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The Question
Tue Oct 15 09:35:58 UTC 2013

When do you take your fasting sugar? If I take it as soon as I wake up, it is higher than what the doctor wants.
Asked By: kkepley0806  

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My A1C at last check is 6.4. I take Meteformin 1000mg a day. My fasting sugar ranges between 113 - 127. It has to be below 100 before I can become pregnant.
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Expert Answers (1)
2013-10-24 00:40:37.0


Thanks for asking dLife.

It is wise to achieve and maintain excellent fasting blood glucose control prior to pregnancy. If not managed well, diabetes can cause problems for both mother and child. Chronic high blood glucose can increase the risk for high blood pressure in pregnancy, a large-for-gestational-age baby, and postpartum and newborn health problems. Continue to use your prescribed medicine.

The American Diabetes Association (ADA) recommends that women with diabetes who are planning a pregnancy strive for the following control goals:

  • A1c of 7% or less
  • Preprandial (i.e., before meal) plasma blood glucose levels of 80-100 mg/dl (4.4-6.1 mmol/l)
  • Two-hour postprandial (i.e., after meal) plasma blood glucose levels of less than 155 mg/dl (8.6 mmol/l) .

    Talk with your doctor about your concerns. He or she will review your diabetes treatment plan and determine how best to improve your blood glucose control. Fasting blood glucose occurs about 1 hour after waking.

    Read about planning a pregnancy!

    Take care.

  • Answered By: Liz Quintana
    Accreditations: EdD, RD, LD, CDE
    Sources Show

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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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