instruction: hello doctor I am 5 months pregnant now and I have developed gestational diabetes and consulted with a gynecologist in the nearby polyclinic and made hba1c blood sugar monitoring test and the result is 4 reference range normal up to before pregnancy diabetes range used to be always in normal range nowadays blood sugar while fasting is 130 do I need to start insulin I need your advice I am 24 years old my height is 2 feet and weighs around 105 keg
output: hello welcome to icliniq com I just read your query and from what you have mentioned it appears that your blood sugar is not very high as to start insulin treatment as of now but you need to be closely monitored as regards to blood sugar ultrasound fetal monitoring by an obstetrician and a dietician for low carbohydrate diet consumption try to eat more vegetables like green leafy vegetables and not potatoes which contain high carbohydrates you need to check 50 go oral glucose tolerance test fasting and after hour and hours if still high we need to assess the results and do further tests for the same and then decide whether to start insulin or not maintain blood sugar chart by checking it fasting hour post meal and before bedtime be in touch with a physician avoid rice sweets and sugary drinks take folic acid my once daily I hope this helps