What are the effects of having high glucose levels during pregnancy?
Patient: Hello Dr, I’m 33.5 years old, I’m 152.5 and weigh 47kgs. LMP 16/5/11 and due date 26/2/12. I found out I was pregnant at 6 weeks about 4 weeks ago, I went to my GP at 7 weeks to get a few routine tests done and I had a ramdon test of high glucose reading of 8.7, I found out at week 8. Then the doctor requested I do the 1 hour one where I drank some glucose and waited around for an hour, it came back with 8.9. Then I was sent to do another test where I had to fast and it came back even worst, I couldn’t remember what the first initial reading was but the second reading was 12 and the third reading was around there as well, I’m now 10 weeks and found this out just Monday. I had a routine body check two years ago and my sugar levels were within the range. I’m changing my diet now to low GI food and will see a dietician tomorrow 4/8/11. I’ve read from a lot of sources where a high glucose reading the in first trimester will increase the changes of birth defects, stillbirth and premature baby. I’ve read everywhere that the chances are increased. So what are the changes of having a healthy baby by controlling my diet starting now? I will be doing a nuchal translucency test on the 18th August and blood test to check the neck of the baby to see if there is risk of down syndrome, my OB also suggested that if it comes back bad, then he would recommend amniocentesis. I will be 34 when the baby is born, I want the baby to be in the best health, I’m really scared if in the end of the 9 months it’s a stillbirth. Would I even consider abortion at this stage and start again and get my sugars controlled and then try to conceive again? I know I should wait to do all those tests, but I know those tests don’t pick up all the birth defects. I’m impatient and I’m getting old, I don’t want to lose the change of trying to conceive for another baby. Scared Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Please do not panic.and do not worry.2] I will suggest indulging in a healthy diet and regular exercise regime.3] Include plenty of fruits, salads, vegetables in the diet. 4] Avoid deep fried foods, bakery products, and refined sugars.5] please do not entertain any negative news and thoughts in your mind.6] Please follow the USG and blood tests as suggested by your doctor.Step by step testing of nuchal translucency, Double marker and triple marker test, amniocentesis if needed are the rightly advised tests.7] I will suggest you to focus on your diet and exercise and on sugar control.8] All things will sail smoothly.Wish you be blessed with healthy child.I hope my answer helps you.Thanks.Wish you great health.