Glucose Screening During Pregnancy
30.04.2017 Andrew Johns 0 Popular
Glucose Screening in Pregnancy
During pregnancy women usually have glucose screening. An oral glucose tolerance test is usually based on the medical history and risk factors, and carried out in a laboratory setting.
What is an Oral Glucose Tolerance Test?
An oral glucose tolerance test is used to diagnose gestational diabetes, which some women develop in the later stages of their pregnancy (usually after the week 24).
When is an Oral Glucose Tolerance Test is Recommended?
It’s usually performed between the week 24 and 28, though it can be done before the 13th week if a woman has had gestational diabetes before, or if her doctor believes that she is in a high-risk group.
How is an Oral Glucose Tolerance Test Performed?
The woman drinks a sweet drink, which contains 50 g. of glucose. The woman’s body absorbs glucose, quickly raising its level in the blood within 30-60 minutes. The doctor takes a blood test after an hour. The test results show how the body processes glucose.
How to Read the Test Results?
A blood glucose level that equals 140 milligrams per decilitre of blood means that in 80 % of cases a woman would have gestational diabetes. If the blood glucose level is 130 mg/dl, then the risk of diabetes is higher (90 %). If the blood glucose level equals 130 mg/dl, the doctor will recommend another glucose screening that will require prior fasting. During this screening the blood glucose level will be tested 4 times during 3 hours after drinking the sweet drink. Gestational diabetes is diagnosed if 2 out of 4 screening results show an abnormal blood glucose levels.
How to Control Blood Sugar Level in Pregnancy
Whether you have diabetes before you become pregnant or you develop gestational diabetes, it is important to control your blood sugar levels during pregnancy. Working closely with your medical team, you should use proper diet and moderate exercise to help keep your blood sugar levels in check. If diet and exercise can’t bring your blood glucose levels under control on their own, your doctor may prescribe medication such as metformin or insulin injections.
Method One of Three:
Eating a Nutritionally Balanced Diet Edit
Blood Sugar Level Ranges
Understanding blood glucose level ranges can be a key part of diabetes self-management.
This page states ‘normal’ blood sugar ranges and blood sugar ranges for adults and children with type 1 diabetes, type 2 diabetes and blood sugar ranges to determine people with diabetes.
If a person with diabetes has a meter, test strips and is testing, it’s important to know what the blood glucose level means.
Recommended blood glucose levels have a degree of interpretation for every individual and you should discuss this with your healthcare team.
The following ranges are guidelines provided by the National Institute for Clinical Excellence (NICE) but each individual’s target range should be agreed by their doctor or diabetic consultant.
Recommended target blood glucose level ranges
The NICE recommended target blood glucose levels are stated below for adults with type 1 diabetes, type 2 diabetes and children with type 1 diabetes.
In addition, the International Diabetes Federation’s target ranges for people without diabetes is stated.   
The table provides general guidance. An individual target set by your healthcare team is the one you should aim for.
*The non-diabetic figures are provided for information but are not part of NICE guidelines.
Normal and diabetic blood sugar ranges
For the majority of healthy individuals, normal blood sugar levels are as follows:
- Between 4.0 to 6.0 mmol/L (72 to 108 mg/dL) when fasting
- Up to 7.8 mmol/L (140 mg/dL) 2 hours after eating
For people with diabetes, blood sugar level targets are as follows:
- Before meals: 4 to 7 mmol/L for people with type 1 or type 2 diabetes
- After meals: under 9 mmol/L for people with type 1 diabetes and under 8.5mmol/L for people with type 2 diabetes
Blood sugar levels in diagnosing diabetes
The following table lays out criteria for diagnoses of diabetes and prediabetes.
200 mg/dl or more
108 to 125 mg/dl
126 mg/dl or more
140 to 199 mg/dl
200 mg/dl or more
Random plasma glucose test
A blood sample for a random plasma glucose test can be taken at any time. This doesn’t require as much planning and is therefore used in the diagnosis of type 1 diabetes when time is of the essence.
Fasting plasma glucose test
A fasting plasma glucose test is taken after at least eight hours of fasting and is therefore usually taken in the morning.
