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August 4, 2003

Genetics and Heredity

Question from Atlanta, Georgia, USA:

I have gestational diabetes, and while my fasting and two hour after meal levels are usually okay (80-88 mg/dl [4.4-4.9 mmol/L] and less than 120 mg/dl [6.7 mmol/L] respectively), my one hour after meal readings are sometimes really high (180-190 mg/dl [10-10.5 mmol/L]). Is this okay since the other readings are okay?

Answer:

Your test results demonstrate why I prefer to check a blood sugar one hour after a meal rather than two hours. Sometimes the one hour level will be high due to insulin resistance, but you can still manage to bring your blood sugar down to a reasonable level by two hours. This should be reported to your doctor. You may benefit from an oral hypoglycemic agent or even a little bit of insulin to help control that high level.

OWJ

[Editor’s comment: Use of glyburide or other diabetes pills in gestational diabetes is not part of the approved label for these products. See the discussion about the use of oral hypoglycemic drugs for gestational diabetes at the Diabetes Monitor.

WWQ]