Glucose Test For Pregnancy

glucose test for pregnancy

Glucose test for pregnancy is a very important test for mother and as well as the baby.  Only glucose test helps doctors to determine if the mother having diabetes during pregnancy. Gestational diabetes is the term that determines glucose intolerance during pregnancy. Gestational diabetes could start with the pregnancy period or it could be seen for the first time during pregnancy.  According to the doctors, it is the most common medical complication in pregnancies.

From the pathologic perspective, gestational diabetes resembles Type II diabetes.  Of all the pregnancies %7 percent have the complication of gestational diabetes. So the glucose test for pregnancy is very important for early diagnosis. Glucose test also can be named as sugar test.

Glucose Test For Pregnancy

Gastestioanl diabetes could be seen 1 to 200 pregnant mothers during pregnancy.  So the risk is too high. For that reason, pregnant women should take glucose test on the 24th and 28th weeks of their pregnancies.

Diabetes could be detected before pregnancy or during pregnancy. Normally, doctors assess the pregnant mother’s situation on the first check. This early check helps the doctor for subsequent necessary steps. After these checks, if the mother shows the symptoms of gestational diabetes, she immediately has taken to glucose test process. The gestational diabetes risk groups can be divided into three categories. High risk, middle risk, and low risk.

High-Risk Gestational Diabetes Group

High-Risk Gestational diabetes could be determined by below characteristics

Obesity (Body Mass Index >35 )

* Diabetes family history

* Gestational diabetes history from previous pregnancies

* Hyperglycemia Symptoms

Middle-Risk Gestational Diabetes Group

Middle-Risk Gestational diabetes could be determined by below characteristics

* Macrosomia baby history from previous pregnancy

* Anomaly baby history

* Abnormal bigger fetus

* Hypertension or Hyperlipidemia

* Uncertain dead birth history

* Fetal death history

* Growth deficiency of intrauterine

Low-Risk Gestational Diabetes Group

Low-Risk Gestational diabetes could be determined by below characteristics

* Under 25 years pregnancies

* Normal Body Mass Index before pregnancy

* Normal Body Mass Index during pregnancy

* Clean family history in terms of diabetes

These are the risk groups and these risk groups require the take different glucose test during pregnancy. On the other hand, if the fasting plasma glucose level reaches >126 mg/dl or HA1C level reaches bigger than 6.5, then that shows gestational diabetes.

Glucose Test Variations

Glucose test for pregnancy could be taken on fasting or full stomach. However full stomach is recommended by the doctors. As glucose test, the mother has to drink a special glucose drink and after certain time give blood samples for the test.

Two kinds of glucose test could be implemented by doctors as 100 gr or 75 gr. On the 100 gr glucose test if the two or more of four levels depicted below shows abnormal level then it is accepted as gestational diabetes. Likewise, on the 75 gr test if the one level is positive it is accepted as gestational diabetes.

                         100 gr               75 gr

Fasting             95mg/dl              92

1.hour               180mg/dl            180

2.hour               155mg/dl            153

3.hour               140mg/dl             –

Is Gestational Diabetes Dangerous for Mother or Baby?

The gestational diabetes is definitely dangerous to the mother and the baby. It has some dangers for the pregnancy period but more than that it has significant future effects on the mother and the baby. Here are some dangerous effects that can be seen as a result of gestational diabetes.

* According to the research, around 50% of the mother who has suffered from gestational diabetes could be turned into Type II diabetes in 20 years.

* Gestational diabetes increases fetal macrozamia.

* Hypertension disorders and needs for c-section birth because of fetal macrozamia affects normal birth procedures.

* Gestational diabetes triggers hypoglycemia, hepatitis, polycythemia, cardiomyopathy and heart failure.

* It increases obesity risk for the baby in the future.

* Maternal mortality and morbidity increases.

* Diabetes risk increases for the future generation.

* Preeclampsia and eclampsia risks increases.

* Prenatal mortality or morbidity increases.

* Polyhydramnios risk increases.

Gestational Diabetes Treatment

The normal level for glucose test during pregnancy should be consistent subsequent values. The fasting plasma glucose level should be under 95 and after 2 hours period, it should be under 120.

For the treatment, daily calories requirement should be arranged as between 30-35 kcal/kg. These calories should be divided into %40 carbohydrate, 20% protein, and 40% fat. If the body mass index is bigger than 30, which shows obesity, the calories decrease to 25 kcal/day.

Despite the diet, if the fasting glucose still more than 95 mg/dl or 1-hour level is more than 140 or 2-hour level more than 120 then insulin is recommended. If the baby’s weight reaches 4500, cesarean birth has to be planned.

Gestational Diabetes Diet

For gestational diabetes, the first choice has to be diet. As I mentioned basic requirements for the diet. To make it more specific thin bodies should follow 35 kcal/kg, normal bodies should follow 30 kcal/kg and fat bodies should follow 25 kcal/kg. In addition to that, %40-50 part of these calories should be gained by carbohydrate, %20 by protein and %30-40 by fat. Beside that gestational diabetes patients should walk 20-30 minutes for daily.

The pregnant women who have diagnosed as gestational diabetes should not consume ice cream, chocolate, and desserts with high sugar ingredients. Also, instead of white flour included pasta or white rice included foods, whole-wheat pasta, and brown rice should be consumed. These foods list have to be prepared by a dietician.

Since it is not possible to give normal diabetes medicines to pregnant women the only suitable way is to stick to the strict diet and do exercise as much as possible. As an exercise, the walking is easiest and much beneficial to the pregnant mothers. If gestational diabetes diagnosed pregnant women keep diet and exercise they can prevent the effect of the illness. Otherwise, insulin treatment becomes inevitable.

Conclusion

The gestational diabetes is really the most dangerous problem throughout pregnancies. Because of that, the early detection is becoming crucial for the mother and the baby. Glucose test for pregnancy the only way that helps doctors to determine the pregnant woman’s situation. After deciding the situation the most common treatment method is to follow a diet and some exercise. If this does not solve the problem last resort could be insulin treatment. In addition to that, gestational diabetes has a bloodline effects on your future bloodline generation. So the mothers have to take the glucose test in order to save her health, her baby’s health and as well as her bloodline’s health.

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