The Association of Diabetes

Association of Diabetes (ADA) and therefore the method currently used in our environment

It consists of oral tolerance test with overload (OGTT) of 75g of glucose (Table 2). Kyle Leon The Most Professional Fitness Experts

According to WHO, it must be held between 24 and 28 weeks of gestation, except in high-risk pregnancies or those who have positive screening.

In these patients the test should be earlier, usually at 20 weeks. Still referring to high-risk pregnancy, if the initial screening is negative, it should be repeated between 24 and 28 weeks (7).

Table 2: patterning with 75g OGTT glucose (WHO) (5)

1 - Intake minimum of 150g of carbohydrate in the 3 days preceding the test. Habitual physical activity
2 - Fasting 8 hours (water intake is allowed).
3 - No smoking or walking during the test.
4 - Annotate medications and complications that can affect the test.
5 - Eating 75g anhydrous glucose dissolved in 250-300 ml of water within 5 minutes.
6 - Immediately Centrifuge blood collected for plasma and blood glucose measurements.

If not possible, collect the blood in fluoride tubes and keep them cold (4 º C) until centrifugation, which must be done quickly. For the diagnosis of GD, WHO recommends the use of fasting and 2 hours, using the same values adopted outside of pregnancy: Who is Kyle Leon?

Fasting 126 mg / dl and 2-hour plasma glucose 140 mg / dl (8). The fourth Workshop Diabetes adopts slightly different values: fasting for 95 after load 1h 180 2h and 155 mg / dl (1).