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Pregnancy and Type 2 Diabetes

What Is "Uncontrolled"?

So, we know that uncontrolled blood sugar during pregnancy can cause many problems, but what is considered "uncontrolled"? There is no cookie-cutter number that everybody agrees on when managing blood sugar in pregnant women. Here are some current recommendations:
 
  • American Diabetes Association (ADA) recommendations:
    • HbA1c as close to normal (7 percent) as possible before becoming pregnant
    • Preprandial (before eating), bedtime, and overnight glucose concentrations between 60 and 99 mg/dL
    • Peak postprandial (after eating) glucose concentrations between 100 and 129 mg/dL one to two hours after eating a meal.
 
  • American College of Obstetricians and Gynecologists (ACOG) recommendations:
    • Fasting glucose concentrations less than or equal to 95 mg/dL
    • Preprandial (before eating) glucose concentrations no higher than 100 mg/dL
    • One-hour postprandial (after eating) glucose concentrations no higher than 140 mg/dL
    • Two-hour postprandial (after eating) glucose concentrations no higher than 120 mg/dL.
 
With all these numbers, you might feel that achieving these recommendations is impossible. Don't give up! Every person with diabetes is different, so ask your doctor about goals that will be most beneficial for you. If you feel like you can't safely achieve your goals without dipping down into dangerously low blood sugar, be sure to bring up your concerns with your doctor.
 
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