#Gestational Diabetes

[beyondthebloodsugar]

My Fasting Experience: Low Blood Sugar Moments and How I Handled Them

Fasting can be a tricky journey. At times, it feels like walking a tightrope. It’s not just about skipping meals; it’s about tuning into what your body is saying. I started my fasting experience hoping for clarity and health. Little did I know, I'd face some surprising low blood sugar moments that shook me up! Here’s how I navigated through the bumps and found my footing.

Understanding the Ups and Downs of Fasting

Fasting often feels like an adventure. You think you’re on solid ground, but then—bam! Your blood sugar drops. Moments like these can feel alarming. Suddenly, you're weak, dizzy, or even lightheaded. It left me wondering: How did I get here?

When you fast, your body is running on empty fuel. It’s like trying to drive a car on fumes. Eventually, you hit a wall. This happened to me on several occasions. I realized that understanding my body’s signals was key to managing those low points.

Recognizing the Signs of Low Blood Sugar

Low blood sugar can sneak up on you. At first, it might just feel like a little fatigue. The next thing you know, you're staring at your feet, wishing the ground would steady itself. I started recognizing my signs: the shaky hands, the foggy brain, and that annoying little sweat on my forehead.

Each of these signs was a warning bell. It’s like my body was sending me a text message saying, "Hey, pay attention!" The trick was learning to listen and react before things got serious.

Quick Fixes to Raise Blood Sugar Levels

When low blood sugar hit, I needed solutions fast. I learned to keep a stash of easy snacks nearby. Something as simple as a piece of fruit or a bite of granola could make a world of difference. It was like pulling a parachute cord when free-falling. Instant relief!

I kept small packets of honey in my bag. They’re tasty, easy to carry, and bring up my sugar levels quickly. It’s amazing how a little sweetness can turn your day around!

Planning My Meals to Avoid Low Moments

Planning became crucial in my fasting routine. I started mapping out my meals, making sure I had enough nutrients to fuel my body. Eating wholesome meals before starting a fast was like filling my gas tank to full before a long trip. I wanted to avoid running out of fuel halfway.

I learned the importance of including proteins, fats, and fiber. These kept me feeling full longer and helped maintain steady blood sugar levels. It’s all about building a foundation that can handle the ups and downs.

Finding Balance Through Fasting

Fasting is all about balance. There were days when I hit those low points, but they were also days filled with learning. Each experience taught me more about my body and its signals.

It’s not just about the act of fasting itself; it’s about how to balance your body’s needs with your goals. I found that adjusting my approach and listening closely helped me handle those low blood sugar moments better.

Conclusion: Embracing the Journey

My fasting experience was filled with highs and lows. The low blood sugar moments were unexpected challenges, but also valuable lessons. I learned to listen, prepare, and react. Instead of fearing these moments, I embraced them as part of the journey.

So, if you’re thinking about fasting, keep in mind that it’s a personal adventure. You may face your own struggles, but with a little preparation and awareness, you'll find your way. Fasting isn’t just about food—it's about understanding your body and embracing the experience!

[heardatmedschool]

“What a stress test is for the heart, pregnancy is for the pancreas.”

About gestational diabetes.

[mjkman1]

We need to work together as a single species in order to rid the world of problems like poverty and disease. If we can get rid of those things, than many of society's other problems will be eliminated as well. No more poverty anywhere means both in the United States, AND everywhere else in the world, including third world countries. No more third world countries means no more concerns for refugees and immigration. Everyone wins. Also, no disease, besides, in and of itself, saving lives, would also allow for a universally satisfying solution to the dividing issue of abortion, as no disease means no more pregnancy related complications. From there, the RIGHT can still technically be there, but without the reasons, so everyone wins. Have your cake and eat it too. Improving foster care is also necessary for this to work. Again, everyone wins.

[wikipediapictures]

Insulin (medication)

[rmlpathology]

Understanding Different Types of Diabetes and Their Impact on the Body

Diabetes is a chronic condition that affects millions of people worldwide. It disrupts the body's ability to regulate blood sugar (glucose) levels, leading to serious health complications if not managed properly. There are several types of diabetes, each with unique characteristics and impacts on the body. This article will explore the different types of diabetes, how they affect the body, and the tests provided by RML Pathology to diagnose and manage this condition.

1. Type 1 Diabetes

Description:

Type 1 diabetes is an autoimmune disease where the immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas. This results in little to no insulin production, which is essential for regulating blood sugar levels.

