I am 36 weeks pregnant and on Metformin 500, regularly checking sugar. But still my fasting sugar is in the range of 100 - 108 mg/dl. But PP sugar is usually within 120 - 131 mg/dl. My last HBA1C was 5.3, done on 3 Nov 25. Why is my Fasting sugar still high?
Answers (25)
Get your queries answered instantly with Care AI
FREE
Good day to you ma'am
I understand your concern and I am sure this must be distressing since it's pregnancy and you want everything to be perfect for the growth of your child.I shall try to the best of my abilities to consult you
Pregnancy is a unique normal state of the body where there are several changes in variety of organ systems mediated via hormones.
That is why it ended up with a different speciality altogether because the balance of the human body is even more important here for the well being of two individuals
You seem to have the condition gestational diabetes as pointed out by prev clinicians on this forum
However I would like to ask you two questions so that I can narrow down towards the root cause
# Is this your first birth or do you have prev birth history
# Can you please share the status of you sugar levels and treatment history for diabetes if diagnosed before this pregnancy?
As I said previously, it is a normal state of the body with all parameters skewed from usual normal
So to know the root cause only by this limited history from this Q/A forum is not possible.
It will require extensive workup (history, investigations) to reach the root cause of the issue followed by corresponding treatment plan
I urge you to get in touch through one on one consultation with an obstetrician who you are comfortable with
Hope this advice provides you the much needed insight
Wishing you a speedy recovery
will need to know if you have gestational diabetes or chronic diabetic. kindly consult for better sugar management. controlled sugar levels will lead to better maternal and fetal health.
You have a slightly elevated fasting glucose level and normal PP glucose and hba1c for a 36 week pregnant woman.That could be due to increased hormone levels and insulin resistance .You may need an increase in night time metformin,under the supervision of your gyno
Since you are pregnant, so with respect to that condition your glycemic control (sugar control) is abnormal right now. It is a condition known as gestational diabetes mellitus and kindly go through a test known as oral glucose tolerance test and consult your gynaecologist. It can complicate your pregnancy.
You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
I’ll need a few more details to understand your condition properly.
Please share your symptoms clearly or connect with me directly for a quick review and personalised guidance.
Hello,
For consultation
1. Pay ( ₹ 500 only, 50 % off ) and consult by practo.
2. Or pay ( ₹ 500 only, 50 % off ) and send message by GPay. My mobile number is +91959508739nine.
3. If required call to +91959508739nine.
Take a glass of milk daily.
Time 08 : 00 to 14 : 00 .
Thanks.
Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
You need to take more of fruits and raw vegetables and cut down strictly fat based foods. The FBS should be around 80-90. If any questions, kindly consult with me on 94 two six 86 seven eight 96.
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
At 36 weeks, your fasting blood glucose of 100–108 mg/dL is only mildly elevated and very common, even with excellent post-meal sugars (120–131) and a superb HbA1c of 5.3%, because third-trimester placental hormones (especially HPL, cortisol, and progesterone) peak dramatically and create intense overnight insulin resistance, causing the liver to release extra glucose between 3–8 a.m.; this “accelerated dawn phenomenon” is often the last and most stubborn value to control on metformin alone, despite perfect daytime numbers. Pregnancy targets are strict (fasting ≤95, sometimes ≤90), so many women at this stage need either a higher bedtime dose of metformin, a protein-fat bedtime snack, an after-dinner walk, or—most commonly—a small dose of bedtime long-acting basal insulin (e.g., 4–10 units) to counteract the hormonal surge; this is normal physiology, not a failure on your part, and control this tight usually resolves immediately after delivery. Talk to your doctor this week—they will very likely adjust your regimen to bring fasting comfortably into target before 37 weeks. You’re doing an outstanding job!
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.
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.
Flu
Reasons for flagging
Hateful or abusive contentSpam or misleadingAdvertisement