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The Question
06/22/09 12:24 PM

"Why is my blood glucose normal after 1 hour of eating, but spikes 2 hours after eating?"
Asked By: ljb09  
Category: Gestational Diabetes

Background Info Hide
I am 34 weeks pregnant. I test 4 x's a day. I follow my diet plan and walk after each meal to keep my glucose levels down. After seeing my doctor's nurse practitioner who told me testing 2 hours after eating was more reliable, but to follow my Dr.'s orders I became curious and started to test my BG after 2 hours as well. I have found that at 2 hours my BG spikes and has gone as high as 146. Is this something to be concerned about? Will I be put on medication or insulin for this? This is my first child and I have been very concerned about how GD will affect my baby.

Expert Answers (1)

07/07/09 12:57 PM

Hello and thank you for writing dLife. Your question is very good and important as well. You are doing a good job testing to keep track of your blood sugar levels. In pregnancy, blood sugar is affected not only by food, but also by fluctuating hormones as well as insulin resistance, stress and our activity levels. The digestive tract is also affected by pregnancy, as sometimes food moves more slowly through the intestinal tract and this can affect blood sugar levels. The numbers that you are recording are important to review with your physician, so that he or she can review not only one specific number, but also the trends of your blood sugar tests. In gestational diabetes, following a prescribed diet plan is essential, but often diabetes in pregnancy needs to be also treated with medication for optimizing the health of the baby.
Answered By: Janice Baker
Accreditations: B.Sc., MBA, RD, CDE, CNSC
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