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Intro and question

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Laurenbelle

Newbie
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Hello! I have just been diagnosed woth GD at 36 weeks. I did a GTT test at 28 weeks that consultant said I passed however had to do another one at 36 based on a urine sample and failed that one. I have been put on Metformin 3 times a day and have to test my levels 5 times a day - before each meal, after one of the meals (either breakfast, lunch or dinner) and before bed. I always pass the before meals but the after meals are always high. Is it normal to focus on the before meals reading as opposed to after meals? I am still trying to understand GD but I thought it was the after meals (so what my body does with the sugar that I though they would be interested). I have read some of the posts and they have been really helpful so so glad you guys are here.
Thank you!
Lauren
 
Hi Lauren,

Sorry to hear of your diagnosis, but looks like your taking it in your stride and doing your best to get things right.

It is a good idea for you to test before AND after meals, the 'before' test should link up with your 'after' test to give you a guide if your medication/body is doing it's job. If you return to around the same mmol as when you tested after a meal then your medication is working well. If you find you are often too high after meals then it's an indication your medication may need increasing or changing.

So for example you test before a meal and your BG is 5.5mmol, you then eat a meal and 1 or 2 hours later your BG is 9mmol then you know that your medication isn't enough to help your body process that meal.

So you have two options;

Increase or change the medication you are using in order to help your body to return to a BG within your targets set.

Or

You can reduce the amount of carbohydrates in your meal so you body/medication has less glucose to process, enabling your current medication to successfuly return your BG to the target level set by your medical team.

Remember as you are pregnant it's very important you discuss any changes with your specialist as you need to do the right thing for yourself and your little one.

We can only advise and suggest ideas to help so it's always best to run anything by your medical team first :)

all the best for you and your baby :)
 
Thank you so much for the very quick and very helpful reply. My before meal readings are general all within the correct range where the after are always high so will revisit this. I have a appointment with consultant on Tuesday so will discuss it then.
Thank you again!
Lauren
 
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