Diabetes during pregnancy

First of all, to detect this disease, it is necessary to determine the glucose in the venous blood plasma. Capillary blood, and even more so the assessment of sugar by a glucometer, is not suitable in such a difficult situation. Evaluation of blood glucose levels should be carried out in all pregnant women without exception and repeatedly during pregnancy. For routine assessment, blood sampling is carried out strictly on an empty stomach (at least 8 and not more than 14 hours of fasting before the study).

So, if fasting plasma sugar (in this case, a single determination is sufficient) ≥5.1 mmol / l, but

In case of doubt in the diagnosis, at the gestational age of 24-26 weeks (in exceptional cases up to 32 weeks), a standard test with a load of 75 g of glucose is performed. This test is absolutely safe for the pregnant woman and the fetus within the specified time frame. If 1 hour after taking the glucose solution, blood sugar is ≥10 mmol / l, and after 2 hours ≥ 8.5 mmol / l, a diagnosis of gestational diabetes is established.

The second parameter to think about when pregnancy occurs is the function of the thyroid gland. Be sure to check the level of TSH. At the same time, the upper limit of the norm for this indicator in the first trimester of pregnancy is determined as 2.5 mU / l, and in the second and third as 3.0 mU / l (and not “as it is written in the form up to 4.94”). If the level of TSH does not fit into the target, the issue of prescribing thyroxine, a thyroid hormone, is necessarily discussed with the patient. This is necessary because uncompensated hypothyroidism during pregnancy poses a threat to the proper laying of the nervous system and the development of the fetal brain. The correct step would be to assess the level of free T4, and the level of antibodies to TPO in the first trimester of pregnancy.