Impact on the Body:

Requires lifelong insulin therapy.

Increases the risk of complications such as diabetic ketoacidosis (DKA), a potentially life-threatening condition.

Long-term complications include cardiovascular disease, kidney damage (nephropathy), nerve damage (neuropathy), and vision problems (retinopathy).

Can cause frequent urination, excessive thirst, extreme hunger, weight loss, fatigue, and irritability.

2. Type 2 Diabetes

Description:

Type 2 diabetes is the most common form of diabetes. It occurs when the body becomes resistant to insulin or when the pancreas does not produce enough insulin. Lifestyle factors such as obesity, poor diet, and lack of exercise significantly contribute to its development.

Impact on the Body:

Often managed with lifestyle changes, oral medications, and sometimes insulin.

Can lead to complications like heart disease, stroke, kidney disease, eye problems, and nerve damage.

Symptoms include increased thirst, frequent urination, increased hunger, fatigue, blurred vision, slow-healing sores, and frequent infections.

3. Gestational Diabetes

Description:

Gestational diabetes occurs during pregnancy when the body cannot produce enough insulin to meet the increased needs. It usually resolves after childbirth but increases the risk of developing type 2 diabetes later in life.

Impact on the Body:

Can cause high blood pressure during pregnancy (preeclampsia).

Increases the risk of having a large baby, leading to complications during delivery.

May result in low blood sugar levels in the newborn and a higher risk of obesity and type 2 diabetes in the child later in life.

4. Prediabetes

Description:

Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be classified as type 2 diabetes. It is a critical stage for intervention to prevent the progression to type 2 diabetes.

Impact on the Body:

Often reversible with lifestyle changes such as diet and exercise.

Increases the risk of developing type 2 diabetes, heart disease, and stroke.

Symptoms are often absent or mild, making regular screening important.

Tests Provided by RML Pathology

RML Pathology offers a comprehensive range of tests to diagnose and manage diabetes effectively. These include:

Fasting Blood Glucose Test:

Measures blood sugar levels after fasting for at least 8 hours.

Helps diagnose diabetes and prediabetes.

HbA1c Test:

Provides an average blood sugar level over the past 2-3 months.

Used to diagnose diabetes and monitor long-term glucose control.

Oral Glucose Tolerance Test (OGTT):

Measures the body's response to a glucose solution.

Commonly used to diagnose gestational diabetes.

Random Blood Sugar Test:

Measures blood sugar levels at any time of the day.

Useful for diagnosing diabetes when symptoms are present.

Gestational Diabetes Test:

Specifically designed for pregnant women to detect gestational diabetes.

Conclusion

Understanding the different types of diabetes and their impact on the body is crucial for effective management and prevention. Regular testing and early detection play a vital role in managing diabetes and preventing complications. RML Pathology provides a wide range of diagnostic tests to help you monitor and manage your diabetes effectively. If you have any symptoms or risk factors for diabetes, consider visiting RML Pathology for a comprehensive evaluation.

Contact RML Pathology Today:

📞 7991602001, 7991602002 📞 0522-4034100 🌐 www.rmlpathology.com

Experience the best in diagnostics with RML Pathology – where your health is our priority.

[mcatmemoranda]

I'm on OB rotation again. I asked the attending what are things the PCP should know about prenatal and postpartum pts. Stuff we discussed:

SSRIs can be continued during pregnancy. I often see patients on Zoloft during pregnancy if they need an antidepressant. In fact, I just started a prenatal patient on Zoloft the other day in clinic. It is safe to continue SSRIs during pregnancy because you should treat the patient's depression. Babies can come out sort of jittery because of the SSRI, but that goes away.

Postpartum patients will have bleeding somewhat similar to a menstrual period right after giving birth. It starts to decrease and becomes like a brownish color and can last up to 6 weeks postpartum. Any bleeding beyond that point is abnormal.

There is some evidence that if you have estrogen-containing birth control, it can decrease milk supply. Actually, I had a patient in clinic recently who was seen by an attending and he started her on a progesterone only birth control so that it would not affect her milk supply. Estrogen decreases the patient's milk supply, so patients who plan to breast-feed should not be started on estrogen-containing birth control. Right after giving birth, your body has increased amounts of estrogen, so you would not start estrogen containing birth control until at least 6 weeks postpartum anyway. Increasing estrogen immediately postpartum increases risk of blood clots. For patients who plan to breastfeed and want to be on an oral contraceptive, use progesterone only oral contraceptives until she stops breastfeeding.

