There are certain “risk factors” we take into consideration for diabetes and gestational diabetes. Just because you have one or more of these “risk factors” does not mean you automatically have diabetes. But the more risk factors you have does increase your chances of having blood sugar problems of some kind. Risk factors are based on statistical data that has shown certain people are at higher risk statistically speaking. So, if have any of these “risk factors,” we will recommend a simple blood test called the A-1C test. This test does not include fasting. It does not require you to drink or eat anything sweet. The A1-C test is effective at catching undiagnosed diabetes. If diabetes is discovered in early pregnancy, it is not gestational diabetes. But it is very important to know if you have any kind of diabetes during pregnancy so that it can be treated in order to assure a healthy outcome for both you and your baby.
If you have any one of the following risk factors, we will recommend an A1-C test during your first trimester.
- Non-Caucasian Race
- BMI ≥ 25
- A history of gestational diabetes in a previous pregnancy or pre-diabetes
- A previous baby that was over 9 lbs
- A previous shoulder dystocia during the delivery
- An unexplained still birth or malformed infant
- A first degree relative with diabetes (parents or siblings)
- Glucose in your urine
- Taking any medications that raise the blood sugar: steroids, betamimetics, atypical antipsychotics
- Polycystic ovarian syndrome, cardiovascular disease, hypertension, hyperlipidemia