This is SO confusing. Where do you draw the line then? My a1c in pregnancy was 33, regardless of this I was told I had gestational diabetes due to a read of 8.4 after the above meal. I didn’t have any symptoms, nor was my pregnancy symptomatic of GD (no glucose in urine, baby average size, babies sugars perfect at birth etc) - yet I was put under an immeasurable amount of stress with this diagnosis as I didn’t know what it would mean for my birth and baby. Now, I’m not convinced I had it. Baby was born tiny with excess loose skin, I suspect from my sudden change to a low carb diet that was not necessary and starved baby of what it needed. It would suggest my body was handling carbohydrates fine in the first instance.
i find it appalling. GD can lead to inductions, c-sections, all sorts for something that might not even exist. The diabetic dietician I was seeing during my pregnancy even said to me there just isn’t even research into what non diabetic pregnant women’s glucose does, so much so that she herself was pregnant and said she was going to experiment with one of the monitors mentioned above to see what actually happens.
even worse, due to Covid hospitals are now “diagnosing” gestational diabetes with an Hba1c (threshold being 40 I believe) to avoid long stays in hospital performing an OGTT.
It's an evolving science & we're the generation that's pretty much the guinea pigs.
The only solid data they had on the non-diabetic population pre cgm's has come from the OGTT.
Which saw the average person start around 5 mmol/L go up to 7 or 8 then back down to 5 at the 2 hour matk.
It never considered the real world dynamic of eating where you could graze over a starter, main course, desert & beer over 90 mins.
The complexity of protein, fats, carbs, alcohol all ariving in different quantities over an extended time frame was impossible to standardise against a general population.
Much easier to rely on the data from 75g pure glucose chugged back in under 3 mins.
I'm afraid you have been the victim of the old fashioned data they have to hand, FBG, Hba1c & random.
Your random shouldn't have even raised an eyebrow but they don't know any better.