Postpartum Gestational Diabetes

Some authorities recommend GTT at 3 months postpartum to detect evidence of persisting DM if fasting values have normalized. This nonpregnant GTT merely measures the 2-hour value after a 75-g glucose challenge. Values of 200 mg/dL or greater confirm type 2 diabetes; values of 160 to 200 mg/ dL and higher indicate impaired tolerance consistent with insulin resistance.

Finding normal glucose values at 3 months does not preclude the onset of type 2 diabetes later, when further changes in body composition occur with aging. Thus a woman with a history of GDM should periodically self-monitor fasting and postprandial values to assess her inherent diabetic risk and demonstrate her motivation to suppress it indefinitely.

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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