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, your blood sugar is not as high as to start Insulin treatment. Still, you must be closely monitored regarding blood sugar, fetal ultrasound monitoring by an obstetrician and a dietitian for low carbohydrate consumption. Try to eat more vegetables like green leafy vegetables and not high-carbohydrate potatoes. You must check 1.7 ounces of oral glucose tolerance test fasting after 1 and 2 hours. If still high, we need to assess the results, do further tests for the same, and then decide whether to start insulin. Maintain blood sugar chart by checking it fasting, 2 hours post-meal, and before bedtime. Be in touch with a physician. Avoid rice, sweets, and sugary drinks. Take Folic acid 5 milligrams once daily.

I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

Gestational diabetes needs a higher dose of Folic acid; still, if you have only 1 milligram, 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 green leafy vegetables and green or raw fruits like apples, pears, and unripe half bananas. You can use brown bread and avoid full-fat milk. Drink plenty of water and maintain sleep hygiene, like trying to sleep at night and avoiding daytime sleep except for a short nap in the afternoon. Poor sleep hygiene can also cause sugar spikes. You need close monitoring and follow-up with the doctor nearby you as and when possible. Yes, doing OGTT (oral glucose tolerance test) in the coming days or weeks is very important to decide on insulin treatment. Until then, do strict diet control. Eat small meals.

Thank you.

Hi,

Welcome to icliniq.com.

Yes, your blood sugar is high, and you must start Insulin. What is your weight, 231 lbs? Start Insulin Apidra pen 2 subcutaneously thrice daily and Insulin Levemir 2 units before bedtime. You have to take a prescription from a local doctor to buy this Insulin pen, and you must learn the technique to use by the nurse. You have to keep a chart for your blood sugar readings. Fasting, before meals and 2 hours after every meal, before bedtime. We will adjust your Insulin according to your blood sugar levels.

Thank you.

Hi,

Welcome back to icliniq.com.

The weight and doses look fine.

Thank you.

Hi,

Welcome back to icliniq.com.

Happy to help you. Feel free to ask about any health concerns.

Thank you.

Hi,

Welcome back to icliniq.com

It is okay since it is according to your body weight, but try to check your blood sugar, as I have mentioned. And keep a chart.

Thank you.

Hi,

Welcome back to icliniq.com.

Wishing you good health.

Thank you.