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06/08/06
12:12 AM
"My sister-In-Law is pregnant with her first child. She is 12 weeks pregnant and has rececntly had her first prenantal check up. Her labs showed a high fasting blood glucose reading of 195. Is this gestational diabetes or diabetes type I ? Her doctor has ordered a GGT to be done soon. Also, she has fibromyalgia, and possibly Lupus. Could this be related to diabetes? Thanks for your info.
Sincerely,
Sandy"
Asked By:
sandyd
Category:
Gestational Diabetes
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Expert Answers (1)
06/08/06
12:12 AM
Sandy,
It was a good thing your Sister-in-law’s physician tested her glucose level on her first prenatal visit. A normal fasting glucose level should be less than 100mg/dl so her result of 195 mg/dl does require further testing to diagnose whether she has Gestational Diabetes, type 2 or type1. You can read about the different diagnosis criteria on the Dlife web site. Most likely the test she will have is the OGTT (oral glucose tolerance test) where she will drink either 75-grams or 100 grams of glucose after an 8-14 hour fast and three days of unrestricted carbohydrate intake. Her blood will be drawn before taking the drink and then after 1 hour, 2 hours and three hours. If two or more of these results are high then she will be diagnosed with Gestational Diabetes. If her numbers are much higher than expected further testing will be necessary and she might even need to inject insulin right away. In either case, medical nutrition therapy and blood glucose testing (finger sticks) should be initiated immediately to see her levels throughout the day. Some physicians order a hemoglobin A1C test to see if her blood sugar levels have been high over the past three months or so indicating that the diabetes was present prior to becoming pregnant but undiagnosed.
Type 1 Diabetes and Lupus are related because they are both autoimmune diseases. The term "autoimmune disease" refers to a varied group of more than 80 serious, chronic illnesses that involve almost every human organ system. It includes diseases of the nervous, gastrointestinal, and endocrine systems as well as skin and other connective tissues, eyes blood, and blood vessel. In all of these diseases, the underlying problem is similar--the body's immune system becomes misdirected, attacking the very organs it was designed to protect.
Studies have shown that 75 percent of autoimmune diseases occur in women, most frequently during the childbearing years. Hormones are thought to play a role, because some autoimmune illnesses occur more frequently after menopause, others suddenly improve during pregnancy, with flare-ups occurring after delivery, while still others will get worse during pregnancy.
Fibromyalgia is a common finding in patients with types 1 and 2 diabetes, and its prevalence could be related to control of the disease. As with other diabetes complications, FM might be prevented by improved control of blood glucose levels.
Beverly Herman-Rivera RD, CDE
It was a good thing your Sister-in-law’s physician tested her glucose level on her first prenatal visit. A normal fasting glucose level should be less than 100mg/dl so her result of 195 mg/dl does require further testing to diagnose whether she has Gestational Diabetes, type 2 or type1. You can read about the different diagnosis criteria on the Dlife web site. Most likely the test she will have is the OGTT (oral glucose tolerance test) where she will drink either 75-grams or 100 grams of glucose after an 8-14 hour fast and three days of unrestricted carbohydrate intake. Her blood will be drawn before taking the drink and then after 1 hour, 2 hours and three hours. If two or more of these results are high then she will be diagnosed with Gestational Diabetes. If her numbers are much higher than expected further testing will be necessary and she might even need to inject insulin right away. In either case, medical nutrition therapy and blood glucose testing (finger sticks) should be initiated immediately to see her levels throughout the day. Some physicians order a hemoglobin A1C test to see if her blood sugar levels have been high over the past three months or so indicating that the diabetes was present prior to becoming pregnant but undiagnosed.
Type 1 Diabetes and Lupus are related because they are both autoimmune diseases. The term "autoimmune disease" refers to a varied group of more than 80 serious, chronic illnesses that involve almost every human organ system. It includes diseases of the nervous, gastrointestinal, and endocrine systems as well as skin and other connective tissues, eyes blood, and blood vessel. In all of these diseases, the underlying problem is similar--the body's immune system becomes misdirected, attacking the very organs it was designed to protect.
Studies have shown that 75 percent of autoimmune diseases occur in women, most frequently during the childbearing years. Hormones are thought to play a role, because some autoimmune illnesses occur more frequently after menopause, others suddenly improve during pregnancy, with flare-ups occurring after delivery, while still others will get worse during pregnancy.
Fibromyalgia is a common finding in patients with types 1 and 2 diabetes, and its prevalence could be related to control of the disease. As with other diabetes complications, FM might be prevented by improved control of blood glucose levels.
Beverly Herman-Rivera RD, CDE
Answered By:
Beverly Herman-Rivera
Accreditations: RD, CDE
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