If the mother is breastfeeding at least every 4 hours, then this can be used for contraception. It's about 80% effective. Once baby starts sleeping through the night or once baby starts feeding more than every 4 hours, this method won't work! If you go more than 4 hours without breastfeeding, breastfeeding will not protect you from pregnancy! You can also ovulate before your menstrual period returns, so you can't say you can't get pregnant because your period has not returned yet!

I asked the attending I worked with today about how she goes about prescribing birth control. She said she will usually start with Sprintec. It's usually covered by insurance and if it's not covered, it's pretty affordable. She also said Junel is pretty well tolerated. Certain progestins in certain brands of birth control may work better for certain things like acne control, but she didn't have as much knowledge on that. I'll ask another attending again about that. I usually start people on Sprintec as well.

PCP should know that alkaline phosphatase is high in pregnant patients. It comes from the placenta. So don't be freaked out by that.

You should know HTN in pregnancy and preeclampsia workup. High BP is 140/90. Severely high BP is 160/110. Swelling occurs in many pregnant pts, but that should also alert you to start preeclampsia workup.

[Preeclampsia w/u from UpToDate:

Diagnostic evaluation

•Laboratory – Patients with suspected preeclampsia should have a complete blood count with platelets, creatinine level, liver chemistries, and determination of urinary protein excretion.

•Fetal status – Fetal status is assessed concurrently or postdiagnosis, depending on the degree of concern during maternal evaluation. At a minimum, a nonstress test or biophysical profile is performed if appropriate for gestational age. Ultrasound is used to evaluate amniotic fluid volume and estimate fetal weight, given the increased risk for oligohydramnios and growth restriction.

•Consultation with the neurology service is generally indicated in patients with neurologic deficits/abnormal neurologic examination, which may include ocular symptoms or a severe persistent headache that does not respond to initial routine management of preeclampsia.]

An important thing to review is physiology of pregnancy. Blood volume increases during pregnancy, so there are lots of new RBCs and that will throw off a HgbA1c reading, therefore HgbA1c is not measured during pregnancy and will not be accurate! My attending today told me there was a midwife who offered pts either HgbA1c or oral glucose tolerance tests to screen for gestational DM. The HgbA1c is not accurate in pregnancy, so this should not be done. That would be bad to miss a diagnosis of gestational diabetes. You have to wait until 3 months postpartum to measure HgbA1c to get an accurate reading. Had a pt who did not have a PCP prior to getting pregnant, was on insulin during the pregnancy, and after giving birth, still needs to establish with PCP for diabetes f/u. After you give birth, you insulin needs drastically change, so you don't need as much as you did when you were pregnant. So I stopped her insulin and advised that she f/u with her new PCP for diabetes care.

I still need to review fetal heart tracings. The attending today said the first thing to look at is the baseline (the baseline HR should be about 160 beats/min), then the variability, then look for accelerations and decelerations. If more than 32 weeks GA, accelerations are 15 beats/min above the baseline lasting at least 15 seconds. Early decelerations are representative of compression of the fetal head, which is normal during labor as baby moves down the pelvis/birth canal. Variable decelerations look sharper like a "V" and can represent compression of the umbilical cord. Late decelerations represent placental insufficiency.

ACOG has very helpful practice bulletins.

I can't take screen shots on my work laptop, so I'm just going to summarize gestational HTN w/u from UpToDate:

Gestational HTN: New onset of systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg on at least 2 occasions 4 hours apart after 20 weeks of gestation in a previously normotensive individual

And:

No proteinuria

No signs/symptoms of preeclampsia-related end-organ dysfunction (eg, thrombocytopenia, renal insufficiency, elevated liver transaminases, pulmonary edema, cerebral or visual symptoms)

Preeclampsia: New onset of systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg on at least 2 occasions at least 4 hours apart after 20 weeks of gestation in a previously normotensive individual. Patients with systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg should have blood pressure confirmed within a short interval (minutes) to facilitate timely administration of antihypertensive therapy.

And:

Proteinuria (≥300 mg per 24-hour urine collection [or this amount extrapolated from a timed collection], or protein:creatinine ratio ≥0.3, or urine dipstick reading ≥2+ [if other quantitative methods are not available]).

In a patient with new-onset hypertension without proteinuria, the diagnosis of preeclampsia can still be made if any features of severe disease are present.

Preeclampsia with severe features: In a patient with preeclampsia, presence of any of the following findings are features of severe disease:

Systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg on 2 occasions at least 4 hours apart (unless antihypertensive therapy is initiated before this time)

Thrombocytopenia (platelet count <100,000/microL)

Impaired liver function as indicated by liver transaminase levels at least twice the normal concentration or severe persistent right upper quadrant or epigastric pain unresponsive to medication and not accounted for by alternative diagnoses, or both

Progressive renal insufficiency (serum creatinine concentration >1.1 mg/dL [97 micromol/L] or doubling of the serum creatinine concentration in the absence of other renal disease)

Pulmonary edema

Persistent cerebral or visual disturbances

Eclampsia: A generalized seizure in a pt with preeclampsia that cannot be attributed to other causes.

HELLP syndrome: hemolysis, elevated liver enzymes, low platelets. Hypertension may be present (HELLP in such cases is often considered a variant of preeclampsia).

Chronic (pre-existing) hypertension: hypertension diagnosed or present before pregnancy or on at least 2 occasions before 20 weeks of gestation. Hypertension that is first diagnosed during pregnancy and persists for at least 12 weeks postpartum is also consider chronic hypertension.

Blood pressure criteria during pregnancy are:

Systolic ≥140 mmHg and/or diastolic ≥90 mmHg

Prepregnancy and 12 weeks postpartum blood pressure criteria are:

Stage 1 – Systolic 130 to 139 mmHg or diastolic 80 to 89 mmHg

Stage 2 – Systolic ≥140 mmHg or diastolic ≥90 mmHg

Chronic HTN with superimposed preeclampsia*:

Any of these findings in a patient with chronic hypertension:

A sudden increase in blood pressure that was previously well-controlled or an escalation of antihypertensive therapy to control blood pressure

New onset of proteinuria or a sudden increase in proteinuria in a patient with known proteinuria before or early in pregnancy

Significant new end-organ dysfunction consistent with preeclampsia after 20 weeks of gestation or postpartum

*Precise diagnosis is often challenging. High clinical suspicion is warranted given the increase in maternal and fetal-neonatal risks associated with superimposed preeclampsia.

Chronic hypertension with superimposed preeclampsia with severe features:

Any of these findings in a patient with chronic hypertension and superimposed preeclampsia:

Systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥110 mmHg despite escalation of antihypertensive therapy

Thrombocytopenia (platelet count <100,000/microL)

Impaired liver function as indicated by liver transaminase levels at least twice the normal concentration or severe persistent right upper quadrant or epigastric pain unresponsive to medication and not accounted for by alternative diagnoses, or both

New-onset or worsening renal insufficiency

Pulmonary edema

Persistent cerebral or visual disturbances

A reduction in blood pressure early in pregnancy is a normal physiologic occurrence. For this reason, women with chronic hypertension may be normotensive at their first few prenatal visits. Later in pregnancy, when their blood pressure returns to its prepregnancy baseline, they may appear to be developing preeclampsia or gestational hypertension if there are no documented prepregnancy blood pressure measurements.

BP: blood pressure.

* Blood pressure should be elevated on at least two occasions at least four hours apart. However, if systolic pressure is ≥160 mmHg or diastolic pressure is ≥110 mmHg, confirmation after a short interval, even within a few minutes, is acceptable to facilitate timely initiation of antihypertensive therapy.

¶ The onset of preeclampsia and gestational hypertension is almost always after 20 weeks of gestation. Preeclampsia before 20 weeks of gestation may be associated with a complete or partial molar pregnancy or fetal hydrops. Postpartum preeclampsia usually presents within two days of delivery. The term "delayed postpartum preeclampsia" is used for signs and symptoms of the disease leading to readmission more than two days but less than six weeks after delivery.

Δ Significant proteinuria is defined as ≥0.3 g in a 24-hour urine specimen or protein/creatinine ratio ≥0.3 (mg/mg) (34 mg/mmol) in a random urine specimen or dipstick ≥1+ if a quantitative measurement is unavailable.

◊ Almost all women with the new onset of hypertension and proteinuria at this gestational age or postpartum have preeclampsia, but a rare patient may have occult renal disease exacerbated by the physiologic changes of pregnancy. An active urine sediment (red and white cells and/or cellular casts) is consistent with a proliferative glomerular disorder but not a feature of preeclampsia. Women with chronic hypertension who had proteinuria prior to or in early pregnancy may develop superimposed preeclampsia. This can be difficult to diagnose definitively, but should be suspected when blood pressure increases significantly (especially acutely) in the last half of pregnancy/postpartum or signs/symptoms associated with the severe end of the disease spectrum develop.

