Q. I have developed gestational diabetes with FBS 130 mg/dL. Do I need to start Insulin?

Hello,

Welcome to icliniq.com.

I just read your query and from what you have mentioned it appears that your blood sugar is not very high as to start insulin treatment as of now but you need to be closely monitored as regards to blood sugar, ultrasound fetal monitoring by an obstetrician and a dietitian for low carbohydrate diet consumption.

Try to eat more vegetables like green leafy vegetables and not potatoes which contain high carbohydrates. You need to check 50 gm oral glucose tolerance test fasting and after 1 hour and 2 hours. If still high we need to assess the results and do further tests for the same and then decide whether to start insulin or not.

Maintain blood sugar chart by checking it fasting, 2-hour post-meal, and before bedtime. Be in touch with a physician. Avoid rice, sweets, and sugary drinks. Take Folic acid 5 mg once daily.

I hope this helps.

Hello,

Welcome back to icliniq.com.

Gestational diabetes needs a higher dose of Folic acid, still, if you have only 1 mg then not a problem. You can access medical facilities in case of curfew by taking appropriate permission from the government. If not possible then better do a strict low carbohydrate diet with more green leafy vegetables and green or raw fruits like green apple or pears or unripe half banana, etc.

You can use brown bread and avoid full-fat milk. Drink plenty of water and maintain sleep hygiene like try to sleep at night and avoid daytime sleep except a short nap in the afternoon. Poor sleep hygiene can also cause sugar spikes.

You definitely need close monitoring and follow up with the doctor nearby to you as and when possible. Yes, it is very important to do OGTT (oral glucose tolerance test) in the coming few days or weeks to decide insulin treatment.

Until then do strict diet control. Eat small meals.