Normal 2 Hour Postprandial Glucose – In this post, we’ll discuss blood sugar, testing times, goals, blood sugar spikes, and spike testing; is a remedy that many have found helpful in managing pregnancy and gestational diabetes.
Blood sugar levels are constantly changing. A blood sugar spike is the highest blood sugar level you reach after eating or drinking. A good way to visualize how your blood sugar changes is with an image from the Freestyle Libre Continuous Blood Glucose Monitoring System:
When blood sugar levels rise, it sends a signal to our body to process the glucose, using insulin to break it down in our cells and turn it into energy. But with gestational diabetes, we can’t do as well as we normally do. This means that blood sugar levels should be higher than they should be, which in turn can lead to pregnancy complications.
In gestational diabetes, when there is too much sugar in the mother’s blood, it is “fed” to the baby. The baby then has to increase insulin production to help process the extra sugar. Insulin is a growth hormone, so the baby grows a lot, and some have an increased AC [abdominal girth]. It’s the adipose tissue (lean fat) that results from excess insulin and causes the “bulk” in babies.
By controlling blood sugar through diet, exercise, and some necessary medication/insulin, it helps the child regulate insulin production to normal levels and slows down the child’s AC development and the rest of the child’s development is complete. This means that the child returns to “normal” or average growth size.
It is not clear whether overall glucose control or elevated blood sugar affects fetal growth, but the HAPO (Hyperglycemia and Adverse Pregnancy Outcomes) Study-1 found that fasting and postprandial glucose levels affect fetal development. most women are advised to check both fasting and [postprandial] levels.
Optimal glucose control before pregnancy reduces congenital malformations and miscarriage, and reduces macrosomia, stillbirth, neonatal hypoglycemia, and respiratory distress syndrome during pregnancy.
Although there are national guidelines with research-backed recommendations on what blood sugar levels should be used for the best outcomes in gestational diabetes, hospitals and trusts are not required to follow them.
This means that women in the UK and Ireland may have different blood glucose monitoring targets and testing times. Some may be very hard, others may be very soft. You can literally go to one hospital and get the exact kit and timing of the tests, and another hospital a few miles away can be very different.
Women diagnosed with gestational diabetes have a wide variety of options, from multiple tests a day before and after meals and at bedtime to eating a specific carb-rich breakfast at the breakfast club.
Here we asked 1,222 women with gestational diabetes what blood test regimen they were advised to follow:
“Are the test times and goals you’ve been given helping you to manage your gestational diabetes as well as possible?”
If you are simply told to check your blood sugar one day before all meals and the next day after all meals, does that give you enough information to know where your blood sugar is at its highest? How and where to adjust your diet to reach an optimal level? ?
Similarly, if you are told to monitor your blood sugar once a week, will that be enough to see what is happening and your tolerance for different foods. Or does it encourage you to stick to a strict diet on the day you know you’re taking the test and be less strict on the day you know you’re not?
1.3.5 Advise pregnant women with any type of diabetes to maintain their capillary plasma glucose below the following target levels if this can be achieved without causing problematic hypoglycaemia: Fasting: 5.3 mmol/l and 1 hour postprandial: 7, 8 mm/L or After 2 hours: 6.4 mm/L.
Pregnant women with gestational diabetes should monitor postprandial glucose levels, and pregnant women with type 1 or type 2 diabetes. …goal for blood glucose: 4-6mmol/l before and <8mmol/l after one hour or 6mmol/l at bedtime. Sign guidelines 116 7.5 Adequate control of glycemic control
5.3.6 Target blood glucose levels during pregnancy For optimal maternal and fetal outcomes, the following target values are recommended: – capillary glucose level: 3.5-5.0 mmol/l – 1 hour postprandial capillary glucose level: <7.0 mmol/L HSE GDM Management Guidelines
It is worth noting that no national guidelines recommend only pre-meal (pre-meal) testing or alternating pre-meal and post-meal testing. They recommend fasting and postprandial tests for all users of insulin therapy and additional testing before meals.
One-hour versus two-hour postprandial study Several studies have shown that postprandial hyperglycemia is a predictor of fetal macrosomia and may contribute to neonatal hypoglycemia. Current guidelines state that testing should be done an hour or two after a meal. However, research has shown that a postprandial test 1 hour later is more likely to detect abnormal values that may require treatment and helps a person understand the relationship between food and blood glucose levels – 3, 5 NICE guideline NG3 diabetes in pregnancy.
To show the difference between one hour and two hours postprandial testing, here is a photo of the mother’s test results. This GD mother was concerned that the 2-hour test caused her blood sugar to rise, so she decided to start both the 1-hour and 2-hour tests.
According to NICE guidelines (<7.8mmol/l at 1 hour), she lost 7 spikes in blood over 2 weeks, but her level was full by 2 hours. below were the recommended guidelines <. 6.4 mmol/l. Imagine how many pimples she would have missed the rest of her pregnancy if she had continued the test until she reached 2 hours!
We should note that any blood glucose monitoring is better than no monitoring at all. Capillary blood glucose monitoring is only a guideline, but it will give you a better picture of what’s going on in your body and help you understand how different foods and drinks affect you. What are their effects?
Also, when you test and the goals used can also have a big impact on how you manage and control your gestational diabetes.
The more you explore, the more you can see and create a much bigger picture. You can find out what foods you struggle with and make food changes accordingly. With this method, you may need to stay on the diet longer or need less medication or insulin.
If you feel that testing more frequently or at a different time than recommended by your diabetes team may be beneficial for managing gestational diabetes, discuss this with your team and follow the guidelines and findings. Also state the reasons. Testing is spike testing What is spike testing?
Spike Testing More frequent blood sugar testing after meals/drinks to see the effect on blood sugar levels to improve nutrition for better blood sugar control.
Spike testing evolved from watching some women in our Facebook group stop eating highly processed carb foods washed down with all-sugar sodas or pure fruit juice.
We’ve noticed in a Facebook group that a lot of times women admit or admit to eating some very questionable things (a big piece of chocolate cake, a Krispy Kreme donut, Chinese sweet and sour chicken with rice and chips, etc.) and then some. absolutely wonderful. get a relatively low level. Later, assuming they tolerated this suspiciously high-carb treat/meal well.
Sometimes they won’t even admit to their professionals that they are eating these things and “getting away with it”, but they come to the group asking why they can tolerate these things – question C, were they serious?
Once they see that they can get good levels with these things, they continue to eat them – why not if the blood sugar looks good?
In our Facebook group, we keep seeing posts like, “I can’t touch a piece of bread, but I’m fine with Krispy Kreme donuts?!”, “I feel like eating junk is better than eating healthy.” . doesn’t make any sense?”
Despite high levels in the 100s and beyond, and/or the baby was born bloated, swollen, and poorly.
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