
  • A family history of diabetes, especially in first degree relatives
  • Prepregnancy weight ≥110 percent of ideal body weight or body mass index over 30 kg/m2 or significant weight gain in early adulthood and between pregnancies
  • Age greater than 25 years
  • Previous delivery of a baby greater than 9 pounds [4.1 kg]
  • Personal history of abnormal glucose tolerance
  • Member of an ethnic group with higher than the background rate of type 2 diabetes (in most populations, the background rate is approximately 2 percent).
  • Previous unexplained perinatal loss or birth of a malformed child
  • Maternal birthweight greater than 9 pounds [4.1 kg] or less than 6 pounds [2.7 kg]
  • Glycosuria at the first prenatal visit
  • Polycystic ovary syndrome
  • Current use of glucocorticoids
  • Essential hypertension or pregnancy-related hypertension
Excessive weight gain in early to mid pregnancy has been associated failing that diabetic screening as well

Comments

  1. Your Blog really provides useful information. There is now definite proof of the connection between weight loss or gain and PCOS. This disease causes a hormonal imbalance resulting in weight gain.


    Polycystic ovarian disorder

    ReplyDelete

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