Patient's question:
Hello! I would like to ask if I am in the late stage of pregnancy, and a fasting urine test shows a negative result, but after 1 hour post-meal, the test becomes positive with a very high positive color on the test strip. Could this be gestational diabetes? Thank you for your answer!Doctor's answer:
Hello, urine sugar cannot be used as a basis for diagnosing diabetes, but the presence of urine sugar generally indicates that blood sugar is very high. It is recommended to go to the hospital for further diagnostic tests. The specific criteria for diagnosing diabetes are as follows:1. Typical symptoms of diabetes + random plasma glucose concentration of ≥11.1 mmol/L.
2. Fasting plasma glucose concentration of ≥7.0 mmol/L.
3. Postprandial plasma glucose concentration of ≥11.1 mmol/L after a 2-hour oral glucose tolerance test.
Meeting any two of the above three points can lead to a diagnosis, but each point must be confirmed on a separate day. Once a patient is diagnosed with diabetes, they should receive standardized treatment. Blood sugar fluctuations can cause damage to the body's organs and accelerate the occurrence of complications.
Treatment for diabetes should be tailored to the individual's condition. First, it is essential to understand the patient's blood sugar levels, insulin function, and whether they have complications to develop a specific treatment plan. Avoid taking medication blindly, as this may delay the condition.
Diabetes treatment should focus on five aspects: medication, dietary therapy, exercise therapy, diabetes education, and blood sugar monitoring. Failing in any one of these areas can affect the effectiveness of treatment. It is recommended to seek standardized treatment at a specialized diabetes hospital.
Wishing you good health.