Glucose test
The glucose test gestational diabetes, an impaired glucose metabolism that sometimes occurs during pregnancy, usually in the second half, when the hormones of pregnancy own hamper insulin action and cause an elevation of concentrations of glucose in the blood, especially after meals.
It is characterized by poor utilization of carbohydrates by the body and occurs most frequently in pregnant women over age 30 or family history of diabetes, obesity or pregnancy prior diabetogenic.
A type of diabetes has no symptoms and therefore between 24 and 28 weeks of pregnancy is performed to all pregnant women test O’Sullivan, an outpatient test designed to identify if they have chances of getting this disease, which be confirmed after the glucose test.
O’SULLIVAN’S ALL ABOUT THE TEST
This test is always done in the morning, you go on fasting and takes just over an hour. I went with my bedside at the time and when my turn came, a nurse took my blood sample to measure my level of baseline fasting glucose.
Then they gave me a bottle containing 50 mg of a glucose-based beverage and drink it the indications of a whole. Do not know any pregnant woman who fondly remember the gooey concoction, a flavor that is intended to emulate the orange without success.
I am no exception, but I drank a whole and without question within the period specified: 15 minutes. After an hour I again took a blood sample to see how my body reacted to that overdose of glucose and it was clear that he sat fatal, because my fasting glucose level was 1.87 g / L, when the limit on this test is set at 1.40 g / L.
FINAL CONFIRMATION
The results of the O’Sullivan test is not decisive, but if you exceed the limit, as happened to me, the doctor will ask you to practice or test curve of glucose, which is used to confirm the diagnosis of diabetes.
During the three days prior to the glucose test should follow a diet of 2,100 calories rich in carbohydrates. The curve is also performed on fasting, but lasts three hours, so arm yourself with patience.
We take an initial blood sample to determine your baseline fasting blood glucose, which in my case was 1.13 g / L, normal value because the limit is 1.90.
After the first hit I was served the same drink, but this time was 100 mg. At 60 minutes of ingesting the brew pricked me again and my fasting glucose was at the limit: 1.90 g / L.
Two hours later, however, my levels were below 1.65 g / L (the maximum is 1.65 g / L), but it was a mirage because the three hours, when the room puncture, the result was final My fasting glucose level was 1.79 g / L when the maximum is 1.45 g / L.
I had gestational diabetes and from that time until the birth of Roger, my pregnancy was marked, not only by the enormous enthusiasm to see his face to my first child, constant checks and urine sugar, insulin treatment and diet admitted not whims.
CONTROL AND RISK OF DIABETES
If you confirm your pregnancy is diabetogenic, do not be alarmed: the diet is usually sufficient to keep diabetes at bay, although there are times when you need to be treated with insulin.
Moreover, as I said my gynecologist, Dr. Salvador Taboada, “a balanced diabetic, to follow stringent controls and maintained their weight, need not have any problem.”
Must be taken at face value the doctor’s instructions, because if left untreated, gestational diabetes can cause problems for the mother and baby: birth complications, fetal weight high (macrosoma), neonatal hypoglycemia and premature birth, and others.
This diabetes usually disappears after delivery, but poses a risk of type 2 diabetes. So in the two days you will give birth capillary blood glucose control and two months, or when you’re done breastfeeding, you will practice the curve of glucose.
If your pregnancy was diabetogenic, thereafter every year you made your control fasting glucose levels.