Glucose tolerance test in pregnant women preparation. What is the norm in pregnant women when taking a glucose tolerance test
Why is a glucose tolerance test necessary?
The Oral Glucose Tolerance Test (OGTT), or glucose tolerance test, allows you to detect carbohydrate metabolism disorders during pregnancy, that is, to check how well the body regulates sugar levels. This test detects the presence of high blood glucose (sugar) levels associated with pregnancy.
Gestational diabetes can develop even in women who are not at risk, since pregnancy itself is a significant risk factor for carbohydrate metabolism disorders.
Gestational diabetes usually has no noticeable symptoms, so it's important to get tested early so you don't miss the disease, as untreated GDM can have serious consequences for both mom and baby.
OGTT with 75 g of glucose is carried out for all pregnant women between 24 and 28 weeks of pregnancy (the period of 24-26 weeks is considered optimal).
How is carbohydrate metabolism disorder diagnosed during pregnancy?
Stage 1. At the first visit of a pregnant woman to a doctor for up to 24 weeks, the level of fasting venous plasma glucose is assessed:
- result
- at fasting venous plasma glucose level? 5.1 mmol / l (92 mg / dl), but
- at the level of glucose in venous plasma on an empty stomach? 7.0 mmol / l (126 mg / dl) establishes a preliminary diagnosis of overt (newly diagnosed) diabetes mellitus (DM).
Stage 2. All women who did not have a violation of carbohydrate metabolism in early pregnancy undergo OGTT with 75 g of glucose between 24 and 28 weeks of pregnancy.
Do I need to prepare specifically for a glucose tolerance test?
Glucose tolerance test is performed on the background of a normal diet containing at least 150 g of carbohydrates per day for at least 3 days before the study. If you follow any diet, diabetes may simply not be detected, even if it is.
The test is performed in the morning on an empty stomach after an 8-14-hour overnight fast. Drinking water is not prohibited. Eliminate alcohol the day before the test. Smoking is prohibited until the completion of the test. If possible, before the end of the test, refrain from taking medications that affect blood glucose levels (multivitamins and iron preparations containing carbohydrates, glucocorticoids, ?-blockers, etc.).
Glucose tolerance test is not performed:
- with early toxicosis (nausea, vomiting);
- against the background of acute inflammatory or infectious diseases;
- with exacerbation of chronic pancreatitis or the presence of dumping syndrome;
- if it is necessary to comply with strict bed rest (the test can be carried out after the expansion of the motor regimen).
How is a glucose tolerance test performed?
During the entire test, you must sit. Physical activity (even walking) can affect the result of the study. For OGTT, a blood sample from a vein is used. The use of glucometers is prohibited.
Stage 1. A venous blood plasma sample is taken and the glucose level is measured. If the result is outside the normal range (? 5.1 mmol / l), the test is terminated and the fact of gestational diabetes (or manifest diabetes) is established. If it is not possible to immediately determine the glucose level, the test continues and is completed.
Stage 2. After blood sampling, a pregnant woman needs to drink a glucose solution within 5 minutes, which consists of 75 g of dry glucose dissolved in 250-300 ml of warm water (when using glucose monohydrate, 82.5 g of the substance is needed). The start of taking a glucose solution is considered the beginning of the test. Glucose solution is a very sweet drink. In some pregnant women, it can cause nausea or even vomiting. Do not try to drink a glucose solution in one gulp. To make the drink not so cloying, you can squeeze a little lemon juice into it.
Stage 3. 1 and 2 hours after the glucose load, the following samples of venous plasma are taken to determine the level of glucose (blood sampling is allowed only after 2 hours). If the result of a blood test taken after 1 hour can establish the fact of gestational diabetes, the test is stopped.
In exceptional cases, OGTT with 75 g of glucose is possible up to 32 weeks of pregnancy.
What blood glucose level indicates gestational diabetes?
(criteria for the diagnosis of GDM have recently been tightened, since an increase in blood sugar during pregnancy has an extremely negative effect on the child)
* these threshold values are based on the results of the NARO study (2000-2006) and have been adopted in a number of developed countries in recent years (USA, Japan, Germany, Israel, etc.)
According to the results of OGTT with 75 g of glucose, it is enough to establish the diagnosis of gestational diabetes if at least one glucose level out of three is equal to or above the threshold. That is, if fasting glucose is ?5.1, glucose loading is not carried out; if at the second point (after 1 hour) glucose is ≥ 10.0, then the test is terminated and the diagnosis of GDM is established.
