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Diabetic and first trimester

Doctor , My friend was pregnant 9 weeks ,but when she she checked the H1B1ac showing 10.She was unaware of being diabetic .Now what are steps to be followed to keep the blood sugar normal and fetus helath .
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973741 tn?1342342773
Hi.  Sorry for this issue you have to deal with.  Pregnancy is a great thing though so hope you are enjoying it otherwise. Did you have both glucose tests? I triggered a reading in the diabetic range the first 2 hour test.  (I ate a sandwich before the test, oops) and then had to do the confirming test of 4 hours glucose test.  That was about zero fun, I'll tell you. But with that one, my blood sugar was normal (I fasted properly). You've had both tests and your sugar is still high? The normal range is below 7.8 and it is gestational diabetes over 11. At least your number isn't over 11. I also think you were tested early. That's normally a second trimester thing at around 24 weeks. So, I wonder if you have a medical history that triggered them to test you early such as being overweight?

I think they will likely recommend you watch what you eat and limit sugar.  And they will want you to exercise. https://health.clevelandclinic.org/cut-risk-high-blood-sugar-youre-pregnant/  They will likely ask you to make these lifestyle changes (even giving you specific food guidelines) and they may ask you to monitor your blood sugar.  If things get worse, they may give you safe medication to counteract it and they will, of course, monitor your baby more closely. https://www.mayoclinic.org/diseases-conditions/gestational-diabetes/diagnosis-treatment/drc-20355345

And important thing to note is if you have gestational diabetes, you are much more likely to develop diabetes later in life.  I had pregnancy hypertension and it is the same for that.  Sure enough, later on, I am working hard to keep my bp under control.  So, good to know that this may be the case for you for the sake of prevention.

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