Pregnancy blood glucose

Diabetes and Pregnancy
1

I am wondering if anyone has insight on what your glucose should be pre and post meal during pregnancy. Here is what I’ve read:

100gram glucose bolus given:
Fasting should be below 95
1 hour after the bolus it should be less then 180
2 hours after the bolus it should be less then 155
3 hours after the bolus it should be less then 140

If 2 of these are abnormal, then the patient is diagnosed with gestational diabetes and is started on insulin.

Does this sound right? Is this attainable or idealistic?

2

I don’t know about the glucose shot, but I was told to aim for 130 or below 1 hour after meals. (That’s pre-pregnancy).

3

were you able to do that? i find that my bg takes a lot longer to come down after meals…

4

I was put on Metformin during pregnancy for my gestational diabetes instead of insulin.

5

What you’re listing above are the diagnostic criteria for gestational diabetes not the target blood sugars.

Have you asked your dr about your bg goals for pregnancy? Usually they are <95 fasting and <120 2 hours after meals. Low end of normal range.

6

Well, I’m trying! And yes, for the most part I’m within range. But I’m in the honeymoon phase, so it’s probably easier for me right now.

7

Can I ask you a few questions about gestational for an article I am writing?

8

I’m a certified diabetes educator; the BG goals for pregnancy are quite a bit tighter than for non-diabetes. Pre-pregnancy: fasting = 70-110, pre-meal = 120 or less, 2 hr. post-meal = 140 or less (American College of Endocrinolgy recommendations). During pregnancy: fasting = less than 100, pre-meal = 120 or less, 1 hr. post meal = 120 or less. Tightest numbers need to be during the 1st & 3rd trimesters. Some docs use different parameters so always best to follow what your doc recommends. The only oral med approved during pregnancy is glipizide; most use insulin. Metformin is sometimes continued when a Mom took it pre-pregnancy for PCOS or to improve fertility; FDA is looking at it for use during pregnancy & most of us feel it will be approved. Hope that helps!!