Glucose Tolerance Test - (Sugar Loading)
Today, when we say ”Glucose Tolerance Test insanlar, we see that people are divided into two. Especially in our country, the phrase Yük Sugar Loading kullanılıy is used for this test and even this statement seems to be a sufficient reason for people to think. So, what are the risks of this Glucose Tolerance Test, why and how? Here's what you need to know to make an informed choice…
What is Glucose Tolerance Test
Gestational diabetes is high blood sugar that begins or is found during pregnancy . In pregnant women, doctors recommend performing a Glucose Test for Gestational Diabetes ( pregnancy-induced diabetes) , which may pose a risk to both the mother and the baby.
Glucose testing is a routine test that checks the blood sugar level of a pregnant woman during pregnancy, but is not mandatory.
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When to Test Glucose
It is done between 24-28 weeks of pregnancy. However, if you are at risk for gestational diabetes due to obesity, a large baby history, family history of diabetes, or other factors, this test should be performed earlier and should be repeated at these dates (24-28 weeks).
How to Test Glucose
It can be done with a two-step test or a single test.
Two-Step Test
The first step is the Glucose Screening Test.
You do not need to change your normal diet and prepare for this test.
You will be prompted to drink a liquid containing glucose. (50 g)
You will need to give blood 1 hour after drinking the glucose solution to check your blood glucose level.
If the test result is higher than 130 or 140, you will need to do the other test.
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Second step, if your blood sugar is high in the first test, you will need to take a 3 hour Glucose Tolerance Test . For this test:
You should not eat or drink anything (except water) for 8 to 14 hours before your test.
You will be prompted to drink a liquid containing glucose. (100 g) (You are expected to drink the liquid in 5 minutes)
You will need to give blood before drinking the fluid.
And then blood samples will be taken again to measure blood sugar at the first, second and third hours.
If at least 2 or more of the following 4 values are not normal as a result of blood samples, Gestational Sugar is diagnosed. If the single value is high, the test is repeated after one month.
On an empty stomach> 95 mg / dl
1. Hour End> 180 mg / dl
2. Hour End> 155 mg / dl
3. Hour End> 140 mg / dl
One Step Test
You should go to the laboratory once for a 2-hour glucose tolerance test. For this test:
Do not eat or drink anything (except water) for 8 to 14 hours before your test. (You can also not eat during the test.)
You will be asked to drink a liquid containing glucose (75 g).
You should give the blood before drinking the liquid, and after drinking again, this condition is repeated 2 more times every 60 minutes to check your blood sugar level.
On an empty stomach> 92 mg / dl
1. Hour End> 180 mg / dl
2. Hour End> 153 mg / dl
At least one of the above values is sufficient for the diagnosis of gestational diabetes.
Are There Glucose Side Effects
Drinking the glucose solution is like drinking a very sweet soda. Some women may feel nausea, sweating or dizziness after drinking the glucose solution. No serious side effects of this test were observed.
What to do if the glucose tolerance test result is abnormal
If you are diagnosed with Gestational Diabetes as a result of the tests, your doctor will give you information about the treatment of the disease and support the treatment with appropriate diets. Treatment of diabetes during pregnancy is extremely important to protect the health of both mother and baby.
complications
Most women with gestational diabetes will give birth to healthy babies if treated, but carefully managed gestational diabetes can lead to uncontrolled blood sugar levels, causing problems for you and your baby.
Complications that may affect your baby
Excessive birth weight.
Preterm labor and respiratory distress syndrome.
Hypoglycemia (Low Blood Sugar)
Kidney, digestive and ear abnormalities.
Type 2 diabetes in later life.
Untreated gestational diabetes may cause the death of a baby before or shortly after birth.
Complications that may affect the mother
Deep tears or incision due to large baby birth.
Preterm labor due to excess amniotic water.
High blood pressure and preeclampsia.
Diabetes in the future.
Prevention against Pregnancy Sugar
There is no guarantee for the prevention of gestational diabetes, but healthy living habits that can be adopted before pregnancy will be an effective method for this issue as in all other subjects. These;
Healthy Eating: Select fiber and low-calorie foods. Focus on fruits, vegetables and whole grains. Strive for diversity that will help you achieve your goals without compromising your diet. Monitor your portion sizes.
Stay Active: Exercising before and during pregnancy can protect you from gestational diabetes. Brisk walking, cycling or swimming can be good for you.
Before you become pregnant, reduce your weight to normal values: Doctors do not recommend losing weight during pregnancy. However, if you are planning to become pregnant, getting rid of your excess weight before getting pregnant can help you have a healthier pregnancy.
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