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HomeAnswersObstetrics and Gynecologyglycosylated hemoglobinHigh HbA1c in a pregnant woman. Please suggest what has to be done.

What can be done for high HbA1c in a pregnant woman?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At November 1, 2018
Reviewed AtJanuary 9, 2024

Patient's Query

Hello doctor,

I am a 25-year-old lady about 6 to 7 weeks pregnant. My HbA1c is 12. What should I do?

Answered by Dr. Uzma Arqam

Hi,

Welcome to icliniq.com.

According to diabetes guidelines, the patient should have strict diabetic control pre-pregnancy. It is better to have a strict diabetic diet and sugar levels within the normal range and have HbA1c less than 6. Frankly speaking, I feel that during conception, less than 6 or 5 would be better but at 10, it is advised not to conceive but I think after conception it would have increased. As with high sugar levels, more chances of congenital anomalies in the fetus are there, most popular is heart defects.

The baby could have diabetes and could grow fast due to sugar level imbalance and can be large for the gestational age. It can have stillbirth, difficult delivery, intrauterine death, etc. Please contact a consultant obstetrician and discuss your detailed history and treatment till now. In pregnancy, Insulin is preferred over oral medications. Have a strict diabetic diet, daily walk, yoga, or mild exercises. Try to have strict monitoring of fetus as well as your sugar levels. Things could be well only with strict diabetic treatment and precautions for the whole pregnancy.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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