khorshid
Forum Guru
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between these two I'll say A. for the following reasons: We have glycosuria in a lot of pregnant women due to lower threshhold of kidneys. U/A for glocuse is not even sensitive, false positive cases outnumber true positive ones. usually gestational diabetes happens later in pregnancy, that's why the screening is between 24-28 weeks. Even if I want to do something that won't be fasting glucose, it will be 1 hour 50 mg test.
But correct me if I am wrong (and also no significant ob and pm hx , means her prenatal tests had not shown DM.)
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| Sin-M
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Thank you, khorshid I totally agree with you but uw says B. I will reassure and f/u my pt in actual exam b/c I disagree uw. in 12 wks there isn't much hpl to cause gdm.
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| cirus
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I know this q from UW, the ans is b & this is why
I totally agree Khorshid that it most probably is benign d t decreased threshold, but Gest diab will also lead to IODM so u must rule it out first for the safety of the baby, so the ans is fasting blood sugar (Better safe than sorry)
The other ans there about screening aren't appropriate as ur not screening, ur diagnosing, & u don't diag it by 1 hr or 3 hrs tests
Hope that helps
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| Sin-M
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But it is fasting urine sample.
Treshold is 195 NL, 155 in pregnant.
I never saw fasting urine sample before
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| Sin-M
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By the way thank you cirus and khorshid.
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| cirus
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Kid glucose threshold is quite variable, this was clearly explained on the Kap videos, never relly on Kid threshold for diag, as it varies from one to another..i.e. u may have a sugar value of 300 & still no gluc in urine
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