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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Reading Of 182 In Glucose Blood Test For Gestational Diabetes Considered High?

I just had my glucose blood test for gestational diabetes done and it was 182. I m going for the 3 hr screen on Tuesday. I just wanted to know if 182 is high or very high? I m trying to gauge how concerned I should be. It s my 1st child, I m 38, Caucasian, no history of diabetes, normal harmony 21 blood test, BMI under 18 pre-pregnancy & I ve only gained 10lbs at 26 wks, baby is healthy boy 1lb 15 Oz at 26 weeks & in 44th%.
Wed, 21 Apr 2021
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General & Family Physician 's  Response
Hi,

During pregnancy a blood glucose level below 140 is considered as normal, where as a level between 145-199 is diagnosed as pre-diabetic and a level of >200 is diagnosed as diabetic. As you are having your blood sugar 182, hence it is to be taken as pre-diabetic. These patients may eventually have a risk of developing diabetes, hence further screened by 3 hour screening test. In 3 hour test,1st sample is taken after a complete fasting of 8 hours. Then you are given 100 gm. of sugar. After this, 2nd sample is taken after1 hour, 3rd after 2 hours &4th sample after 3 hours.

The four samples are then analysed for glucose levels. Normal limits of these samples is taken as below---
* Fasting up to 95 mg%
* After 1 hour up to 180 mg%
* After 2 hours up to 155 mg%
* After 3 hours up to 140 mg
* If one sample out of 4 is above normal, then patient will be tested again after 4 weeks.
* If out of 4 any 2 or more samples are above normal, then the patient will be taken as of gestational diabetes and will be further managed with all the precautions like a patient of diabetes.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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Is Reading Of 182 In Glucose Blood Test For Gestational Diabetes Considered High?

Hi, During pregnancy a blood glucose level below 140 is considered as normal, where as a level between 145-199 is diagnosed as pre-diabetic and a level of 200 is diagnosed as diabetic. As you are having your blood sugar 182, hence it is to be taken as pre-diabetic. These patients may eventually have a risk of developing diabetes, hence further screened by 3 hour screening test. In 3 hour test,1st sample is taken after a complete fasting of 8 hours. Then you are given 100 gm. of sugar. After this, 2nd sample is taken after1 hour, 3rd after 2 hours &4th sample after 3 hours. The four samples are then analysed for glucose levels. Normal limits of these samples is taken as below--- * Fasting up to 95 mg% * After 1 hour up to 180 mg% * After 2 hours up to 155 mg% * After 3 hours up to 140 mg * If one sample out of 4 is above normal, then patient will be tested again after 4 weeks. * If out of 4 any 2 or more samples are above normal, then the patient will be taken as of gestational diabetes and will be further managed with all the precautions like a patient of diabetes. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician