Diabetes and Pregnancy - Glucose Monitoring in Gestational Diabetes
Glucose Monitoring in Gestational Diabetes
By Nina Nazor
Blood glucose monitoring
is very important if you have gestational diabetes. Monitoring will aloud you to detect high blood glucose levels so you and
your Diabetes Team can make changes in your treatment to reduce the risk problems for you and your baby.
Your doctor must tell you what are your personal goals for blood glucose levels to maintain
during your pregnancy.
However, there is a general recommendation that you
must try to keep your glucose levels in the following range:
· Before meals: below
· 1-hour after a meal: below 140 mg/dl, and
2-hour after meals: below 120 mg/dl.
You should try to keep
your blood glucose levels low, but you must also avoid to have them very low, because when this happens, your body starts
using fat for energy and a by product of this are ketones, which are not good for your baby's nervous system.
Monitoring your 2 hours-after-meals blood glucose levels is really important because you should
detect the peaks. High glucose concentrations after meals have been shown to correlate with macrosomia (babies who weight
more than 8 pounds at birth).
If your glucose is getting high or low your
doctor might ask you to monitor your ketones in urine every morning after you wake up. If your ketones are high then you might
be experiencing high blood glucose or maybe low glucose and your body has been forced to use fat as an energy source.
Keep in mind that carbohydrates in your diet are the nutrients that affect more your blood
glucose levels, so you should follow your diet distributing the portions of carbs throughout the day in three meals and 2
snacks. That will help you keep a steady level of blood glucose.