Analysis for glucose in pregnancy: description of the procedure, decoding and feedback

Analysis for glucose during pregnancy is currently assigned to many women. It is made in the period 24-28 weeks. Especially it is necessary to conduct this study pregnant women with risk factors. To identify diabetes during gestation is very important, as this disease can affect the health and development of the unborn child.

When analyze?

In the first phase, all the patients were administered standard clinical blood analysis for glucose pregnancy up to 24 weeks. This study is conducted with no load, usually take blood from the capillary vessels of the finger. Analysis pass in the morning. It is carried out on an empty stomach, the last time you got 8 hours before diagnosis. Most often it is the study obstetrician-gynecologist appoints as soon as pregnancy is determined. Further investigation on the metabolism of carbohydrates will depend on the results:

1. If the blood glucose during pregnancy is OK (3,3-5,5 mmol/l), usually other tests not prescribed. The study was conducted again in the second trimester.
2. If glucose is slightly increased (5.5 to 7 mmol/l), then the doctor assumes that the patient has gestational diabetes. This form of the disease, which is found only in pregnant women. To confirm the diagnosis, prescribe test glucosetolerance (load).
3. If the results of the analysis exceed 7 mmol/l, that is, with high probability means that a woman suffers a diabetes mellitus. However, for accurate diagnosis you need a comprehensive examination.

In some cases, the analysis of the glucose load during pregnancy is prescribed necessarily. Such a study is carried out for women from risk groups, which include the following categories of patients:

• Are overweight;
• With a multiple pregnancy;
• Women, whose relatives have diabetes;
• Patients with hypertension;
• Deviation from the norm in the analysis of glucose history;
• The birth of children with overweight or abnormalities in the past;
• Women with high blood cholesterol;
• The patient, which is determined by sugar in the urine.

Currently, this test is prescribed, even healthy women in the 28th week of gestation to prevent disease. Analysis for glucose during pregnancy allows high accuracy to determine the presence of diabetes. This method of laboratory diagnosis is only evidence of the violation of the metabolism of carbohydrates. To identify the disease, will require a comprehensive examination of the patient.

Contraindications to the appointment survey

Not all women can do the analysis for glucose during pregnancy. There are the following contraindications for this diagnostic:

• The level of sugar in the blood is above 7 mmol/l;
• Infectious and acute inflammatory diseases, pathology of pancreas and gastrointestinal tract;
• The age of girls to 14 years;
• The period of gestation of 28 weeks;
• Therapy with drugs that increase glucose level;
• Severe toxemia of pregnancy.

How to prepare for the exam?

Before to test for glucose during pregnancy, you need to prepare for the exam. This will help to obtain reliable results.

To Change your eating habits and limit yourself in eating is not necessary. On the contrary, food should be enough calories. For 8-10 hours before the test you need to stop eating before analysis is allowed only to drink clean water. The last portion of food should be rich in carbohydrates.

15 hours prior to analysis exclude the use of alcohol and Smoking. To change your normal routine of physical activity should not be. This does not mean that you have to do gymnastic exercises, but also constantly lying on the sofa in front of the study impossible. It is necessary to lead a normal natural way of life with habitual physical activity.

How to pass the test?

How to test for glucose during pregnancy? You must come to the lab on an empty stomach, with a doctor's referral and the results of the research on sugar. Sometimes before a test glucosetolerance repeated analysis of blood from a finger on sugar and with the results above 7.1 mmol/l from further examination refuse. However, this is not required.

The algorithm for the analysis of blood glucose during pregnancy is as follows:

1. First we take blood from the vein and measure glucose levels.
2. Then give the patient to drink a solution of monosaccharide (called load).
3. Repeat blood sampling from a vein after 1 hour, and then another 2 hours after the load with the measurementresults.

How to make glucose for analysis during pregnancy? Sometimes, the doctor invites the patient to prepare a solution on their own, in some cases, sweet syrup makes a technician. To make a drink for load analysis in the following way:

1. Prepare pure non-carbonated water.
2. 75 g of dry glucose dipped in 300 ml of water and wait for complete dissolution.
3. To Use the resulting drink in 5 minutes.
4. The Drink is very sweet, in pregnant women with toxemia such a sugary taste may cause nausea. So while drinking is allowed to lick a slice of lemon, or add to the solution a little acidic lemon juice.

Interpreting the results

Norm analysis for glucose in pregnancy are the following indicators of intake (75 g monosaccharide):

• The 1st measurement (before loading) to 5.1 mmol/l;
• 2nd measurement (1 hour after load)- up to 10 mmol/l;
• 3rd measurement (after 2 hours) - up to 8.5 mmol/L.

If these values are exceeded it can be assumed that the pregnant gestational diabetes. The patient needs to consult an endocrinologist and nutritionist.

What to do when deviation from the norm in the analysis?

The results of the analysis must show the obstetrician-gynecologist, who is a woman. You may need additional tests, for example, a blood test for glycated hemoglobin. To Refine the results, the doctor may prescribe a urine test for sugar or three-hour study of blood glucose with exercise.

Gestational diabetes is not a dangerous diagnosis. Typically, the glucose level reduced 8 weeks after birth. However, it cannot be considered the norm, the increase in glucose could have a negative impact on fetal development. So this woman needs to stick to a diet, eat less sweet food.

A Low glucose level can also have a negative impact on the future of the child. Carbohydrates are necessary for proper formation of the brain of the newborn.

Why there are false positives?

Sometimes the blood glucosetolerance can give unreliable results. This can occur if a pregnant stressed out the day before the testing. Therefore, before the study, it is important to keep calm and avoid mental stress.

To Distort the results of the analysis can lack of potassium and magnesium in the body and also hormonal disorders. The test gives an incorrect result if the woman had undergone physical stress or had a meal during the test. Before analysis it is undesirable to take drugs. If you interrupt your medication is not possible, then you need to notify the obstetrician-gynecologist.

It is Important to carefully follow all doctor's recommendation during the study. Distorted results can lead to unnecessary treatment assignment, which will adversely affect fetal development.

Feedback analysis

Reviews of analysis for glucose during pregnancy indicate that most women understand the importance of this test. For many patients this survey helped to fully ensure your health. Other women, through analysis, was able to identify gestational diabetes and adjust your diet.

However, many patients are afraid to take this test. The doctor should explain to the pregnant woman, the analysis glucosetolerance absolutely harmless to the unborn child. A single dose of a solution of the monosaccharide does not affect fetal development. The only drawback of this test is sickly-sweet taste of the drink, which many pregnant seems to be unpleasant. The reviews on the analysis of some women write about the nausea that occurs in the use of a solution of monosaccharide on an empty stomach. However, this feeling quickly passed. You can also use a slice of lemon, which will greatly reduce nausea and retching.