Discover and read the best of Twitter Threads about #gdm

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“Doctor, what should be my targets for Hba1c, Fasting and Post meal (PP) glucose?”

Many of our friends with Diabetes have this question. I will try to explain in the thread below.

#Diabetes #GlycemicTargets #HbA1c (1/n)
HbA1c should be done at least 2 times a year if goals are met and glucose control is stable,

Done more often if goals not met or there is change in the medicines.

A1c goal for many non pregnant adults is < 7% without any significant hypoglycaemia.

#Diabetes #HbA1c (2/n)
Tighter HbA1c goals ( less than 7%) may be considered in some.

Less stringent goals (less than 8%) may be appropriate in pts with limited life expectancy or side effect of drugs.

Individualisation of glycemic targets is a must. It’s not a one size fits all criteria.

(3/n)
Read 11 tweets
Me: Since how many years u have Diabetes?

Patient: Sir, I had ‘borderline diabetes’ since 5 years. Not on medicines, only diet. First time now, I have checked in yrs,sugars 220 (Fasting) 310 (after food)

What’s ‘borderline diabetes’ Thread. #PreDiabetes #Medtwitter (1/n)
What is #Prediabetes

When glucose levels don’t meet criteria for Diabetes but r still high to be considered normal. Includes

1. IFG - Impaired Fasting glucose - FPG 100-125 mg%

2. IGT (75 gm OGTT)- Impaired Glucose Tolerance - 2 hr PG 140-199 mg%

3. HbA1C - 5.7-6.4% (2/n)
#Prediabetes increases future risk of Diabetes and cardiovascular disease (CVD).

It may be a/w Obesity, Dyslipidemia (deranged cholesterol levels) and Hypertension (high blood pressure) (3/n)
Read 9 tweets

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