Often, clinics conduct the so-called “breakfast test”: they ask the pregnant woman to donate blood (usually from a finger), then they send her to eat something sweet and ask her to come back after some time to donate blood again. With this approach, there can be no generally accepted threshold values, because everyone has different breakfasts, and it is impossible to exclude the presence of gestational diabetes based on the result obtained.
Is a glucose tolerance test dangerous?
A solution of 75 g of anhydrous glucose can be compared to a breakfast consisting of a donut with marmalade. That is, OGTT is a safe test for detecting carbohydrate metabolism disorders during pregnancy. Accordingly, the test cannot provoke diabetes mellitus.
Refusal of the test, on the contrary, can have serious consequences for both mother and child, as it will not be detected and appropriate measures will not be taken to normalize blood glucose levels.
For 9 months of bearing a baby, a pregnant woman has to undergo many different examinations. Sometimes she does not even understand why they are needed and why they are held. Moreover, in recent years, more and more new analyzes have been constantly added to the traditional diagnostic complex.
Today we will discuss GTT - an analysis of tolerance (that is, lack of sensitivity) to glucose during pregnancy: this test is required and what it is in general.
Why do a glucose tolerance test during pregnancy
Many women are frightened by this wording, but the examination itself is very valuable and important, and today in many antenatal clinics it must be mandatory for every pregnant woman (in some, only if indicated).
GTT (also called the O'Salivan test or "sugar load") allows you to determine how glucose is absorbed in the body of a pregnant woman, and whether there are any violations in these processes.
This information is of particular value in view of the fact that all pregnant women are at risk for developing diabetes mellitus due to changes in the course of metabolic reactions during this period. This type of diabetes is called gestational diabetes. As a rule, it is not dangerous and disappears after childbirth, but in the absence of maintenance therapy, it poses a risk to pregnancy and the fetus and, in some cases, can develop into overt type 2 diabetes in the future.
In addition, gestational diabetes is rarely accompanied by bright specific signs, and therefore it is very difficult to identify it in a timely manner without a test. In fact, GTT allows you to detect diabetes that occurs in a latent form.
How long does a glucose tolerance test during pregnancy
The most optimal period for GTT is considered to be 24-26 weeks. In general, the test is done between 24 and 28 weeks for all pregnant women.
According to indications, this examination is carried out earlier if the expectant mother is at risk, that is, if at least one of the following conditions is present:
- the pregnant woman is overweight (body mass index exceeds 30);
- according to the results of the analysis, sugar was found in the urine of a pregnant woman;
- the woman has been diagnosed with gestational diabetes during previous pregnancies;
- among the next of kin of the unborn child there are patients with diabetes mellitus;
- bearing a large fetus;
- the birth of a large child in the past;
- analysis at registration revealed a level of glucose in blood plasma above 5.1 mmol / l.
In any of the cases listed above, a glucose tolerance test is carried out at a period of 16-18 weeks (it makes no sense to conduct a study earlier, since insulin resistance in pregnant women begins to increase only from the second trimester). Then at 24-28 weeks it is repeated. If necessary, GTT can also be performed in the third trimester, but no later than 32 weeks, since glucose load is dangerous for the fetus at this time.
How is a glucose tolerance test performed during pregnancy: preparation
GTT is performed by taking venous blood on an empty stomach. If the result turned out to be increased, then the test stops at this point - the pregnant woman is diagnosed with gestational diabetes. If the glucose is below the upper limit of normal, then an oral glucose tolerance test is performed. A woman drinks a glucose solution (for this, 75 g of dry glucose is diluted in 250-300 ml of warm water) - and an hour after taking it, the blood test is repeated. Upon receipt of normal results, the analysis can also be carried out for the third and fourth time - after 2 hours or more from the moment of taking the glucose solution. Thus, there is a one-, two-, and three-hour O'Sullivan test.
Before taking a glucose tolerance test during pregnancy, you should not eat anything other than plain water 10-14 hours before donating blood. It should be noted that any drug therapy (including vitamin) can distort the test results, and therefore you should also refrain from taking medications at this time. It is forbidden to drink alcohol and smoke on the eve of the test.
Diet can also affect the test results: for at least three days before the examination, a woman should eat in the usual way, consuming at least 150 g of carbohydrates per day.
Lack of potassium or magnesium in the body, some endocrine disorders and other diseases, physical and emotional stress can cause false results of GTT.
