Gestational diabetes is mostly a temporary condition. Normally, the carbohydrates we get from food are digested and pass into the blood as sugar (glucose) and are used by our cells as energy. When you consume a food containing carbohydrates, a hormone called insulin is produced by the pancreas organ. The function of the insulin hormone secreted by the pancreas is to keep the sugar level in the blood balanced by entering the glucose obtained from food into the cell. However, pregnancy hormones secreted during pregnancy make it difficult for insulin to take glucose into the cell, and this causes blood sugar to rise in pregnant women. Gestational diabetes can occur after the 20th week of pregnancy. SUGAR
WHEN SHOULD THE LOADING TEST BE DONE?
If your pregnancy is normal and healthy and you do not have any complaints, the risk of gestational diabetes is investigated by performing a glucose (sugar) screening test between the 24th and 28th weeks of pregnancy. . However, if you have symptoms of diabetes such as rapid weight gain, frequent urination, or drinking too much water, it is recommended that this screening test be performed in the previous weeks. SUGAR
HOW IS THE LOADING TEST DONE?
To determine gestational diabetes, a glucose screening test is performed between 24 and 28 weeks. The fact that there are untrue rumors about this test raises questions in mind, but you should not worry. Because 50 g of glucose used for the test is not actually an amount to be afraid of. 1 slice of bread contains 15 g, 1 medium-sized orange contains 18 g, and 1 teaspoon of honey you consume for breakfast contains 5 g of carbohydrates, that is, sugar (glucose). Therefore, loading 50 grams of sugar at a time will not cause any health problems. During the test, a plastic-covered needle is inserted into your arm and blood is taken. This needle remains in your arm for 2 hours and a new needle is not inserted.
GLUCOSE SCREENING TEST:
The expectant mother is made to drink 50 grams of glucose for screening purposes, at any time of the day, on an empty or full stomach; Blood sugar is checked an hour later. If the blood sugar is below 140, everything is normal, but for pregnant women whose blood sugar is above 140, a 3-hour sugar challenge test (OGTT) with 100 grams of glucose is planned and a definitive diagnosis is made. OGTT (ORAL GLUCOSE
TOLERANCE TEST:
The most Fasting for at least 8 hours is required. In the morning, fasting blood sugar is checked and the expectant mother is given 100 grams of glucose to drink; Then, blood sugar is measured every hour for 1 hour. In a normal pregnancy, blood sugar is expected not to exceed the values in the table below. Fasting Blood Sugar 95 mg/dl 1st hour after loading 180 mg/dl 2nd hour after loading 155 mg/dl 3rd hour after loading 140 mg/dl SUGAR
WILL LOADING TEST HARM THE BABY AND THE MOTHER ?
Sugar loading test, which has been the subject of many discussions in recent years. Sugar loading test in pregnant women is an internationally accepted practice. The 50-75 grams of sugar given for the test does not harm the mother or the baby. The only risk of this test is that of getting an injection. If gestational diabetes is detected as a result of the analysis, your doctor should refer you to a dietitian to monitor your nutrition.
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