Gestational diabetes (GDM) is a form of diabetes, which develops during pregnancy. Mirroring the epidemic of type 2 diabetes, rates of gestational diabetes are also on the rise especially in Asians. Since Asian women are at increased risk, and screening for GDM is simple, I usually like to screen our patients very early in the course of pregnancy (~9th weeks) as compared to waiting for 24-28th week of pregnancy.
Remember screening is simple, but time is precious for the developing fetus, and to prevent fetal malformations.
How to screen “Early”:
Get an Hb A1c ( it should be less than 5.3)
2 hours after a high carbohydrate meal, a blood glucose value – should be less than120mg/dl
If patient fails this screen then formal testing with oral glucose tolerance test is recommended.
WITH CAREFUL DIABETES MANAGEMENT, WOMEN CAN AND DO HAVE SUCCESSFUL PREGNANCIES AND HEALTHY BABIES.