Am pregnant with diabetes morning after diner 8...

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Gestational diabetes is defined as carbohydrate intolerance that begins or is first recognized during pregnancy

• testing using a 50-g nonfasting one-hour glucose challenge test between 24 and 28 weeks' gestation for screening
• women at high risk of gestational diabetes should be screened using the 50-g glucose challenge test at their first antepartum visit
• Screening cutoffs are 130 mg per dL

Diagnosis of gestational diabetes

For women with a positive screening test, the 100-g three-hour oral glucose tolerance test is used to diagnose gestational diabetes

Gestational diabetes is diagnosed if two or more plasma glucose measurements meet or exceed the following thresholds:

1. fasting level of 95 mg per dL
2. one-hour level of 180 mg per dL
3. two-hour level of 155 mg per dL
4.  three-hour level of 140 mg per dL

Treatment of gestational diabetes

1. First-line therapy for women with gestational diabetes is dietary modification, often referred to as medical nutritional therapy
2.  insulin therapy for women receiving medical nutritional therapy whose fasting glucose level exceeds 95 mg per dL, whose one-hour postprandial glucose level exceeds 130 to 140 mg per dL, or whose two-hour postprandial glucose level exceeds 120 mg per dL

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