Patient's question:
[Condition Description: Hello, I am 26 weeks pregnant. I had a glucose tolerance test, and the results were: fasting 5.4, then no change after one hour, 7.2 after two hours, and 8.3 after three hours. Is this result normal? Medical history and effectiveness: Just finished the test, and the doctor only said it's abnormal. Desired help: I want to know if it's normal, what I should do, if it affects the child, and how I can regulate myself to return to normal.]Doctor's answer:
[Condition Analysis: A reduced glucose tolerance refers to the following: During a glucose tolerance test in pregnancy, the 2-hour blood glucose level is between 120-164 mg/dL, or any one of the four indicators is abnormal. Pregnant women with reduced glucose tolerance may not meet the diagnostic criteria for diabetes, but as the gestational age increases, they may develop diabetes. Their risks of having a macrosomic baby, polyhydramnios, preterm birth, dystocia, and perinatal morbidity are higher compared to normal pregnant women. Therefore, their pregnancy management should be similar to that of diabetic patients.Recommendations:
1. Balanced nutrition, dietary adjustment, and calorie intake control: Daily caloric intake should be approximately 30 kcal/kg body weight, with a ratio of approximately 30%:20%:50% for protein, fat, and carbohydrates, respectively. Timely supplementation of various vitamins and trace elements is essential. Avoid high-sugar and fried foods, and opt for small, frequent meals.
2. Moderate aerobic exercise during pregnancy to control weight. It is advisable to gain 0.5 kg per week in the late stages of pregnancy.
3. Regular blood glucose monitoring to prevent hyperglycemia. As gestational age progresses, individuals with reduced glucose tolerance may develop diabetes. If diagnosed with reduced glucose tolerance in the early stages of pregnancy, a repeat glucose tolerance test around weeks 32-34 can be performed to avoid missed diagnoses of diabetes.]