§ Photopsia (flashes of light), scotomata (dark areas or gaps in the visual field), blurred vision, or temporary blindness (rare); severe headache (ie, incapacitating, "the worst headache I've ever had") or headache that persists and progresses despite analgesic therapy; altered mental status. Seizure occurrence upgrades the diagnosis to eclampsia.¥ The differential diagnosis of preeclampsia with severe features includes but is not limited to:

Antiphospholipid syndrome

Acute fatty liver of pregnancy

Thrombotic thrombocytopenic purpura (TTP)

Hemolytic uremic syndrome (HUS)

The laboratory findings in these disorders overlap with those in preeclampsia with severe features. (Refer to table in the UpToDate topic on the clinical manifestations and diagnosis of preeclampsia.) The prepregnancy history, magnitude and spectrum of laboratory abnormalities, and additional presence of signs and symptoms not typically associated with preeclampsia help in making the correct diagnosis, which is not always possible during pregnancy.

In addition, a variety of medical disorders may be associated with hypertension and one or more of the signs and symptoms that occur in women with preeclampsia with severe features. These patients can usually be distinguished from patients with preeclampsia by taking a detailed history, performing a thorough physical examination, and obtaining relevant laboratory studies.‡ In contrast to preeclampsia, gestational hypertension is not associated with end-organ involvement, so neither proteinuria nor the symptoms or laboratory findings of preeclampsia are present.

[med4lif3]

Diabetes (research post)

Diabetes is a chronic disease of varying types in which issues occur with insulin production or regulation

How's it caused?:

Type 1 diabetes: A chronic condition in which the pancreas produces an insufficient to none amount of insulin (hormone that allows glucose to be processed and enter into cells to create energy).

Type 2 and prediabetes: Similar to type 1 diabetes, the pancreas fails to produce enough insulin and the body is unable to use insulin which eventually leads to high levels of blood sugar. 

Gestational diabetes: This type of diabetes occurs in pregnant women and its cause is unknown. It has been theorized that the placenta will produce hormones that prohibit the mother's ability to regulate and use insulin.

Symptoms?:

Increased thirst

Frequent urination

Increased hunger 

Fatigue

Slow healing sores

Genital itching (Gestational diabetes

Treatment?:

For type 1 diabetes patients, they're treated with doses of insulin either by a daily injection or an insulin pump.

For type 2 diabetes patients are encouraged to lose weight and exercise, keeping their diet in check as type 2 diabetes is linked to obesity. Diabetes medications (such as ozempic) or insulin therapy may be given if dietary changes and exercise are insufficient in managing blood sugar.

Similarly patients with gestational diabetes manage the disease either through a healthier diet and exercise or insulin depending on their progression.

__

Note: this one resonates a bit since my country (lol the us) is well known for our high rates of diabetics and it also runs in my family but to keep things lighthearted i remade this meme i saw a while ago w my own twist

[am-3w]

How do you nest while high risk? How do you nest with debilitating hip/pelvic pain? Like when I've taken tylenol I feel okay for a few hours at a time when I dont move too much. But how do I prepare for baby when I'm scared to move too much? Like if i nest and push myself when im feeling good, im definitely going to be in more pain later. So wtf do I do??? 😩

[chronicallyjude]

I've made two (yes two!) Phone calls this morning and sent an email asking for my insulin to be refilled before my transfer of care is completed, and it's not even 9am yet.

[ttc-baby]

The rest of my day went better. After lunch it was 125 and after dinner it was 138 so all under the goal of 140. Tomorrow I’m going to have the same thing for breakfast to see if I get the same results. Also I’m up to 14 on my insulin, im hoping I’ll be under 100 in the morning.

[beyondthebloodsugar]

Take Control: Managing Elevated Blood Sugar Levels with Diabetes

Living with diabetes can feel like riding a roller coaster. Sometimes you're up, and other times, you're just trying to hold on. Elevated blood sugar levels can lead to complications, but managing them doesn’t have to be overwhelming. Let’s break it down into simple steps that make sense.

Understanding Elevated Blood Sugar Levels

When you eat, your body breaks down food into glucose, which is the fuel your cells need. Insulin, a hormone produced by the pancreas, helps move that glucose into your cells. In diabetes, this system doesn’t work quite like it should. This can leave too much sugar lingering in your bloodstream. Think of it like a traffic jam; instead of flowing smoothly, everything's backed up and causing problems.

