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When does Gestational Diabetes lead on to Pre-Diabetes or T2?
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<blockquote data-quote="Cocosilk" data-source="post: 2010118" data-attributes="member: 501623"><p>DO you remember any of your numbers on the tests?</p><p></p><p>I had a GTT in 2014 during my first pregnancy and it came back fine (Fasting 4.5; 1hr 8.7; 2hr 6.4), then my OB for my 2nd pregnancy in 2015/2016 didn't push me to have the test. My 2nd baby was a bit bigger than my first (3.90kg boy vs 3.09kg girl) but I did have preeclampsia at the end of my first pregnancy. My 2nd baby didn't show any signs of hypoglycemia so I can assume my levels were still okay last pregnancy. </p><p>But my recent GTT, 3rd baby, was Fasting 5.1 (they want under 5.1 now in Australia); 1hr 9.7 (under 10 ok); 2 hr 7.4 (under 8.5 ok). The fasting level scraped me in with a diagnosis. So now the target BG levels for pregnant women that I have to follow at home if I want to stay off Metformin or insulin are less than 5.1 morning fasting (I'm getting more 5.3 this week); and 6.7 for 2 hours after a meal. </p><p>I can only manage that if I eat very minimal carbs. I tried a 4 VitaBrits with a teasp of honey and milk last week and my 2 hour post meal was 8.0. They wouldn't like to see that very often if I am managing it with diet alone. </p><p>Morning fasting levels are stubborn. I've tried a snack before bed. I've tried to fast 12 hours overnight. I do sometimes get my level down to 5.1 before breakfast, but if I only get 6 - 7 hours sleep, on waking, I'm always 5.3 or 5.4 this week. I know these numbers are still quite low and probably don't quite get me in the pre-diabetic level, although if I was getting 8.0 after my meals, maybe that would be considered pre-diabetic if that started happening after the baby was born? ?</p><p></p><p>What numbers do they use to diagnose gestational and pre-diabetes where you are?</p></blockquote><p></p>
[QUOTE="Cocosilk, post: 2010118, member: 501623"] DO you remember any of your numbers on the tests? I had a GTT in 2014 during my first pregnancy and it came back fine (Fasting 4.5; 1hr 8.7; 2hr 6.4), then my OB for my 2nd pregnancy in 2015/2016 didn't push me to have the test. My 2nd baby was a bit bigger than my first (3.90kg boy vs 3.09kg girl) but I did have preeclampsia at the end of my first pregnancy. My 2nd baby didn't show any signs of hypoglycemia so I can assume my levels were still okay last pregnancy. But my recent GTT, 3rd baby, was Fasting 5.1 (they want under 5.1 now in Australia); 1hr 9.7 (under 10 ok); 2 hr 7.4 (under 8.5 ok). The fasting level scraped me in with a diagnosis. So now the target BG levels for pregnant women that I have to follow at home if I want to stay off Metformin or insulin are less than 5.1 morning fasting (I'm getting more 5.3 this week); and 6.7 for 2 hours after a meal. I can only manage that if I eat very minimal carbs. I tried a 4 VitaBrits with a teasp of honey and milk last week and my 2 hour post meal was 8.0. They wouldn't like to see that very often if I am managing it with diet alone. Morning fasting levels are stubborn. I've tried a snack before bed. I've tried to fast 12 hours overnight. I do sometimes get my level down to 5.1 before breakfast, but if I only get 6 - 7 hours sleep, on waking, I'm always 5.3 or 5.4 this week. I know these numbers are still quite low and probably don't quite get me in the pre-diabetic level, although if I was getting 8.0 after my meals, maybe that would be considered pre-diabetic if that started happening after the baby was born? ? What numbers do they use to diagnose gestational and pre-diabetes where you are? [/QUOTE]
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