South
Dakota
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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