Recognizing the Signs

Ever felt unusually thirsty or tired? Maybe you've noticed frequent trips to the bathroom? Those can all be signs your blood sugar is too high. Other signals might include blurred vision or headaches. Paying attention to your body is key. It's like having a built-in alarm system; you just need to know how to listen.

Smart Eating Habits

Your diet plays a significant role in managing your blood sugar. Focus on whole foods that nourish your body. Think fruits, veggies, lean proteins, and whole grains. Picture your plate as a colorful palette. The more colors you have, the more nutrients you’re getting! Try to balance your meals with carbs, proteins, and fats to keep your blood sugar steady.

Regular Exercise: Your Secret Weapon

Let’s talk about exercise – it’s not just for fitness buffs or sports enthusiasts. Moving your body helps your cells use insulin more effectively. Just 30 minutes of walking, biking, or dancing can be a game changer. Think of exercise like a key; it opens the door for glucose to enter your cells. Plus, it lifts your mood and boosts your energy levels.

Monitoring Your Blood Sugar

Keeping an eye on your blood sugar numbers is crucial. Regular testing gives you a clear picture of how your food choices and activities impact your levels. Over time, you’ll start to notice patterns. Maybe you find out a certain snack pushes your numbers up. This knowledge is empowering, like having a roadmap in your back pocket.

Managing Stress: The Silent Saboteur

Stress can sneak in and cause your blood sugar to spike. It’s like an unexpected guest that makes everything chaotic. Stress triggers your body to release hormones that can raise blood sugar. Finding outlets like deep breathing, yoga, or even enjoying a hobby can help keep your stress in check. Think of these activities as a calm oasis amid a busy desert.

The Importance of Medication

Sometimes, lifestyle changes aren’t enough on their own. If your doctor has prescribed medication, it’s essential to take it as directed. Medications can help bridge the gap between what your body needs and what it can produce. Think of medication as a protective shield, safeguarding you from potential complications.

Building a Support System

You're not alone on this journey. Building a support system is vital. This can include friends, family, or join local support groups. Talking about your experience helps lighten the load. It’s like having a team behind you at a big game, cheering you on every step of the way.

Conclusion: Your Path Forward

Managing elevated blood sugar levels with diabetes doesn’t have to feel daunting. By learning about your body, making smart food choices, staying active, and seeking support, you can take significant steps towards better health. Remember, each small change adds up, and you have the power to shape your journey. Embrace this path and take control of your health today!

[sincrly1]

Kailani Selena.. you defined an entirely new meaning of love for me. That day changed my life forever. Te amo chiquita!!

6/14/23

[wenevergotusedtoegypt]

I finally got around to my postpartum glucose test (it was supposed to be at 6 weeks, we’re at 13 😬), and I am officially No Longer Diabetic 🥳

[shubhragoyal]

This blog post discusses the common pregnancy complications such as gestational diabetes, pre-eclampsia, miscarriage, premature birth and associated risk factors, how to manage and prevent them, and the impact of premature birth on a baby's health and development.

Read More: https://www.drshubhragoyal.com/welcome/blogs/during-pregnancy:-common-complications-and-risk-factors

[heartfucksmouth]

let's see if CVS has my damn insulin ready. I love that the doc was like "I'd like you to start it tonight" on FRIDAY lmao and it's now Tuesday and I still don't have it. I'll be on insulin for maybe 3 weeks before i give birth. that's probably not even enough time to really get a grasp on what dose is gonna help. jfc.

[mcatmemoranda]

Dr. Amarosa talked to us about gestational diabetes mellitus (GDM) and here are my notes.

OGTT - Oral Glucose Tolerance Test

You don’t use HgbA1c to diagnose GDM because you have more rapid turnover of red blood cells during pregnancy, so your HgbA1c would be artificially low.

They test for GDM at 26 weeks at Harbour Women’s Health.

Healthreach Diabetes does diabetes education.

NPH - Neutral Protamine Hagedorn.

Pts who need insulin have close monitoring with more frequent NSTs and they should be induced at 39 weeks—I wrote 36 weeks on my paper but it’s 39 weeks! 🤦🏽‍♀️

A lot of people miss the 6-week post party OGTT, but they should get it to make sure they don’t have DM after pregnancy.