Question
At 21 weeks + 2 pregnant, 158cm tall, weighing 84kg, with a pre-pregnancy weight of 81kg, currently with a glycated hemoglobin level of 10.2, is this a sign of gestational diabetes?
Answer
A woman at 21 weeks + 2 pregnant, 158cm tall, weighing 84kg, had a pre-pregnancy weight of 81kg, and currently has a glycated hemoglobin level of 10.2, which is above the normal range of 4-6.4. The doctor recommends undergoing fasting blood glucose and 50g glucose tolerance tests. Different hospitals may use different testing methods, so the standard values may vary; the values on the test report should be used as a reference. Glycated serum protein reflects the blood glucose fluctuation levels over the past 2-3 weeks and has poor stability and larger errors. Generally, glycated hemoglobin is used as a reference. Monitoring blood glucose levels several times can help determine if there is diabetes; if all are within the normal range, this issue can be disregarded, and it is mostly unlikely to have diabetes. If there is protein in the urine routine, it can be referred to the blood routine for judgment on whether there is an infection, and a urinary system ultrasound can assist in diagnosis. If urinary tract infection is present, a follow-up examination should be conducted after antibiotic treatment. Wishing for a speedy recovery.