Laboratory workers should warn the pregnant woman that she must remain physically calm until the testing is completed. It is also important that the woman drink the entire glucose solution for no longer than 5 minutes.
It should be noted that this is a very sweet, sugary drink, and a woman can vomit from it. For this reason, a glucose tolerance test during pregnancy is not performed with severe early toxicosis. There are other contraindications to this study:
- disorders in the liver (in particular, acute pancreatitis);
- dumping syndrome;
- Crohn's disease;
- peptic ulcers;
- "acute abdomen";
- observance of pregnant bed rest for medical reasons (until she begins to move);
- the course of infectious and inflammatory processes in the body of a pregnant woman;
- late pregnancy (after 32 weeks).
Glucose tolerance test during pregnancy: result, norms, interpretation
Despite the fact that the level of glucose in the blood plasma of a pregnant woman naturally increases (there is a physiological need for the fetus for normal development), a norm has been established that this indicator should not exceed:
- 5.1 mmol / l - when taking blood on an empty stomach;
- 10 mmol / l - 1 hour after taking glucose;
- 8.6 mmol / l - 2 hours after taking glucose;
- 7.8 mmol / l - 3 hours after taking glucose.
GTT results above the norm or equal to the threshold value in at least two of these tests are regarded as impaired glucose tolerance during pregnancy, that is, as the presence of gestational diabetes. If the level of glucose in the venous plasma (after blood sampling) exceeds 7.0 mmol / l, then the development of type 2 diabetes mellitus is suspected, and the oral test (with the intake of a sweet solution) is no longer performed.
If there are prerequisites for suspecting the development of diabetes in the expectant mother, then the test will most likely be repeated (approximately 2 weeks after the first time) to avoid false results. When confirming the diagnosis, a glucose tolerance test will also have to be taken after childbirth to determine whether the diagnosed diabetes was associated with pregnancy or not.
And finally. Some pregnant women believe that a glucose tolerance test may harm them or the baby. Such unrest is completely groundless, unless there are no contraindications to conducting this analysis. Even if a woman has diabetes and does not know it, the portion of glucose consumed during the test will not harm her. But the refusal of this examination carries a certain danger: unidentified violations in metabolic reactions can adversely affect the course of pregnancy, the health of mother and baby.
So you should not worry about anything: a glucose tolerance test during pregnancy always pursues extremely good goals. And even if it turns out to be positive, that is, if gestational diabetes is diagnosed, then following the recommendations prescribed by the doctor will allow you to safely endure and give birth to a healthy baby!
Especially for - Larisa Nezabudkina
When in your life, dear women, a happy period of gestation has come, you will have to face a number of medical, manipulations, tests, etc. One of them is the glucose tolerance test (GTT).
What makes it possible to identify
GTT is a special blood test of a woman during pregnancy, which reveals gestational or diabetes mellitus. This is a mandatory examination.
Often a woman's body in such a special period as pregnancy undergoes significant changes, both to the joy and to the chagrin of the expectant mother. One of these "surprises" is a violation of the body's tolerance to glucose. Even if all your tests have always been normal, during pregnancy, sugar can rise significantly, which is dangerous for both you and the baby. It has a name. 
Gestational diabetes in pregnancy should not be confused with diabetes mellitus. Now it is clear that GTT is necessary, first of all, for the detection of gestational diabetes and its prevention.
Safety of the test for the unborn child
The glucose tolerance test during pregnancy does not pose a danger to the fetus, unless it is carried out before the 32nd. Further - opinions of doctors were divided. Some consider it safe and not mandatory at this time. Others say that the 75g of dry glucose that Mommy needs to take during the study can be harmful.
Required or not
Why a glucose tolerance test is performed during pregnancy is best explained by your gynecologist. He will insist that the GTT is mandatory. The reason for this is that with a positive result, the risk increases primarily for the baby, and for mom this situation is unsafe. If gestational diabetes is detected, then, firstly, excessive “feeding” of the fetus is possible and, as a result, complications. 
Secondly, if mom's sugar during pregnancy was significantly increased, then the baby's level drops to very low levels after birth. Which again is very dangerous for . So do not risk the health of either the baby or the mother.
Did you know? In the US, it has been proven that gestational diabetes develops in 4% of pregnant women.
- disorders in the liver and gallbladder;
- Crohn's disease;
- if the pregnant woman is not allowed to walk (until allowed);
- "acute abdomen";
- early (until the symptoms pass);
- 32 weeks or more.
