What is the incidence of total diabetes ( pre existing diabetes before pregnancy) & gestational diabetes (diabetes developed during pregnancy) in your practice? When is it usually detected? (week of pregnancy eg 12, 24…) how is it usually detected?How often do the patients test every day post detection of diabetes?
Hello dearUnderstand your concern.Incidence of total diabetes is around 7-10 %.Incidence of Gestational Diabetes is 10-15 % of all pregnancy.Generally it should be detected around 24th to 28th week of pregnancy by1. Glucose screening test:By 50 gm nonfasting glucose challenge test- if it is > 130 mg/dl, you shold go for 2. Oral glucose tolerance test after 100 gm glucose loadingEvaluation of GTT: Time of sample                    Cut off valueFasting blood glucose level: >=95 mg/dl1 hour  glucose level: >=180 mg/dl1 hour  glucose level:>=155mg/dl1 hour  glucose level:>=140 mg/dlIf any of the two value above the cut off, Gestational DM is confirmed.It is managed by the drug, insulin, exercise and diet.Goal is to keep the FBS below 100 mg/dlAgain oral GTT should be done 6 week after delivery of baby.Hope this may help youBest regardsDr. Sagar