Question
At 21 weeks + 2 days pregnant, with a height of 158cm and a weight of 84kg, the pre-pregnancy weight was already over 81kg. The glycated hemoglobin test result was 10.2, which is above the normal range of 4-6.4. Inquire about the differences in testing methods between different hospitals and the meaning of glycated hemoglobin levels.
Answer
A high glycated hemoglobin (HbA1c) level may be a sign of gestational diabetes. Different hospitals may use different testing methods that can affect the results, so the standard values on the test report should be followed. Glycated hemoglobin reflects blood sugar levels from the past 2-3 weeks but has poor stability and a large margin of error. Generally, if glycated hemoglobin is used as a reference and blood sugar levels are within the normal range after multiple monitoring, gestational diabetes can be ruled out. It is recommended to monitor blood sugar levels and take appropriate measures based on the test results and the doctor’s guidance. If there is protein in the urine, refer to the blood routine to determine whether there is an infection, and perform a urinary system ultrasound examination to assist in diagnosis. If urinary tract infection is present, re-examine after antibiotic treatment. Wishing for a quick recovery.