The NICE guidelines regard a fasting plasma glucose result of 6.1 to 6.9 mmol/l as putting someone at higher risk of developing type 2 diabetes, particularly when accompanied by other risk factors for type 2 diabetes.
Oral Glucose Tolerance Test (OGTT)
An oral glucose tolerance test involves taking a first taking a fasting sample of blood and then taking a very sweet drink containing 75g of glucose.
After having this drink you need to stay at rest until a further blood sample is taken after 2 hours.
HbA1c test for diabetes diagnosis
An HbA1c test does not directly measure the level of blood glucose, however, the result of the test is influenced by how high or low your blood glucose levels have tended to be over a period of 2 to 3 months.
Indications of diabetes or prediabetes are given under the following conditions:
There are two types of blood sugar levels that may be measured. The first is the blood glucose level we get from doing finger prick blood glucose tests. These give us a reading of how high our levels are at that very point in time.
The second is the HbA1c reading, which gives a good idea of our average control over a period of 2 to 3 months. The target blood glucose levels vary a little bit depending on your type of diabetes and between adults and children.
Where possible, try to achieve levels of between 4 and 7 mmol/L before meals and under 8.5 mmol/L after meals. The target level for HbA1c is under 48 mmol/mol (or 6.5% in the old units).
Research has shown that high blood glucose levels over time can lead to organ and circulation damage.
By monitoring blood glucose levels, we can spot when sugar levels are running high and can then take appropriate action to reduce them.
Keeping blood glucose above 4 mmol/l for people on insulin or certain medications for type 2 diabetes is important to prevent hypos occurring, which can be dangerous.
Your doctor may give you different targets. Children, older people and those at particular risk of hypoglycemia may be given wider targets.
Glucose Levels Chart (Normal blood sugar levels target charts)
How to read your blood glucose results and how to interpret glucose levels using simple and easy sugar chart for all ages and conditions, below is blood glucose level map in mmol/l unit (used in uk) and determined values in mg/dl unit (used in USA, Canada, and world wide). here is what should your blood sugar level be.
I’ve seen many questions out there such as:
What is normal blood sugar level for adults man or woman, are kids sugar levels chart different than old person sugar, what is the standard glucose value to adjust my sugar level, have my glucose treatment succeeded, do I still in danger of high glucose values?, blood glucose levels for non fasting males and females?, What is the blood sugar range for a non diabetic person?, are morning blood sugar levels is diabetes or non diabetic?, what is safe sugar level during pregnancy?, Do glucose in blood rise after eating or be normal? How bad is my blood glucose level?
And others like that, just follow my guideline
Estimate your sugar level in the lab
After receiving lab work results, just look to your lab report and save in your mind the numbers typed right in front of test name called one of these:
Blood Glucose (no common and usually preceded by type of sample as following below)
Serum Glucose (“serum or blood” in medical reports for glucose test may be used as synonymous, also S. before the test name means “serum” and Bl. for “blood”)
Random blood glucose (Levels of sugar in the blood of a person at ant time of the day except fasting)
Fasting Blood Glucose (sugar level in patient’s blood after fasting from 6 -8 hours or overnight fasting)
2h Postprandial Glucose (estimating how sugar reaches its level in blood two hours after eating a usual meal)
Identifying a glucose range in sugar levels table
Print that glucose levels table or fix screen to make it in front of your eyes
Do not look around, just keep your focus on the figures in the report and compare it to the level ranges sorted in the sugar chart.
Describe you diabetic condition
Once you find a corresponding glucose range to your level in the glucose test results, then by now you’ve found what your sugar levels are whether you have a normal sugar or abnormal levels or whatever it be, it going to describe your diabetic status, I mean are you diabetic or non-diabetic, if diabetic how to control diabetes level to reach the normal blood sugar figures, if non-diabetic then everything is great.
Set control blood sugar levels during Diabetes, pregnancy, childhood, and for every type of diabetes mellitus.
Http://www. wikihow. com/Control-Blood-Sugar-Level-in-Pregnancy
Http://www. diabetes. co. uk/diabetes_care/blood-sugar-level-ranges. html
Http://www. bloodtestsresults. com/glucose-levels-chart-normal-blood-sugar-levels-target-charts/