Norm, results and interpretation of glucose tolerance test during pregnancy. At what time should I take a glucose tolerance test?

The doctor ordered you to undergo a glucose tolerance test, but are you afraid or do not know how this examination goes? In this article you will learn everything about GTT, its contraindications, we will dispel your doubts and tell you how to prepare for it.

Contents

  • Why take a glucose tolerance test during pregnancy?
  • Do I need a glucose tolerance test in pregnancy?
  • Is it dangerous to have a glucose tolerance test during pregnancy?
  • How and where to take a glucose tolerance test in pregnancy?
  • How is a glucose tolerance test performed during pregnancy?
  • At what time should I take a glucose tolerance test during pregnancy?
  • Contraindications for glucose tolerance test in pregnancy
  • Norm, results and interpretation of glucose tolerance test during pregnancy
  • How and why to take glucose tolerance test during pregnancy: advice and feedback
  • VIDEO: Glucose level during pregnancy

Glucose tolerance test isA survey that helps determine a woman's predilection for diabetes mellitus or to det

ect its latent form.

In other words, this examination is called "sugar load".Thanks to this test, it is possible to diagnose the disease in time and take the necessary measures to avoid undesirable consequences.

Why take a glucose tolerance test during pregnancy?

  • Statistics show that about 15% of pregnant women suffer from gestational diabetes, or another it is called gestational diabetes
  • This disease, like many others, there is the weakening of the female body, and increase the load on it during pregnancy
  • During the gestation period, the woman's body should produce more insulin, which is responsible for the normal blood sugar level of the
  • . But the body does not always cope with this task, and then the quantityin the sugar becomes more and develop diabetes

Therefore, pregnant, doctors strongly recommend to take the glucose tolerance test( OGTT).

Diabetes mellitus during pregnancy Diabetes Diagnosis Scheme for Pregnancy

Is a Glucose Tolerance Test Required during Pregnancy?

sure to be screened GTT, if a woman falls into one of the following categories:

  • was diagnosed with the disease in past pregnancies
  • if a pregnant woman has a problem with weight gain - a body mass index above 30
  • if the weight of previous childrenat birth was more than 4.5 kg
  • if someone gets sick from blood relatives with the disease
  • in the analysis of urine is present sugar

If a woman fell into the risk group, the survey need to GTTPass, as a rule, for a period of 16-18 weeks and a second time in 24-28 weeks. If necessary, the test is carried out again, but not later than at week 32.

Blood sampling for glucose tolerance test in pregnancy Blood samples for glucose tolerance test in pregnancy

dangerous to conduct glucose tolerance test during pregnancy?

  • Until 32 weeks, the glucose tolerance test is not dangerous for either the mother or the baby. Imagine that you ate a donut with a sweet jam for breakfast
  • Do you think it could be bad for him or could he harm your health somehow? Of course not! And the amount of glucose that you need to take a woman of about the same this breakfast
  • But irrational rejection of GTT could hurt if in time will not be detected elevated blood sugar and the necessary measures are taken in order to normalize blood glucose

AsAnd where to take a glucose tolerance test during pregnancy?

For 10-14 hours before the test, the pregnant woman should not be eaten, you can drink only clean water, in the morning the examination is performed on an empty stomach.

Do not take any medicine, even a vitamin, becauseThis can affect the results of the survey.

Glucose for glucose tolerance test in pregnancy Glucose for glucose tolerance test during pregnancy

This survey is conducted in women's clinics and various private centers.

How is the glucose tolerance test performed during pregnancy?

  • morning woman donates blood to determine the level of sugar
  • If blood sugar is elevated at this stage of the survey, the test is not further carried out and appointed retested in the next day
  • If the level is normal, the expectant mother to give the drink a solution75-100 grams of glucose per glass of water at room temperature
  • After 1 hour and 2 hours, blood is taken for analysis if there is a need for blood sampling and after 3 hours
  • After 2 hours, the glucose level should be normalized, if it isYou will be assigned a second examination

It is important for the correct test results to drink glucose solution immediately, no longer than 5 minutes. For the duration of the test, the pregnant woman should not leave the laboratory and completely exclude physical activity.