Indications for use
All pregnant women, without exception, should undergo GTT. But there is another category for which the test is badly needed several times. This is the so-called "risk group". This includes the following women:
- which have an extra ;
- which have sugar in the urine;
- the results of a routine blood test for sugar are higher than normal;
- patients with diabetes;
- in the presence of diabetic heredity;
- a previous pregnancy that ended in the birth of a stillborn baby;
- previous pregnancy had a very large fetus (more than 4.5 kg);
- who already had gestational diabetes during pregnancy;
- was in a previous pregnancy.
What is the duration of
When to undergo a glucose tolerance test, your doctor (endocrinologist or gynecologist) will tell you. He will give direction. In addition, you need to make sure that you pass all the necessary examinations yourself. The question of how long to take a glucose tolerance test during pregnancy is asked by many. It has already been said that up to 32 weeks. Further - in detail. GTT can be carried out in two stages. 
Whether the second will be held, shows the first. If the result of the first test is negative and the woman is not at risk (see above), then most likely she will not have to take the test again. If the first test is positive, then the second will definitely follow the first. The period at which the first is carried out is up to 24 weeks, the second - up to 32 weeks (best at 24-26 weeks). It is also important to remember that with a positive result, a woman will need to undergo GTT 6-7 weeks after. Checking your blood for sugar never hurts.
How to prepare
How to take a glucose tolerance test during pregnancy, the doctor will tell you in detail. First of all, you need to prepare for the GTT. First, a woman must be absolutely. Any manifestations:, etc. may distort the result.
Secondly, the test is given on an empty stomach. At least 8 hours before the test, a woman should not eat, drink and. You can only water in small quantities. Thirdly, if you are taking any prescribed medications, warn your doctor (although he himself should know, because these are his prescriptions). And lastly, stress before the test is contraindicated.
How is it carried out
How the glucose tolerance test is performed during pregnancy, the doctor will enlighten. At first, the participation of the pregnant woman is minimal: blood sampling from a vein in the morning on an empty stomach. The level of sugar in the blood is immediately determined. If it is elevated, the diagnosis is established immediately: gestational diabetes. Further research is not carried out. A woman is prescribed a diet, treatment and prevention by an endocrinologist.
Important! Do not self-medicate!
If the indicator is below the upper limit of the norm, then the study will continue. A woman should drink an aqueous solution of 75 g of glucose, and in 5 minutes, no longer. After 1.5-2 hours, the fence is repeated. An analysis is being made. If the result is within the normal range, then the sampling is repeated after another 1 hour. If normal - after 1 hour. If the norm - we can confidently say that gestational diabetes has not developed.
Did you know? If at least one pregnancy had gestational diabetes, a woman can develop diabetes in the next.
Norms and interpretation of results
The norm of a glucose tolerance test during pregnancy will differ significantly in terms of indicators from the norms of an ordinary (non-pregnant) woman. 
The test standards are as follows:
- when taking blood -5.1 mmol/l;
- 1 hour after taking an aqueous solution of glucose - 10 mmol / l;
- after 2 hours - 8.6 mmol / l;
- after 3 hours - 7.8 mmol / l.
While carrying a child, the expectant mother faces many dangers. Glucose tolerance test during pregnancy is an indispensable tool in determining one of them - gestational diabetes. This is a violation of glucose tolerance in the body that can occur during pregnancy. During pregnancy, this disease can cause many complications, and in addition, the development of true diabetes after pregnancy.
Carrying out a glucose tolerance test (GTT) makes it possible to detect a predisposition to diabetes mellitus or diabetes that passes in a latent form.
What is gestational diabetes and when is GTT prescribed?
The reason for the development of such a disease is the appearance of problems with the production of insulin, the formation of this substance in insufficient for the full functioning of the body. Insulin is a hormone produced by the pancreas that is responsible for regulating the amount of sugar in the blood. During gestation, a woman's body is required to produce insulin in larger quantities than in the normal state.
If the production of the hormone does not change upward, then this leads to the fact that the level of glucose increases. Usually such a diagnosis as gestational diabetes develops in the second half of pregnancy.
Glucose during pregnancy in the blood, exceeding the norm, can cause too large fetus. This can become a problem during childbirth and it will be difficult for a woman to resolve the pregnancy. Also, excessive growth of the child can cause premature birth.
Not every registered pregnant woman passes this test. But there are categories of women for whom the test is mandatory:
- If a similar condition was diagnosed in past pregnancies.
- The expectant mother has a high body mass index (from 30 and above).
