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What are the normal blood glucose levels in pregnant women?

waelhammad
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2022-11-19
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A 32-year-old lady office secretary of Indian origin with history of polycystic ovarian syndrome has conceived by ovulation induction. Her dad has hypertension and her mother has diabetes for 12 years. On examination, she is 160 cm, weighs 76 kg, and physical examination shows acanthosis, hirsutism, her BP is 120/70 mm Hg. Other systemic examination is unremarkable. She is seen by another obstetrician at 10 weeks of gestation and is advised oral glucose tolerance.

What are the normal blood glucose levels in pregnant women?

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waelhammad
2022-11-19
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Using continuous glucose monitoring system (CGMS) in pregnant women the mean FBS was noted to be 75 +/– 12 mg/dL and the mean blood glucose level was 83.7 +/– 18 mg/dL with a postprandial peak glucose level of 110 +/– 16 mg/dL.

The time interval to reach peak postprandial glucose level was 70 +/– 13 minutes with no significant difference between obese and normal weight pregnant women, and the peak glucose was higher and a delayed peak was seen in obese.

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