25 year female and 4 months pregnant. Vaginal bleeding since 2months. Fasting and ppbs sugar levels are 83, 99 resp. But gtt values are 170, 164, 120, 99 each taken at half an hour intervals. 15th week scan said placenta is 2cm above os. Does my sugar level variation cause vaginal bleeding or is it due to low lying placenta? please help me soon. I am worried.

Dr. Sajeev KumarGeneral Physician34yrs exp

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You have impaired glucose test. You check your thyroid profile also. Placenta is not too risky as per the report. It is not as easy task to control blood sugar in the desired normal range. Whatever we eat is metabolised to sugar in the body to provide energy for our daily activities. For the absolute control, one has to monitor his / her blood sugar at regular intervals (self-monitoring of blood glucose? smbg). Though difficult, this can be done by a glucometer and keep a record. Get an idea of fasting sugar (fbs) and 2 hours after food (ppbs) and check before dinner and after every major food. The basic idea is to reduce the food intake to 1/3 of what you take now. The dictum of sugar control is diet, exercise, diet + medicine and at later stage medicine+ insulin will be needed. For sugar control there is the need for regular advice and follow up. Just one time consultation or advice is not enough to guide a diabetic in scientifically & medically correct manner. For giving you regular follow up you ask me privately with all details like your daily eating pattern and medicines you take. I assure you a proper guidance. If you keep in touchly, 

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