Question
A patient inquired about the results of a 75-gram glucose tolerance test, reporting blood sugar levels of 8.7 one hour after the test and 7.9 two hours later, without having undergone a fasting blood sugar test.
Answer
Generally, the normal range for fasting blood sugar in individuals is between 3.9 and 6.1 millimoles per liter, and blood sugar levels two hours after a meal should not exceed 7.8 millimoles per liter. Blood sugar levels at any given time should not exceed 11.1 millimoles per liter. The patient’s elevated blood sugar may be due to various hormones produced during pregnancy, which may counteract insulin or accelerate glucose metabolism, leading to increased blood sugar levels. Typically, blood sugar levels return to normal after delivery, but regular checks are necessary. It is recommended that the patient have their blood sugar rechecked after some time. If the results remain high, it may indicate gestational diabetes. In this case, it is advisable to consult an endocrinologist. Meanwhile, the patient should ensure adequate rest, consume more fresh vegetables and fruits rich in fiber to slow down glucose absorption, avoid consuming fatty and spicy foods, adopt a method of eating several small meals instead of a few large ones, engage in moderate exercise to burn excess glucose, quit smoking and drinking alcohol, and regularly check their blood sugar. If any issues arise, they should seek medical attention immediately. Wishing the patient good health!