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The Question
Sun Jun 03 10:53:29 EDT 2012

Am I on the way to real diabetes after having gestational diabetes?
Asked By: vita_apala  

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Almost two years ago during my second pregnancy I was diagnosed with gestational diabetes. My readings for 75gr glucose test were: fasting - 72; 60 min - 180; 120 min - 135; Recently I made again OGTT and this time my readings were: fasting: 86; 60 min - 150; 120min - 136; HbA1C - 5% Does it mean I am very close to pre-diabetes and most probably I will develope the real diabetes? My last OGTT test was made on the first day of my period (and I didn't feel really well, I had pain, didn't sleep well night before and etc.) - could it affect the result? Lately I am also checking my blood at home and usually my readings are: fasting: 77-96 (96 if I ate something just before going to bed); 2 hours after meal: 94-110 But recently when I had cold and fever and ate for lunch rice (basmati) the 2 hour reading was 160! Could it be because I was sick or there is something really wrong with me? Thank you and sorry for so many questions!
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Expert Answers (1)
2012-06-21 14:24:03.0

Hi. Thanks for your questions! First, it is good that you have been tested for diabetes. Gestational diabetes does put you at risk for developing type 2 diabetes. The American Diabetes Association recommends follow up (after gestational pregnancy) screening for the development of diabetes or pre-diabetes every three years.

Pre-diabetes is diagnosed as a fasting blood sugar (done by a lab using a blood sample from a vein) of 100 to 126. Diabetes is diagnosed if the sugar is 126 or more. Both of your lab fasting results were less than this so you do not have pre-diabetes or diabetes. Your 2-hour results were also under the prediabetic range of 140-199, however your 2-hour readings were closer to diagnosis of prediabetes than your fasting. A 2-hour reading of 140-199 indicates pre-diabetes.

Having your period is associated with higher OR lower blood sugars. Stress and illness usually cause blood sugar to rise. Too much rice may also raise blood sugar. Therefore, it makes sense that your blood sugar was up because you had your period, were in pain, stressed out and possibly ate a too large portion of rice which is a carbohydrate. But, one reading on a meter is not diagnostic for pre-diabetes. I would suggest that you report your reading of 160 to your health care provider and ask if you can have another OGTT.

Recommendations to prevent pre- diabetes and diabetes are the same. These are steps you should take: maintain a healthy weight, engage in regular physical activity such as walking briskly 30 minutes 5 times a week, and eating a balanced variety of healthy foods and healthy portions.

I would suggest you ask to be referred to a dietitian and or certified diabetes educator to help you create an individualized healthy life style plan to decrease your risk of pre-diabetes. These professionals can also provide you with emotional support which will likely help to decrease your worries about getting diabetes. Good luck!

Answered By: Donna Yuscavage
Accreditations: RN, BSN, CDE
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Community Answers (1)
2012-09-21 09:33:21.0

Hi Vita, The expert here is exactly right: eliminate all processed sugars (cookies, cakes, candies, honey, sugar, maple syrup) and up your activity levels and you should stave off diabetes and even "pre-diabetes." This whole issue of labeling a fasting BG reading of 125 mg/dL as "pre-diabetes" and a reading of 126 mg/dL as "diabetes" is nonsense. Diabetes is a steady progression in the loss of the body's ability to properly metabolize blood glucose, it simply comes in steadily worsening stages that eventually have to be labeled. ANY consistent fasting readings over 90 mg/dL will cause long-term damage to our bodies regardless of what some person says. Take these slightly elevated readings as a sign to improve on your lifestyle. Remember, if your body was able to maintain your BG at or below 90 mg/dL it would. The fact that it is above that is an early indicator that your body is under diabetic stress. Try to reduce your intake of all carbs, especially sodas, refined sugars, fruit juices, and anything made of a grain, potato, or rice. You've got a lot of years left to live. Don't put them at risk by continuing to do those things that you will eventually have to stop anyway. Better to do it now before you suffer the much more serious symptoms of "pre-diabetes" and diabetes later. Best of luck.
Answered By: kenhampshire

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