Pregnant takes a glucose solution to conduct a glucose tolerance test Pregnant takes a glucose solution to conduct a glucose tolerance test

The glucose solution is sweetly sweet, so a pregnant woman can vomit. To prevent this from happening, the test is not carried out if the woman is suffering from toxicosis.

At what time should I take a glucose tolerance test during pregnancy?

  • The optimal time to undergo this examination is the period from 24 to 26 weeks of gestation.
  • In general, the test is conducted from the 24th to the 28th week, but no later than 32 weeks, becauseThis test poses a serious strain on the body of the pregnant and the later stages can be dangerous for the health of the woman and the fetus
  • If a woman is at risk group, the test is performed at an earlier period - 16-18 weeks

Contraindications for the glucose tolerance test atPregnancy

There are reasons why a woman should refuse to undergo a CTG examination, these include the following:

  • if a woman suffers from serious liver disease, such as pancreatitis
  • in the presence of dumping syndrome
  • if the pregnant woman is diagnosed with Crohn's disease
  • the future mother has peptic ulcers
  • if on the day of taking the test the woman has the symptoms of "acute abdomen"
  • in the future mother's body there are infectious diseases
  • presence of inflammatoryProcesses
  • woman assigned strict bed rest
  • term more than 32 weeks

Norm, results and interpretation of glucose tolerance test during pregnancy

The level of glucose in the blood of a pregnant woman is slightly higher than that of other people, which is necessary for normal fetal development, but there are indicators that it should not exceed.

Thus, the diagnosis "gestational diabetes mellitus" is put in the following survey results:

  • the first morning fasting blood sampling - 5.1 mmol / l
  • when taking blood one hour after ingestion of glucose solution - 10 mmol / l
  • when collecting blood after 2 hours - 8.6 mmol / l of blood
  • through fence 3 hours - 7.8 mmol / l
Blood samples for analysis of glucose tolerance test in pregnancy blood samples for the analysis of the glucose tolerance test in pregnancy
  • If the first examination glucoseIn the blood was higher thanivedennyh indicators, a repeated examination the other day
  • If the suspicions are confirmed, the pregnant woman is diagnosed "Gestational Diabetes┬╗
  • If there are suspicions, but the test is normal, pregnant women are prescribed to pass it again in about 2 weeks, to avoid erroneous results
  • When diagnosing diabetes, the test is repeated after the birth, or rather after 6 weeks, to reveal its cause, i.e.was it associated exclusively with pregnancy or maybe a woman has developed real diabetes
  • Treatment of gestational diabetes is to adjust the future mother of the diet, moderate exercise will also be useful
  • pregnant will have to visit the doctor more often and take more ultrasound examinations to monitor the rangeWeight of the child. Childbirth with this diagnosis is usually prescribed for 37-38 weeks of pregnancy.
Proper nutrition and exercise during pregnancy with diabetes mellitus Proper nutrition and exercise in diabetes mellitus pregnant

How and why to take a glucose tolerance test during pregnancy: advice and feedback

Let's sum up:

  • A glucose tolerance test is a very necessary test that identifies hidden forms of diabetes mellitus of pregnant women or addiction to it
  • The test is conducted mainly in 24-28 weeks, sooner and later if there are reasons for concern, but no later than 32 weeks
  • Blood sampling is done exclusively in the morning and on an empty stomach, the pregnant woman takes a glucose solution and after this the analysis is repeatedRes hour, two and three
  • at elevated rates of blood glucose examination is carried out repeatedly, and have the confirmation of the results diagnosed
  • GTT is not dangerous for the child and the pregnant woman, unless the examination is contraindicated

Reviews pregnant:

Inga, 24 years old.
I went through this examination and I felt sick. However, I was one of the 18 people who gave me up too. So I advise you to release this day so that you do not have to run away somewhere, especially at work. I think it was bad to me because I have little tolerance hungry in the morning, and also sometimes suffer from low pressure. Alina, 28,

.
And I passed this test, and I want to tell you - there is nothing to worry about. If you suffer from diabetes, and none of the family members do not have the disease, then you have nothing to fear. In the first pregnancy, I did not do the test, and the second doctor appointed because of age - 37 years. Examination of free glucose tastes like very sweet hour, everything went well and the results are good, I thought.

VIDEO: glucose level during pregnancy