Hello, at what blood sugar level during gestational diabetes does insulin become necessary?

Patient's question:

Hello, at what blood glucose level does gestational diabetes require insulin treatment? I am 25 weeks pregnant. Last week, I was diagnosed with gestational diabetes during a glucose tolerance test. Currently, I am self-monitoring my blood glucose levels. My fasting blood glucose has been consistently between 6-7, and post-meal blood glucose is generally between 7-10. Do I need insulin treatment?

Doctor's answer:

In your current condition, medication treatment is not necessary because you are currently under 7, and as long as your fasting blood glucose is not above 7, you do not need insulin treatment.
Suggestions: Avoid eating any sweet foods in your daily life. In summary, you do not need to worry, as this does not yet qualify as diabetes. Your current high blood glucose is due to childbirth, and it may decrease after the baby is born. Only a small portion of cases may develop into diabetes.

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