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Gestational Diabetes - Do I need insulin
My GCT failed with these number 176. I am 18.5 months pregnant. Do I need to go for insulin at this time though I have started restricted diet with exercise. Home test results of sugar are around 155 after dinner.
Please suggest if I should wait before starting insulin and try to monitor the numbers with good diet and exercise.
Answers (2)
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Dr. Ramkumar S
Endocrinologist
18 yrs exp
Chennai
Check your blood sugars regularly, 1 hour after each major meal.
155 post dinner is definitely high and needs medications to control. Metformin is used in some places but no long term data on effects on baby. Insulin is safe and effective option.
Next Steps
Consult endocrinologist for diabetes control
Health Tips
Regular home monitoring is must, regular and mild exercise after each major meal
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Dr. Sheetal Aversekar
Diabetologist
14 yrs exp
Mumbai
You can wait for a few days and follow diet and exercise. But keep a strict check on home readings especially 2 hour post meals. Targets would be less than 130 for post meals. Since its detected in only 18 weeks of pregnancy, there are high chances of you requiring therapy.
Meanwhile, do get an hba1c test done too. If its high, you shouldn't wait before starting therapy.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.