Glucose tolerance test (oGTT)

The glucose tolerance test (OGTT) in the 22 to 24 weeks of pregnancy to determine if you suffer from gestational diabetes. The symptoms: elevated blood sugar and sugar in the urine. Learn more about the process and the results of the glucose tolerance test.

When talking about diabetes, we think high blood sugar levels due to sugar metabolism disorder (glucose tolerance disorder). Usually disappears gestational diabetes after giving birth again, but this need not always be that way. About five to ten percent of pregnant women are affected. Approximately 85 percent of these patients a therapy using full-fledged and healthy diet is sufficient to combat the diabetes successfully. With an estimated 15 percent, however, insulin therapy is also required. More about the gestational diabetes you can find out in our article "What is gestational diabetes?".

What is the glucose tolerance test (OGTT)?

In the screening, among others, your urine is examined. Should be possible to demonstrate a high sugar levels there, you will be a glucose tolerance test, called the oral glucose tolerance test (OGTT), is recommended. Using this test, the exact sugar content can be determined in your blood. It is a glucose drink containing 50 grams of glucose. After taking about an hour to wait. Then your measured blood sugar levels. In a blood sugar level of more than 140 milliliters per liter of a minor suspected gestational diabetes. To confirm the suspicion of complete oral glucose tolerance test (OGTT) is performed. Here you have to drink the glucose drink on an empty stomach. Blood glucose is then measured at various intervals. If the content is too high, it can happen to you that you will be transferred to a specialized medical practice.

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Who should make the glucose tolerance test?

Does your doctor for a urine test under the checkups unusual values ​​determined, he will advise you to detailed glucose tolerance test. If you are under severe thirst and fatigue suffer, so get advice from your doctor and let Check your urine tests. Particular attention should be women who meet one of the following:

  • expectant mothers who received early in pregnancy gestational
  • Women whose BMI, body mass index over 30 is
  • Women with a family history of diabetes cases have occurred
  • was women whose own birth weight greater than 4,000 grams
  • Women who have already given birth to the world that a birth weight of more than 4000 grams had
  • Women who repeatedly suffered miscarriage

Consequences of gestational diabetes

If you decide you for a diagnosis or a treatment that may lead to a sharp increase in your amniotic fluid. Also, you have to reckon with an abnormal size and growth of your child. Additional risks and possible consequences you can see "What is gestational diabetes?" Read.

How much is the glucose tolerance test (OGTT)?

So far, the health insurance companies cover the cost of a glucose tolerance test (OGTT) only when a known risk or reasonable suspicion for gestational diabetes is present. All other patients should the investigation so far often still pay out of pocket (cost about 20 euros). The gynecologist or the family doctor performs the glucose tolerance test (OGTT). Indicates the first test at a gestational out a stress test in a diabetes clinic or a diabetic Schwerpunktpraxis can provide absolute security.

What to do with gestational diabetes?

If with you gestational diabetes have been found, you will certainly give advice on how you can reduce your blood sugar levels to your gynecologist. He will analyze your eating habits and recommend you a change of diet. That means less sugary food, more whole grains and healthy fats. In addition, exercise is extremely important. At least 30 minutes a day should do the trick, because exercise can lower blood sugar levels sustainable. Should it be with you already be a highly developed gestational diabetes, is your doctor give you insulin injections and you also recommend regular ultrasound examinations.

If you should already be diabetic and you definitely want a child, then your doctor will ensure that you have a balanced blood sugar levels during your pregnancy. To prevent developmental problems in your baby, your doctor you will turn prescribe the intake of folic acid. Three months after delivery, another glucose tolerance test is performed.


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