- The birth of large children in past pregnancies (from 4 kg)
- Hereditary predisposition of the patient.
- Urinalysis showed the presence of sugar.
Contraindications for the test
Glucose tolerance test is not performed in such cases:
- the presence of a woman in severe toxicosis;
- if strict bed rest was prescribed;
- the development of inflammation or infection in the body;
- there are problems with the kidneys or stomach;
- a significant lack of potassium or magnesium;
- if you are prescribed medications that affect blood glucose levels;
- the presence of tumors;
- thyroid disorders.
- if the blood sugar level on an empty stomach exceeds 7 mmol / l.
Preparing and conducting the test
Glucose tolerance test has several prerequisites in preparation for it. Before the GTT, you can not eat for at least 8 hours. Also, so that the results are not distorted, the woman must be perfectly healthy at the time of the test. If any drugs are being taken, the doctor should be notified before the test. A day before the test, it is recommended not to overload emotionally and physically.
A glucose test during pregnancy is a set of measures. There are two types of glucose tolerance test: oral (glucose is taken through the mouth) and intravenous (glucose is injected directly into the blood). Usually the first method is used.
The first thing that is done is a blood test on an empty stomach. Then you need to drink a solution that contains 100 grams of glucose. With an interval of one hour, blood is collected, and then an hour later, the blood test is repeated.
Such a test helps to find out how the change in blood glucose levels goes. The norm for such a test would be a sharp increase in blood sugar after taking a sweet solution, but by the time of the last test (after 2 hours), it should return to its original mark again. If the third blood test showed elevated blood sugar, then gestational diabetes is diagnosed.
The norm of sugar is its content in an amount of 3.5 to 5.3 mmol / l. But to see a complete and accurate picture of the state of affairs with sugar, two sessions are held. If such a test is carried out once, then the fact that his testimony is false cannot be ruled out. The reason for this may be: violation of the rules for preparing for the test, liver dysfunction, disruption of the endocrine system, low levels of potassium in the body.
What to do if the gtt showed diabetes?
If, after a second test, gestational diabetes was still diagnosed, then the woman will have to take some measures to ensure that diabetes does not have any complications for her and the baby.
The first thing that is needed is a dietary adjustment, agreed with the doctor. To maintain normal blood sugar, proper nutrition is essential: meals should be divided into 5-6 parts (breakfast, lunch, dinner and a couple of snacks), a complete rejection of sweets. The proportions of energy substances in the diet should be: 40-45% carbohydrates, 30% fats, 25-60% proteins. Emotional and physical stress should also be avoided. Careful monitoring of well-being and frequent visits to the doctor for examinations are necessary.
In gestational diabetes, more ultrasounds may be needed to monitor the size of the baby. It is necessary to plan childbirth at 37 or 38 weeks due to the intensive growth of the child. 1.5 months after the resolution of pregnancy, it is necessary to re-pass the test to determine the presence of type 2 diabetes.
And we must remember that compliance with all doctor's prescriptions during pregnancy will help to avoid the onset of diabetes after childbirth.
Pregnancy is both a pleasant and difficult time when the body is tested for strength. According to experts, approximately 4% of women after 16 weeks are faced with such a problem as gestational diabetes. It is noteworthy that this pathology can manifest itself in an absolutely healthy lady. To diagnose it, modern medicine suggests using the so-called glucose tolerance test during pregnancy.
What is gestational diabetes mellitus?
If you believe the doctors, then this problem can be dangerous not only for the woman herself, but also for the child in the womb. In diabetes, glucose, rather than insulin itself, enters the fetal bloodstream directly from the mother. As you know, the child's pancreas begins to form only in the second trimester. She immediately has to work hard to get a few mothers. The load on the child's gland as a result leads to the development of hyperinsulinemia. As a result, the baby is born with a low level of sugar, his breathing may be disturbed. As for the women themselves, who neglect timely treatment during pregnancy, they have problems with vision and kidney function.
Who is at risk?
The likelihood of developing gestational diabetes increases several times in the presence of the following factors:
- hereditary predisposition;
- excess body weight;
- disorders at the level of carbohydrate metabolism.
When is a glucose tolerance test prescribed during pregnancy?
The difficulty of diagnosing gestational diabetes mellitus lies in the fact that it practically does not manifest itself by any external signs, but at the same time, the sugar level rises, and its indicators decrease extremely slowly.
In this case, the most reliable method of diagnosis is the glucose tolerance test. Depending on its length, there are one-, two- and three-hour options.
