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The Question
Tue Feb 15 22:47:44 EST 2011

How quickly does GD progress when undiagnosed?
Asked By: takashi  

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I am 32 weeks pregnant and have just been diagnosed with Gestational Diabetes. My insulin and glucose levels were not super high but were still considered positive. As I have been diagnosed quite late in pregnancy I want to understand how the disease progesses. Was the baby at risk of elevated sugar in my blood only 2 weeks ago, 4 weeks ago 3 months ago? If I had been tested a month ago would I have been positive? Thank you for your help.
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n/a
Expert Answers (1)
2011-02-24 22:33:16.0

It is usual to test for GDM around 26-28 weeks, not sure why the delay for you. Your blood sugar may or may not have been elevated then. If your Blood Sugar has been elevated the biggest risk for your baby is growing too large. What is imporant now is getting the blood sugar in good control - fasting goal is below 95, 1 hour after meals below 130-140. A majority of women can control their blood sugar with meal planning and lower carb intake. You need to see a certified diabetes educator/dietician with experience in gestational diabetes to help you develop a proper meal plan. Do not delay doing this. You also need to be doing blood sugar testing every day until the baby is born. Up to half the women with GDM will develop DM - especially if pregnancy weight is not lost. Be sure after delivery you follow up with your primary care provider to evaluate your blood sugars. You are also at risk for having GDM at your next pregancy - so be sure you have normal blood sugar before becoming pregnant again. Best wishes for the final weeks of your pregancy and a healthy baby!
Answered By: Beth McKinzie
Accreditations: RN, BSN, CDE
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