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10/20/09 04:11 PM

"Are the first few blood tests supposed to be high?"
Asked By: dsbardellati  
Category: Newly Diagnosed

Background Info Hide
I was diagnoised with gestational diabetics yesturday and started to monitor my blood sugar today. I've been following the recommended diet down to the letter but my first two initials blood test today was high. The one hr after breakfast was 147 and the one after lunch was 191. I'm not on insulin yet but it seem at the rate I'm going, I will be. I'm extremely freaked out about needles so any advice would greatly be appreciated. I was told that the body take time to adjust to the new diet, why my levels are so high, and that the body will stabilize after a day or two. Does the body take time to adjust to this diet? What am I doing wrong?

Expert Answers (1)

10/21/09 12:35 AM

Blood glucose targets for gestational diabetes (GDM) are 60-90 first thing in the morning, and 120 or less two hours after meals. To help reach these goals, your breakfast should consist of 30 grams carbohydrate (starch and/or milk), plus protein and fat. It is recommended not to eat fruit first thing in the morning (save it until a later snack or meal). It is also a good idea to avoid juice, as it can raise your blood glucose very quickly. Walking, or any exercise recommended by your doctor, will help reduce your blood sugar. Therefore, following the diet that was prescribed for you, and including exercise as approved and tolerated are the best things you can do to help keep your blood glucose in line. If diet and exercise do not keep your blood glucose in target, then oral medications may be added. If that is not adequate, insulin may need to be prescribed. If this is necessary, take heart. It usually is only needed until delivery. Also, most people find the needles so tiny that the injections aren’t even felt. And of course, the health and well being of your baby are now top priority, therefore most moms agree they will make any sacrifice to protect their unborn child. Blood glucose should be coming down quite quickly, if diet and exercise alone are going to be able to meet your needs. If they don’t - - don’t blame yourself. There is a big demand placed on a pregnant woman’s body, and the pancreas is often not able to keep up with the large demand for insulin. Do your best, keep thorough records, take them to your next MD appointment, and do let your doctor know if numbers remain elevated. After delivery, you will want to keep your weight at a healthy level, as well incorporating a good exercise routine. This will help prevent type 2 diabetes. This is very important, as many GDM moms develop type 2 later in life.
Answered By: Anne Carroll
Accreditations: RN, CDE
Sources Show

Community Answers (1)

10/21/09 09:45 PM

Diet and exercise may not take of all of it. Avoid refined foods and eat fresh that should help the bs. I feared insulin also its a piece of cake, been doing it for 24 yrs now. The needles are so find you cant feel them.
Answered By: furball64801
FLAG
SourcesShow



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