Patient's question:
Doctor, hello! I am currently 30 weeks pregnant and have tested high blood sugar at the hospital. Fasting blood sugar is 5.4, and after the 75g glucose tolerance test, it was 12.7 after one hour and 10.3 after two hours. Now at home, I measure my blood sugar four times a day, with generally fasting levels of 5.2-5.8 and two-hour levels of 6.3-9.1. Please ask the doctor if I need to inject insulin? Thank you for your reply!!Doctor's answer:
If high blood sugar occurs after pregnancy, it is called gestational diabetes. Women with this condition are at potential risk for diabetes. Generally, if dietary control and appropriate exercise cannot lower blood sugar to normal levels, insulin treatment is recommended. Typically, if fasting blood sugar is above 7 and post-meal blood sugar is above 10, insulin control is advised. However, it is essential to monitor blood sugar to avoid hypoglycemia. The risk of macrosomia, miscarriage, and birth defects significantly increases with gestational diabetes.