Today, in almost all antenatal clinics, a glucose tolerance test during pregnancy is prescribed without fail. Experts recommend undergoing this study for a period of 28 weeks. However, if a woman is at risk, the analysis can be carried out earlier.
In addition, the test is required in the following cases:
- all women who have been diagnosed with diabetes in previous pregnancies;
- ladies with high (more than 30);
- women who gave birth to children weighing more than 4 kg;
- future women in labor with diseases of the endocrine system.
If the glucose tolerance test gave a positive result, the woman is monitored by doctors until the end of her pregnancy.
Preliminary preparation
First of all, it should be noted that the result of this analysis will be as informative as possible only if the woman takes into account all the recommendations described below.
The test is done only on an empty stomach and in the morning. On the eve of the evening, the future woman in labor is allowed a light dinner using sour-milk dishes. In the morning you can not smoke, drink alcohol, take any medications.
In addition, only absolutely healthy women are allowed to take a glucose tolerance test during pregnancy. If a woman has even a slight ailment, it is better to reschedule a visit to the doctor. Otherwise, the results may be somewhat distorted.
The cost of this study may vary slightly. So, in some medical institutions the final price varies from 750 to 900 rubles. The test result is usually known the very next day. The cost of the analysis includes the sampling of biomaterial, glucose itself and the study itself.
How is a glucose tolerance test performed?
How to submit it correctly? In fact, everything is very simple, you must strictly follow all the recommendations below.
The study itself, as a rule, is carried out in the morning and always on an empty stomach. Blood sampling is performed from a finger or from a vein. If on an empty stomach the sugar level does not exceed 6.7 mmol / l, the woman is given to drink glucose diluted in the most ordinary water. For an hour test, 50 g of glucose is diluted in 300 ml of liquid, for a two-hour test - 75 g, and for a three-hour test - 100 g. The result is very sweet water. To prevent the occurrence of vomiting, some ladies add a little citric acid to the solution.
Such a fairly simple procedure allows you to determine how the body reacts to the "sugar" load. That is why the simplest glucose tolerance test during pregnancy is used. shouldn't be much different. To be more precise, immediately after taking sweet water, glucose indicators increase, after an hour they decrease slightly, and after another 60 minutes they reach the initial parameters. If a repeat test shows that the glucose level is still at a fairly high level, we can talk about gestational diabetes.
After a few hours (the time depends on which glucose tolerance test was chosen), a second blood sample is taken. Until this time, the pregnant woman is recommended to be at rest. For example, you can lie down, read a book. Physical activity (even the most ordinary walk) forces the body to expend energy, which directly reduces performance. As a result, the result may be unreliable. In addition, during the analysis itself, it is necessary to stop smoking.
Interpretation of the results
If you were asked to take a glucose tolerance test during pregnancy, the results should normally be as follows:
- on an empty stomach - 5.1 mmol / l;
- 60 minutes after glucose load - 10.0 mmol/l;
- after 2 hours - up to 8.5 mmol / l;
If, according to the test results, the results do not meet the standard indicators, the doctor, as a rule, prescribes a second study. It takes place after a few days. Only after two positive results can a doctor make a final diagnosis. Based on only the first test, it is incorrect to talk about the presence of a problem, since the future woman in labor simply could violate the basic rules for preparing for the test. As a result, the examination shows a false positive result.
Contraindications
- early toxicosis.
- Diseases of an inflammatory or infectious nature.
- Exacerbation of chronic pancreatitis.
- The need for bed rest.
- The gestation period is more than 32 weeks.
Further tactics of pregnancy management
After the final confirmation of the diagnosis, the doctor prescribes treatment. During pregnancy, only insulin is allowed. Any categorically contraindicated. Scientists have proven that these medications can adversely affect the development of the fetus inside the womb.
In addition, a woman is recommended on an individual basis a special diet, which implies the exclusion of all easily digestible carbohydrates (chocolate, pastries, cakes, etc.). Only healthy, and most importantly, proper nutrition. It is equally important to constantly monitor the current. If the indicators are excessively high, it is recommended to call an ambulance.
It is important to note that gestational diabetes most often goes away without a trace immediately after childbirth. That is why doctors today prefer not to prescribe any specific treatment.
Conclusion
In conclusion, we note that the glucose tolerance test is a fairly informative method that allows you to confirm the presence of any disorders in carbohydrate metabolism, including in women in position. We hope that all the information presented in this article will be really useful for you.
