Primordial Prevention of Gestational Diabetes Mellitus A Novel Approach
Description
Objective: Pregnant women should be tested for Post-Prandial Blood Glucose(PPBG) by the 8th week (2 months) with the value of 2hr PPBG 110 mg/dl as a Cut-off so that adequate time is available to control blood glucose within this range otherwise; fetal insulin will start secreting if blood glucose goes beyond 110 mg/dl by 11th week, and therefore within this crucial period blood glucose can be controlled with medical nutrition therapy(MNT), exercise, and Metformin 250 mg twice daily throughout pregnancy.
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Steps to reproduce
All pregnant women are being tested for 2-hr PPBG at the 8th Week of Pregnancy, with a cut-off of 110 mg/dl. If PPBG is >110 mg/dl in the 8th week, they will be treated with MNT, Exercise, and Metformin 250 mg twice daily until the end of the pregnancy.