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Q : I have diabetes and currently 22 weeks pregnant. On some days, after taking rapid insulin, my sugar level goes to 7.2 to 8 after lunch. After evening snack before dinner it was around 5.7 to 6 and after dinner it comes to 5.4 due to medication. I am very worried about my baby’s health. My last HBA1C by 4th month is 5.6.

A : Control of sugar levels in pregnancy is very important to ensure health of both mother and baby. It seems like your sugar levels are not optimally controlled currently for certain readings in a day.

Suggestion : Monitor your sugar readings as prescribed by your OB and review the readings together. The dosage of insulin may need some adjustments. if the readings are persistently out of range, your OB may refer you to see an endocrinologist. See a dietician to review your daily diet – good dietary control can complement medications to control blood sugar. If after meal readings are high, consider light exercise like going for a 20 minute walk after a meal. This can help to improve the post meal sugar reading. Discuss with your doctor the suitability of exercise in your case.
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About the Author
Dr Hong specialises in obstetric care and management of general gynaecological conditions, including management of endometriosis and advanced laparoscopic surgery. As a mother of one, Dr Hong is a strong advocate of natural birth and breastfeeding and believes in supporting women’s choices regarding their health.

Read more about her.

Dr. Hong Sze Ching
Consultant General Surgeon
Obstetrician & Gynaecologist

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