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Diabetes screening test…

gestational_diabetes_3

I often get questions about the different screens and tests done to pregnant mom’s…Most often about the glucose test…

Diabetes Screen, Glucola Screen,
Done at 24-28 weeks
What it measures. During pregnancy, a small number of women (1.5%-2%) will develop difficulty in processing the normal sugars (carbohydrates) in their bloodstreams. This can lead to what is called gestational diabetes mellitus (GDM). If not detected and treated, GDM can cause serious problems for both the mother and the baby.

This test screens for the possible presence of GDM. The basic test is called the one-hour diabetes screen or one-hour glucola test. A sweet drink (glucola) is given to the mother after she has fasted . Then, one hour later, blood is drawn to see if the mother’s system appropriately cleared the sugar from her system. For women considered to have a greater than normal chance of developing GDM (women with a family history, prior problems with GDM, or who are overweight), this test will be administered twice: once at the beginning of the pregnancy, and again closer to 28 weeks.
What it tells you. The test will indicate how your body did in clearing that one dose of sugar. It will not tell you whether you have diabetes. If the blood-sugar level was still high after the one-hour test, a second test called the three-hour screening test will be offered. Done on a different day, this test will check your blood-sugar level before the drink (after fasting), and then once each hour for three hours afterwards. If two of the levels measured are high, you are considered to have GDM. Some women with GDM are able to control their blood sugar with diet changes and exercise, while others might require insulin.

Most women who have gestational diabetes give birth to healthy babies, especially when they control their blood sugar, eat a healthy diet, exercise, and keep a healthy weight. 

In some cases, though, gestational diabetes can affect the pregnancy and baby. Some potential risks include:

  • The baby’s body is larger than normal—called macrosomia.  A large baby may need to be delivered by a surgical procedure called cesarean section, instead of naturally through the vagina.
  • The baby’s blood sugar is too low—called hypoglycemia.  Starting to breastfeed right away can help get more glucose to the baby.  The baby may also need to get glucose through a tube into his or her blood.
  • The baby’s skin turns yellowish and the whites of the eyes may change color—called jaundice.  This condition is easily treated and is not serious if treated.

While gestational diabetes is a cause for concern, the good news is that you and your health care team – your doctor, midwife, and dietitian – work together to lower your high blood glucose levels. And with this help, you can turn your concern into a healthy pregnancy for you, and a healthy start for your baby!

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One Response

  1. […] full story can be read/found on http://diabetesmellitustypes.info Posted in Juvenile diabetes, Types of Diabetes | Tags: both-the-mother, called-gestational, […]

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