The ADA recommendation for fasting glucose levels is 115 for non-pg. Pg women may have a slightly higher level, but most doctors use a lower number.
The numbers have been artificially lowered by doctors who want more women to fall into the "at risk" category so they get more money for treating them. Not because there's any scientific reason for the lowering. I'd go with the number from 2005, they're more in line with the research.
Cristeen ~ Always remembering our warrior ~ Our is 3, how'd that happen?!?!
We welcomed another warrior in May 2012!!
2012 Decluttering challenge - 575/2012
|The numbers have been artificially lowered by doctors who want more women to fall into the "at risk" category so they get more money for treating them.|
I aim for very tight control for my diabetic patients. I like fastings under 95 and post parandials less than 110 (definitely no higher than 120).
Also, you sound quite condescending when talking about what you "like" and what YOU "aim for". Have you ever been GDM? Ever checked your sugars five times a day, or used insulin four? It's very difficult. I see my role as a HCP to facilitate the client's meeting of goals, not to say "I like this for my patients". How is that different from an OB of the '50s saying "I like my girls to stay on the thin side in pregnancy"?
|Also, you sound quite condescending when talking about what you "like" and what YOU "aim for".|
But to answer your question: I have checked my BS 5 times a day (yes, it hurts and yes, it is disruptive). I am completely aware of the disruption a diagnosis of GDM causes and the learning curve that is associated with managing it. But it is also well documented that very good glucose control (normal sugars, not hypoglycemia) is associated with a significant decrease in adverse outcomes. Excellent glucose management can be the difference between a low intervention normal delivery and a baby that stays with mom and a medically managed (or surgical) delivery and a baby that spends days in the NICU. So many pregnancy complications cannot be prevented or well managed once they occur: PIH, PTL, PROM, previa, abruption, etc. This one can be.
Tracey R. Happy Helpmeet to Jeff, and Mama to Corey (ds, 22yo), Justin (ds, 20yo), Bekah (dd, 3yo), and Miah (Jeremiah, ds, 17mo), and baby Rachel, vasa previa survivor, 4 wks old.
This article might help you-it has a lot of good information on GDM in general and recommendations for glucose control during pregnancy, post partum, and in long-term follow-up.
|High-risk: Perform blood glucose testing as soon as feasible, using the procedures described above if one or more of these are present:
* Severe obesity
* Strong family history of type 2 diabetes
* Previous history of: GDM, impaired glucose metabolism, or glucosuria
ETA a quote from a mainstream medical text:
|Glycosuria is more common during pregnancy because of the lowering of the renal threshold for glucose excretion.
The increase in the glomerular filtration rate delivers an overwhelming glucose load to the renal tubules. Reabsorption, which is normally complete, is thus compromised.
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