Patient's question:
Please help translate the following content into English, where "" does not need to be translated and should remain as is, and all other Chinese text should be translated into English:"Please help with high blood sugar during pregnancy—what methods can lower it?!! I am currently 29 weeks and 4 days pregnant, and all previous check-ups were normal. At the 25-week glucose screening, the results were: fasting 5.21 mmol, one hour 6.94 mmol, and two hours 6.03 mmol! When I asked the doctor, they said it was normal. At 29 weeks and 2 days, I went for a prenatal check-up, and the result showed a bird glucose 1. The doctor asked me to test my blood sugar at home. Today, I checked my fasting blood sugar in the morning: 5.5 mmol, and two hours after breakfast: 7.2 mmol, and two hours after lunch: 8.4 mmol! Is this serious? Will it significantly affect the baby?! I don’t like sweet foods and haven’t eaten much fish or meat, but I don’t know why this is happening. This time, the prenatal check-up went like this!"
Doctor's answer:
Hypothesis: Gestational diabetes (GDM) can be screened through a single-step 75g glucose tolerance test (OGTT) between 24-28 weeks of pregnancy. When fasting blood glucose (FPG) levels are between 5.1-6.9 mmol/L and/or 1h 75g OGTT ≥ 10.0 mmol/L and/or 2h 75g OGTT is between 8.5-11.0 mmol/L, GDM should be considered for diagnosis. Your current blood sugar is slightly elevated. It is recommended to first adjust your diet, eat small meals frequently, and monitor blood sugar data irregularly. It is best to follow up with an endocrinology specialist at the hospital. The above is advice on this issue. It is hoped that it will be helpful to you. Wishing you good health!