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How early can a baby be delivered due to diabetes in a pregnant women?
Query: Hello doctor, My wife is 26 years old. She is 33 weeks pregnant and detected with sugar all of a sudden. Her PP sugar level is 149 mg/dL. Can you suggest how to control it? How early baby can be delivered? Read Full »
Dr. Dattaprasad Balasaheb Inamdar
Answer: Hello, Welcome to icliniq.com. A single reading of postprandial sugar of 149 mg/dL should not be a reason to worry unless your wife has a family history of diabetes or diabetes in the previous pregnancy. She can do one oral GTT (glucose tolerance test). It is a sugar test done in fasting and every... Read Full »
What effect will diabetes have in a 5-week pregnant woman?
Query: Hello doctor, My wife is 5 weeks pregnant. She has type 2 diabetes. Her HbA1C was 6.6% one month ago. She was taking tablet Melmet SR 500 mg twice daily. After confirming pregnancy, we checked her sugar level for fasting and postprandial for three consecutive days, average around 140/165 mg/dL. So a... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for the query. Diabetes during pregnancy has to be managed systematically, and a diabetologist cannot handle a pregnant mother. The dosing of Insulin depends on the mother's weight and the multiplication factor for the first trimester. Insulin shows immediate... Read Full »
I am pregnant and my RBS level is high. Kindly help.
Query: Hello doctor, I am 6 months pregnant. I did a random blood sugar test so range was 218 mg/dL. Please tell me will it affect my baby. What should I do for control? Please reply and give suggestions. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. A blood sugar level of 218 mg/dL is higher than the recommended range. In pregnancy, this needs to be brought to the attention of your gynecologist at the earliest. However, if you have checked your blood sugar at home using a glucometer, t... Read Full »
Advise a diet plan to avoid diabetes during pregnancy.
Query: Hello doctor, I am 26 weeks pregnant. This weekend I had my glucose tolerance test (3 hours) and on which I failed badly. My fasting numbers were 172, 325 and 318. I know they are bad, but my doctor never told me to follow a strict diet of three to five days prior to the test. In my pregnancy, I ha... Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from gestational diabetes mellitus without any doubt. As per IADPSG criteria (International Association of Diabetes and Pregnancy Study Group) and DIPSI criteria (The Diabetes and Pregnancy Study Group India) both makes you overt diabetic. These le... Read Full »
Is there anything abnormal in my pregnancy test reports?
Query: Hi doctor, I am 24 weeks pregnant. I have done the following tests: CBC with PS, ESR (Westergren's method) and routine urine examination. Also, I have tested for a GCT single sample after taking 75 g of glucose and TSH. Recently, I have got Mcdonald stitch. My current medication is Folvite, Pixit, E... Read Full »
Answer: Hello, Welcome to icliniq.com. You have normocytic and normochromic anemia (attachment removed to protect patient identity), so you need to take Iron tablets regularly.The ESR (erythrocyte sedimentation rate) can be high due to an allergic skin reaction or even presence of helminths, which may be ... Read Full »
What is the optimal HbA1C for a vaginal delivery?
Query: Hello doctor, I am 26 years old and have been a type-1 diabetic for 24 years. I am considering getting pregnant. Is there a specific A1C number I should aim for before trying to get pregnant? Aside from having a great A1C and taking prenatal vitamins, is there anything else I should be doing to prep... Read Full »
Answer: Hello, Welcome to icliniq.com. A diabetic patient like you should have preconception counseling regarding your sugar levels, HbA1c as for conception you need to have your HbA1c below 6.1 %. HbA1C level above 10 % is strongly against pregnancy. So, try to avoid it if you have this level as more cha... Read Full »
How should pregnancy diabetes test results be interpreted?
Query: Hi doctor, I did a diabetes test (they pricked a finger for that), and I want to know what the results mean. I am pregnant in my 15th week. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The test where they prick your finger to test blood sugar is called the capillary blood glucose test. The ideal time for testing are for the fasting test - 8 to 12 hours of fasting (which you have correctly followed) and for post-prandial test... Read Full »
What to do for fluctuating sugar levels in pregnancy even after insulin injection?
Query: Hello doctor, I am 7 months pregnant. My sugar is not constant and is fluctuating too much. I am taking Insulin two times a day. I have attached my file. Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and gone through your reports. (attachment removed to protect patient identity). It appears that you have gestational diabetes and cord around the neck of the baby. Now, this is a complicated pregnancy and you must follow a senior gynecologist with... Read Full »
I am pregnant and have type 2 diabetes. How to keep it under control during pregnancy?
Query: Hello doctor, I am a 30-year-old female who is two months pregnant. My doctor diagnosed me with type 2 diabetes now. So, how to maintain my blood sugar level under control during pregnancy? Can diabetes pass to my baby if I am not under control? Will diabetes affect my baby in the future? Will diabe... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I suggest you do an HbA1c (hemoglobin A1c) test. If it is normal, then no need to worry about diabetes. I also suggest you do regular yoga and walking to prevent diabetes. Avoid junk food. If your sugar levels ar... Read Full »
I am 36 weeks pregnant and have turned diabetic recently. Should I plan an early delivery?
Query: Hi doctor, I am 36 weeks pregnant and was not diabetic before, but recently I have turned diabetic and am currently on Insulin. So my question is should I wait for the labor pain, or should I get my baby delivered through surgery before the due date? Also, does this diabetes have any relation to del... Read Full »
Answer: Hi, Welcome to icliniq.com. It appears you have developed gestational diabetes (GD). If you are already in the 36th week, I suggest you to consult with your gynecologist. If everything is fine, early delivery through cesarean is a better option. However, GD leads to multiple issues with pregnancy,... Read Full »