How to evaluate gestational diabetes test results?

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Hello doctor. The doctor told me that I went for a fasting blood sugar test of 74 mg/dl, after 1 hour the reading was up to 180mg/dl, the second time it was 131mg/dl. Can I ask if I have gestational diabetes? Cuc (Ho Chi Minh City)
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Hello. In the glycemic tolerance test for pregnant women (weeks 24-28 of pregnancy):
1st glucose: < 5.3 mmol/L (< 95.49 mg/dL) 2nd glucose: < 10.1 mmol/L (< 181.98 mg/dL) Third glucose: < 8.6 mmol/L (< 154.95 mg/dl) According to the standards of the International Association of Diabetes and Pregnancy Study Groups (IADPSG) and American Diabetes Association (ADA).
If fasting blood glucose > 7.0 mmol/L (126.12 mg/dl), the pregnant woman has clinical diabetes. If one or more of the three parameters is greater than the above value, it is gestational diabetes. In a normal pregnant woman, all 3 parameters are smaller than the above values. Your fasting blood glucose (1st time) is 74 mg/dl (4.1 mmol/L), after 1 hour (2nd time) it is 180 mg/dl (9.99 mmol/L), after 2 hours (3 times) is 131 mg/dl (7.27 mmol/L) all within the normal range of the test. Therefore, you do not have gestational diabetes.
During pregnancy, you should go for a regular pregnancy ultrasound, so that your doctor can advise and give you the best advice. You can register for an examination at the nearest Vinmec Health System hospital.
Thank you for submitting your question to Vinmec Health System.
Consulted by Master, Doctor Do Thi Hoang Ha - Doctor of Biochemistry - Laboratory Department - Vinmec Hai Phong International General Hospital

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