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The Question
02/09/10 12:04 PM

"I am 43 years old,31 weeks pregnant with my 8th child. I am obsese - BMI 51. Despite having no sugar present in my urine, my blood sugar is high 8.9"
Asked By: fizzylady  
Category: Gestational Diabetes

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Can I have gestational diabetes without having urine present in my urine?

Expert Answers (1)

02/24/10 06:51 AM

Hello fizzylady
Thank you for bringing your concern to us here at dLife. You mention that your blood glucose is 8.9. Do you mean that your HgA1c is 8.9%? If so, you are diabetic by the new 2010 American Diabetes Association Guidelines.

Good prenatal care is essential to the health of your unborn child and to yourself. It may be difficult to determine if you have gestational diabetes or if you have outright diabetes that has been identified during your pregnancy. Either way, you need to be treated and followed as a high risk pregnancy. Your doctor should follow up with a glucose tolerance test to get more information as to your glucose clearance. Urine testing is done at many prenatal visits to see if ant protein is being passed in your urine. It is a screening and not diagnostic for diabetes. Please ask your doctor about the results of your blood glucose levels, your HgA1c results and discuss any abnormal values.

The new 2010 ADA Guidelines list these diagnosic parameters for diabetes whether during pregnancy or not
HgA1c equal to or greater than 6.5%
Fasting Blood Glucose of 126 mg/dl on two occasions
two hour Post Prandial (after eating) Blood Glucose of 200mg/dl on two occasions.
If there are obvious symptoms such as extreme thirst, frequent urination and extreme hunger, only one abnormal test is needed for diagnosis.

Answered By: Rita Juray
Accreditations: RN, MLT-ASCP, CCM, CDE
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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