Blood sugar is 177 in the 20th week of pregnancy, HbA1c is 5.24,and sugar in urine is present +++.What does it mean please tell.

Dr. Prabhakar Laxman JatharEndocrinologist47yrs exp

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Hello, Thanks for the query. Please get an Oral Glucose Tolerance Test (OGTT) done with 75 g of glucose and then look at the glucose levels, that will give a clear picture whether you have gestational diabetes. If it is present then there is a need to start appropriate treatment preferably with Insulin injection. Glucose levels have to be maintained between 90 to 120 mg all through out the day. Fasting glucose has to be < 92 mg and 2 hour should be < 153 mg. If you have any doubts please do come back. It is essential to achieve a strict glucose control. Otherwise it would affect the fetal growth and outcome of the pregnancy. Thanks.  

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