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Type 2 diabetic pregnancy
In Her previous test 8week ago
fasting 95
Pp 119
Hba1c 6.5
Then planed for pregnancy
Now pregnent 6 weeks
Now
Fasting 101
Pp 148
Hba1c 5.6
She takes metformin 1g BD
And follow diet plan ...
1 day before same meal taken reading was 103 on accu check machine..
Iam so confused..
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Answers (24)
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+105
Kindly connect for better management
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The HbA1c improving from 6.5 to 5.6 is excellent and reflects good overall sugar control over the past few months. However, the post-meal reading of 148 is slightly above the stricter pregnancy targets (ideally below 140 at 1 hour after meals). In pregnancy, blood sugar targets are tighter than outside pregnancy because elevated sugars affect the baby's growth. Pregnancy also increases insulin resistance progressively as it advances, meaning the same medication and diet may become insufficient over time â this is expected and the treatment plan often needs adjustment as the pregnancy progresses.
Next Steps
Please share these readings with her obstetrician and diabetologist at the earliest. Do not change the metformin dose on your own. Frequent glucose monitoring and close follow-up are very important in a diabetic pregnancy. Please consult me directly on Practo for a detailed evaluation.
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She is having high sugars. If sugars are not subsiding with metformin, she needs to take insulin. That's the treatment of choice in pregnancy. Because high sugars can cross placenta and influence foetus as well.
Though HbA1c has come down still her PP sugars are high.
Next Steps
Do a sugar chart and feel free to consult me on practo
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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
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Metformin is safer in pregnancy under observation
Kindly consult your Gyaenecologist
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Follow diet strictly
Mostly after sometime ur medication should be altered (dose lowered)
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Kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Consult superspecialist like md physician with gynac
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Kindly consult with me
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Please consult for proper evaluation and treatment
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Plz
Consult and provide detailed history
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No worry,slight variation is considered as normal ,its depends on dietary habits. Maintain sugar level well to avoid pregnancy complications.
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Hi,
Proper evaluation and personalised advice needed, a detailed consultation would be best.
Feel free to consult me for further guidance.
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Need some more details kindly consult
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
1 # Eat a balanced diet
Plenty of vegetables, fruits,
whole grains, pulses, nuts, and seeds.
Limit ultra-processed foods, excess sugar, and excessive salt.
Choose healthy protein sources and healthy fats.
2 # Stay physically active
Aim for at least 150 minutes of moderate exercise per week.
Include strength training 2–3 times weekly.
3 # Maintain a healthy weight
Excess body weight increases the risk of many chronic diseases.
4 # Get adequate sleep
Most adults need 7–9 hours of quality sleep each night.
5 # Stay hydrated
Drink enough water throughout the day.
6 # Avoid tobacco and limit alcohol
Smoking and tobacco use significantly increase disease risk.
7 #Manage stress
Meditation, yoga, hobbies, social connections, and relaxation techniques can help.
8 # Practice good hygiene
Wash hands regularly and follow food-safety practices.
9 # Keep vaccinations up to date
Vaccines help prevent many serious infections.
10 # Have regular health checkups
Monitor blood pressure, blood sugar, cholesterol, dental health, and vision as recommended.
11 # Take medications only as prescribed
Avoid self-medicating, especially with antibiotics.
12 # Protect yourself from excessive sun exposure
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
Do monitor RBS regularly sometimes the values varies it’s okay not to panic and take the consultation from physicians or gyanc for further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its ok
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Nothing to worry about slight variation.
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Slight fluctuations can occur in blood sugar levels, due to meals, meal timings, exercise, stress. So far as it remains in normal range, there is nothing to worry.
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Dr. Bangari Yugandar Babu
General Physician
7 yrs exp
Srikakulam
Now the readings are within range ..no need to worry ….daily monitoring of glucose levels is better thing ..
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