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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Fluctuating Blood Sugar Levels Be Treated During 34th Week Of Pregnancy?

i am 34 weeks pregnant and my fasting numbers have been fluctating. For instance this whole week, my fasting levels ranged from 96-138, and this morning I was 69 and not feeling well at all. I am on Gliburide 7 mg a day 2.5 in the morning and 5 mg at night. I am worried that if I go on insulin and my levels start to go back to somewhat normal I will end up in a situation like I did with my last pregnancy of waking up in middle of the night and having levels of 28, or 35. As well, even though I gained 5lbs total this pregancy so far the baby is breech and is measuring at 7.7 lbs. something is not adding up. SO the question is should I start on insulin or should I just ride it out like this...
posted on Fri, 14 Mar 2014
Twitter Fri, 29 Jan 2016 Answered on
Twitter Fri, 29 Jan 2016 Last reviewed on
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OBGYN,  's  Response
Hello,
I have gone through your query and understood the concern. Since your fasting blood sugar levels are higher than normal, you definitely need medication. In view of your past history, it is better to avoid the similar preparation of insulin. The fluctuating levels with oral medication indicate the need for insulin. In the current scenario, you should discuss the appropriate management with an endocrinologist. Either another oral drug may be added or a safer insulin is tried with proper monitoring. Hope you find this information useful. Wish you safe motherhood.
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Should Fluctuating Blood Sugar Levels Be Treated During 34th Week Of Pregnancy?

Hello, I have gone through your query and understood the concern. Since your fasting blood sugar levels are higher than normal, you definitely need medication. In view of your past history, it is better to avoid the similar preparation of insulin. The fluctuating levels with oral medication indicate the need for insulin. In the current scenario, you should discuss the appropriate management with an endocrinologist. Either another oral drug may be added or a safer insulin is tried with proper monitoring. Hope you find this information useful. Wish you safe motherhood.