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How To Lower Blood Sugar While Pregnant

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How Is Diabetes During Pregnancy Treated

Treatment will depend on your symptoms, your age, and your general health. It will also depend on how severe the condition is.

Treatment focuses on keeping blood glucose levels in the normal range, and may include:

  • A careful diet with low amounts of carbohydrate foods and drinks

  • Exercise

  • Oral medicines for hypoglycemia

Issues Related To Self

Accuracy

Accuracy of a blood glucose meter reflects how closely the measured value is to the actual value, while precision describes the reproducibility of serial measurements and is independent of the accuracy. For effective SMBG, it is imperative that meters be both accurate and precise in a series of values . The best single measure of both accuracy and precision is the mean absolute relative error . MARE is calculated by taking the average for the set of individual absolute errors relative to a reference value. For example, measured values of both 90 and 110 mg/dl are in error by 10% given a reference value of 100 mg/dl .

Inaccuracy of self-monitoring blood glucose during pregnancy complicated by diabetes

The inaccuracy of SBGM during pregnancy comes from four sources: strip factors, physical factors, patient factors, and pharmacological factors.

Strip factors

Physical factors

The most common physical factors that influence the accuracy of blood glucose strips are altitude and temperature .

Patient factors

Glucose dehydrogenase is a less specific enzyme, so some naturally occurring sugars can compete with glucose. Galactose, xylose, and maltose compete with glucose for glucose dehydrogenase binding sites and high levels of these other sugars can cause overestimations of glucose levels. However, glucose dehydrogenase sensors are less sensitive to variations in oxygen concentration .

Pharmacologic factors

Barriers to self-monitoring of blood glucose during pregnancy

Also Check: Causes Of High Glucose Levels

Gestational Diabetes Tests And Diagnosis

Gestational diabetes usually happens in the second half of pregnancy. Your doctor will check for it between weeks 24 and 28, or sooner if you’re at high risk.

Your doctor will give you a glucose tolerance test: Youâll drink 50 grams of glucose in a sweet drink, which will raise your blood sugar. An hour later, youâll take a blood glucose test to see how your body handled all that sugar. If the results show that your blood sugar is higher than a certain level, youâll need a 3-hour oral glucose tolerance test, meaning youâll get a blood glucose test 3 hours after you drink a 100-gram glucose drink. Your doctor can also test you by having you fast for 12 hours, then giving you a 75-gram glucose drink and a 2-hour blood glucose test.

If youâre at high risk but your test results are normal, your doctor might test you again later in your pregnancy to make sure you still donât have it.

Eating A Nutritionally Balanced Diet

Gestational Diabetes Alert Jewelry
  • 1Make most of your carbohydrates low on the glycemic index. The glycemic index measures the effect of a food on blood sugar levels. Look for foods that are high in fiber, which tends to lower the GI of food. Try carbs like mixed grain and fruit and oat breads, barley, beans, sweet potatoes, and whole wheat pasta. Try to include these low GI foods into your diet instead of higher GI carbs like rice, white bread, and fries.XResearch source
  • Foods with a low GI cause blood sugar levels to rise slower and lower.
  • 2Spread your carbs out throughout the day. Around 45 to 65 percent of your daily diet should come from carbs.XResearch source As best as you can, try to spread that carbohydrate intake out evenly over the course of a day. Avoid meals that are all or mostly carbs. Instead, try to make sure that carbs make up no more than about 50 percent of any meal.XResearch source
  • If youre not very active on a certain day, aim for the lower end of the 45-65 percent range.XTrustworthy SourceNational Institute of Diabetes and Digestive and Kidney DiseasesHealth information from the National Institute of Diabetes and Digestive and Kidney Diseases, a division of the U.S. National Institutes of HealthGo to source
  • Remember that many fruits tend to be high complex carbs, and will need to be applied to your daily carb count.
  • Try as hard as possible to never skip a meal.
  • Read Also: What Helps Bring Your Sugar Down

    How Fast Can Metformin Lower Blood Sugar

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    I Am A Newly Diagnosed Diabetic And On Metformin And Would Like To Know If I Am Able To Get My Blood Sugars Down In The Near Future Can I Stop Taking Medications

    Yes. Many people within the DMP community have managed to reduce or eliminate their medications. But again, that is a discussion between you and your doctor and will depend on you gaining and maintaining good blood sugar and A1c control.

    Reducing or eliminating medications is a great goal to aim for. And remember, making lifestyle changes will always reduce the medicine load you would otherwise need, which means, even if you dont end up being able to go off medication completely, you will be able to reduce the amount you need to take.

    Read Also: Which Cells Produce Hormones To Regulate Blood Sugar

    Taking Insulin If It’s Needed

    Even if you do everything your doctor tells you, you may still need to take insulin during your pregnancy to keep your blood sugar under control. This doesnt mean that your baby will be at any greater risk of complications it simply suggests that extra steps need to be taken to prevent fluctuations that neither diet nor exercise can fully control.

    If insulin is prescribed, your doctor will show you how, when, and how much you would need if ever your blood sugar is high. This can often occur if you get sick or are under extreme stress. It is also important to be aware of the signs of hypoglycemia and the dangers of low blood sugar during pregnancy. While less common in women with gestational diabetes, the use of insulin can increase the risk considerably.

    Ultimately, the goal is to keep your blood sugar under control no matter how much insulin it takes. Most women on insulin will take two shots per day, but you may get better control with three. With proper monitoring and guidance from your doctor, you should be able to attain the controls needed to ensure a normal, healthy pregnancy.

    Eating A Healthy Diet

    Unpacking a Continuous Glucose Monitor, Keto while Pregnant with Dr. Boz

    Because eating the right diet is central to controlling diabetes, you should not try to “wing it” or create a diet on our own. Instead, work with your healthcare provider to ensure that it is tailored to your specific condition and health.

    This includes getting the right balance of carbohydrates to give you the energy and glucose you need but not so much that it throws your blood sugar off balance. This may require you to count your carbs every day and plan your meals around that, making sure you have just the right amount of starches, fruits, vegetables, proteins, milk, and fats.

    Also Check: Which Cells Produce Hormones To Regulate Blood Sugar

    How To Lower Fasting Blood Sugar With Gestational Diabetes

    February 26, 2021 by Amber

    Through my experience with gestational diabetes, I learned how to lower my fasting blood sugar with gestational diabetes and manage gestational diabetes through diet.

    Being diagnosed with gestational diabetes came as a complete surprise. I remember coming home after having my fasting blood sugar drawn thinking, well that was a waste of time, but at least that box is ticked off the list.

    When my doctor called me when my results were in to say your fasting blood sugar results are 1 point within the normal range, I would like you to do the oral glucose tolerance test. I was baffled. I also felt like a hypocrite because I write about insulin resistance and blood sugar balance.

    I understand blood sugar well, yet I had so many questions.

    Was I really insulin resistant?

    What are normal insulin levels in pregnancy?

    Were my insulin levels too high or too low?

    Or was my insulin resistance due to a fatty liver and the glycogen stores in my liver and muscle being full?

    I went ahead and got the oral glucose tolerance test, where I fasted overnight and drank 75 g of the glucose drink in the morning on an empty stomach.

    My Blood was drawn before drinking the sugar drink, at the one-hour mark and the two-hour mark.

    Here are my blood sugar results from the oral glucose tolerance test:

    Fasting blood sugar 5.2

    1-hour post 75g glucose drink 8.8

    2-hour post 75g glucose drink 6.2

    How To Take Cinnamon To Lower Blood Sugar

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    Are Metformin And Insulin Safe To Use While Pregnant Or Breastfeeding

    Metformin

    • There are no adequate studies in pregnant women. Most experts agree that insulin is the best treatment for pregnant women with diabetes.
    • Metformin is excreted into breast milk and can therefore be transferred to the nursing infant. Nursing mothers should not use metformin.

    Insulin

    • Insulin is the drug of choice for controlling diabetes during pregnancy, that is, it is preferred over oral drugs to reduce blood sugar. NPH, insulin aspart, insulin detemir, and insulin lispro also are used during pregnancy.
    • Insulins are considered safe to use by nursing mothers.

    How Does Gd Affect Your Baby After Birth

    Blood Sugar Balance: How to low blood sugar during pregnancy

    Babies who are born to mothers with gestational diabetes should be tested for low blood sugar , even if they have no symptoms, with a simple blood test after birth. This happens immediately after delivery, while you and baby are still in the hospital.

    After birth, its essential to keep the focus you had during pregnancy on a healthy lifestyle for your whole family you may find that it helps you stick to your resolutions as well.

    Teach your child good eating and exercise habits early on: If you had gestational diabetes, your baby could be at a higher risk for health problems, including obesity as a child or teen and an increased risk for type 2 diabetes later in life, according to the CDC.

    To help avoid a type 2 diabetes diagnosis for your child, aim to ensure that he or she:

    • Eats nutritious meals. The same diet you follow during pregnancy and beyond is good for your child, too. When he gets old enough, have him help you in the kitchen children who help prepare dishes are more likely to eat them.
    • Gets plenty of exercise as he grows. Start by taking walks. As he gets older, toddler soccer and other activities are a great way to get him interested in healthy movement.
    • Maintains a healthy weight. Talk to his pediatrician to make sure his BMI is on target, and talk openly to him about healthy weight and the increase in obesity he might notice in school.

    Don’t Miss: What Cells Produce Hormones To Regulate Blood Sugar

    How Do You Know If You Have High Blood Sugar

    Unfortunately, symptoms associated with gestational diabetes can be difficult to detect, and the only way to know if you have high blood sugar is to get tested. Normally, all pregnant women are screened for gestational diabetes between 24 and 28 weeks of their pregnancy. However, if high levels of glucose are found in your urine during your early prenatal visits, you may be advised to do a screening even sooner.

    The most commonly administered test to check for blood sugar while pregnant is the oral glucose challenge test , wherein the doctor will ask you to drink a glucose solution. One hour after you have had this sweet glucose solution, the doctor will draw your blood to check your blood glucose level.

    If your blood glucose is above the healthy range , you may have to come back for a fasting blood glucose test. For the fasting blood sugar test during your pregnancy, you must abstain from eating or drinking anything but water for at least 8 to 10 hours. This will ensure an accurate measurement of your blood glucose levels.

    Also Check: Which Pancreatic Cells Release Insulin And Glucagon

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