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Suggest Treatment For High Blood Sugar Levels During Pregnancy

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Posted on Sat, 6 Dec 2014
Question: I m thirty four weeks pregnant and my sugar level is high its fasting 118 and after 50 gm glucon its 380.i m taking three tablets metital 500 daily.pls asvise
doctor
Answered by Dr. Manisha Jain (19 minutes later)
Brief Answer:
endocrinologist opinion

Detailed Answer:
Hi, I understand your health concerns.
Your sugar levels are very high and won't be controlled by metformin alone.
You need insulin injections before meals to control the sugar levels.
Visit an endocrinologist at the earliest and get yourself worked up properly.
Don't take it lightly as it can cause sudden death of the baby in case sugar levels stay uncontrolled like this for long.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (3 minutes later)
Have taken a 2100 cal diabetic chart and following the same

I am avoiding sugar
doctor
Answered by Dr. Manisha Jain (1 hour later)
Brief Answer:
urgent matter

Detailed Answer:
Still it is very high and in case it continues like this it can cause sudden death of baby and can cause multiple problems to you like ketoacidosis and urinary infection and poor wound healing and even increased chances of cesarean section.
So don't take it lightly and visit an endocrinologist at the earliest.
All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (18 minutes later)
I have just test with gluco meter and it is as 245
Have done the dopller and bio physical ultrasound yesterday...attachin the scan copy...pls check and suggest and from tomorrow onwards i will check the sugar thrice a day
doctor
Answered by Dr. Manisha Jain (11 hours later)
Brief Answer:
let's discuss the reports

Detailed Answer:
All your reports are normal as of now.
Its good that you are planning to do three sugar samples after meals but after the reports please visit your doctor and start with insulin if required.
You can discuss the reports with MW on health care magic so that we can plan further course of management.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (18 minutes later)
Today have check the sugar in fasting and it is 87
doctor
Answered by Dr. Manisha Jain (2 minutes later)
Brief Answer:
all 3 most meal required

Detailed Answer:
Fasting is normal but in pregnancy post meal sugars are more important so do all three post meal levels and let me know.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (16 minutes later)
After 1 hour of breakfast it is 123... Will check post 1 hour of lunch and dinner and will let u know

Thanks for your kind advice
doctor
Answered by Dr. Manisha Jain (42 minutes later)
Brief Answer:
normal values

Detailed Answer:
You are most welcome.
Post breakfast is also normal.
All the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (8 minutes later)
1 hour after breakfast-123
After 2 hour-97
doctor
Answered by Dr. Manisha Jain (3 minutes later)
Brief Answer:
normal

Detailed Answer:
Both these values are normal.
It seems that your diet control is good and is showing positive impact on your sugar levels.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (9 hours later)
Total 5 sugar test done today and worries for low sugar.. Pls suggest.. I am taking metitial thrice a day
Fasting-87
1 hour after breakfast-123
2 hiur after breakfast-97
Before lunch-95
Before dinner-86
Should i reduce the frequency of metital 500mg
doctor
Answered by Dr. Manisha Jain (2 hours later)
Brief Answer:
all are normal

Detailed Answer:
Hi, keep taking it in prescribed doses.
Low sugar level is below 60 so nothing to worry.
Tomorrow do 2 hour post lunch and 2 hour post dinner.
Pre meal sugar levels have no significance in pregnancy.
Just do the levels tomorrow and then we can discuss the reports.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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Suggest Treatment For High Blood Sugar Levels During Pregnancy

Brief Answer: endocrinologist opinion Detailed Answer: Hi, I understand your health concerns. Your sugar levels are very high and won't be controlled by metformin alone. You need insulin injections before meals to control the sugar levels. Visit an endocrinologist at the earliest and get yourself worked up properly. Don't take it lightly as it can cause sudden death of the baby in case sugar levels stay uncontrolled like this for long. Take care.