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Gestational Diabetes Care Guidelines

Blood Glucose Monitoring

  • All patients with GDM should do home glucose self-monitoring with fingerstick blood glucose. A blood glucose meter with memory is ideal. (Hemoglobin A1C may be useful, but normal results may be falsely reassuring)
  • Check fingerstick blood glucose levels (FSBG) 4 times per day (fasting and 1- or 2-hour postprandial) for 1 week.

Optimal fingerstick blood glucose values

Time

mg/dl

Fasting

<95

1 hour postprandial

<130

2 hour postprandial

<120
  • Decrease testing to 2 days per week (4 times per day), after one week if all values are optimal.
  • Resume or continue daily testing 4 times per day if there are any values above optimal range.
  • If insulin is required resume daily testing 4 times per day (more often if clinically indicated).

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