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Question about GD
Hi!
I had my one hour test last week because one of my pee tests had glucose in it. It went well and I'm within the normal range. However. I took the test because my midwife told me: If I have GD the babies glucose levels will "match" mine as long as she's inside and while that's not perfect, it is ok. But once she's born she'll have to be monitored closely because her glucose levels will drop and she might need some special care. I can't remember all of the conversation, sorry. But basically her problem with GD isn't really me having it, but rather the babies health after birth. So, does the Glucose Tolerance test make sense late in pregnancy because of a possible risk to the baby after birth, or did I get something wrong? cu nicole |
#2
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Question about GD
NL wrote:
Hi! I had my one hour test last week because one of my pee tests had glucose in it. It went well and I'm within the normal range. However. I took the test because my midwife told me: If I have GD the babies glucose levels will "match" mine as long as she's inside and while that's not perfect, it is ok. But once she's born she'll have to be monitored closely because her glucose levels will drop and she might need some special care. I can't remember all of the conversation, sorry. But basically her problem with GD isn't really me having it, but rather the babies health after birth. So, does the Glucose Tolerance test make sense late in pregnancy because of a possible risk to the baby after birth, or did I get something wrong? You're close, but not quite. Basically, normally your body regulates the amount of glucose in your bloodstream, using insulin to deal with things when there's too much glucose. If you have gestational diabetes, that system isn't working as well, and you have excess glucose in your system. Your blood also goes to the baby through the placenta, so if your blood has excess glucose, so does the baby's blood. The baby will therefore make extra insulin to deal with the excess glucose. As soon as the baby's born, the baby no longer has access to your high-glucose blood; however, the baby's body is still producing lots of insulin because that's what it's been doing. All that excess insulin gobbles up too much glucose and all of a sudden, the baby is hypoglycemic. This, by the way, is another reason why it's a bad idea to starve yourself in labor. If you go hypoglycemic during labor, so does your baby, and that's not good. Of course, if you watch your diet, your levels shouldn't spike too high and none of this should happen. That said, your test indicates that you don't have gestational diabetes, so your glucose levels should be within normal ranges and none of this is a problem for you. Sugar in your urine is not a very precise indicator of gestational diabetes. Many people have gestational diabetes without ever spilling any sugar, and some people spill sugar in their urine and have perfectly normal glucose metabolism. You don't need to take the test multiple times or late in pregnancy because of all this. The glucose tolerance test is designed to see how your body reacts to a known quantity of sugar. It's not testing to see how much glucose in your system. Whether you have GD or not, your glucose levels vary throughout the day. It's testing to see how your body processes the glucose. If that's fine, your levels will vary, but they shouldn't ever get too high. If you *do* have GD then you work to keep your levels in the normal range and you can monitor your levels with a glucose meter to be sure of that. If your levels are normal, then the risk of neonatal hypoglycemia is lower. Best wishes, Ericka |
#3
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Question about GD
hecky thump, you didn't even screen positive for GD, it is potentially
an issue for babies who's mums to have GD, but even then, usually only the ones that are big, but even then seems to be something that's only a problem if it's symptomatic, asymptomatic low blood sugar in babies doesn't seem to be a problem short term or long term. http://www.who.int/reproductive-heal...ia_newborn.htm is a complex, but thorough page on the subject, it's a pretty narrow group of babies where it seems a good plan to actually test the blood sugar rather than only respond if symptoms are observed and having spilled sugar into the urine isn't one of them. Anne |
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Question about GD
Anne Rogers schrieb:
hecky thump, you didn't even screen positive for GD, *g* yeah, I was just asking because I wasn't sure if I misunderstood or not really. Thanks for the answer :-) cu nicole |
#5
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Question about GD
Ericka Kammerer schrieb:
NL wrote: So, does the Glucose Tolerance test make sense late in pregnancy because of a possible risk to the baby after birth, or did I get something wrong? You're close, but not quite. Thanks for the answer! I was just not sure if I understood the reason or not. cu nicole |
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