Glycemic Control-Pregnancy

  1. Does anyone know of a website or have any information that describes what sort of glucose reading goals that a pregnant diabetic woman should have? I cannot find it in my textbooks, and am currently working in OB/GYN. Thanks!
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  2. 6 Comments

  3. by   ldcmw1
    At the institution I work at we like to have fasting blood sugars below 90 and two hour post-prandials below 120. I just read an article on-line that had fastings less than 95 and two hour post-prandials less than 140. I hope this helps.
  4. by   pagandeva2000
    Quote from ldcmw1
    At the institution I work at we like to have fasting blood sugars below 90 and two hour post-prandials below 120. I just read an article on-line that had fastings less than 95 and two hour post-prandials less than 140. I hope this helps.

    :heartbeat It helps tremendously!! I was basically thrown into OB/GYN with no real preceptorship. I really love this clinic, however. I remember reviewing several patients' recorded readings and would see like 110 fasting and the patient would ask me what it should be and had no idea, actually. This happened 3 times, and this was while the physicians were out to lunch, and when I asked the other nurses, they seemed to have no idea, either (scary-huh?). It seems that this clinic is going with what your facility does, fasting <90mg/dL and two hour post <120mg/dL. I am on vacation this week, so, I will make it my business to further inquire when I get back into the trenches. My textbooks didn't answer. Greatly appreciated!
  5. by   tvccrn
    Quote from pagandeva2000
    :heartbeat It helps tremendously!! I was basically thrown into OB/GYN with no real preceptorship. I really love this clinic, however. I remember reviewing several patients' recorded readings and would see like 110 fasting and the patient would ask me what it should be and had no idea, actually. This happened 3 times, and this was while the physicians were out to lunch, and when I asked the other nurses, they seemed to have no idea, either (scary-huh?). It seems that this clinic is going with what your facility does, fasting <90mg/dL and two hour post <120mg/dL. I am on vacation this week, so, I will make it my business to further inquire when I get back into the trenches. My textbooks didn't answer. Greatly appreciated!
    The fasting <90 and <120 PP is pretty much a standard. I don't know if it is written anywhere, but the lower the fasting is the less chance of having macrosomia. I am a type 2 diabetic at 32 weeks and this is what they want for me. The other levels are important, but the fasting one is the one they really, really look at.
  6. by   sjt9721
    Ours is based on the Sweet Success program: http://www.sweetsuccessexpress.com/
  7. by   pagandeva2000
    Thank you all. What frustrated me is (once more), I am sent to a place where I am not really oriented, just dropped in to view a few basic ways to teach and am on my own. No handy policy and procedure manuals at my reach, so, it is like I have to research as I go. My textbooks have not had enough (actually, at this stage of the game, they have too little-just enough to pass NCLEX). Thank goodness for this site!
  8. by   pagandeva2000
    Quote from sjt9721
    Ours is based on the Sweet Success program: http://www.sweetsuccessexpress.com/
    Nice site! I may even order some products or at least suggest them to our clinic. Thank you!

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