Hello and thanks for your queries at Doctor Spring.

Your wife has done glucose tolerance testing for gestational diabetes. Be assured that the test results are negative for gestational diabetes and you do not have cause for concern. The test is designed to test the body's response to a glucose challenge. That is the reason for the initial fasting blood glucose check and then the subsequent checks at 1,2 and 3 hours thereafter. The fasting levels gives a good baseline check and your wife is in the normal range. After the challenge, her levels are spiked up to 204 and although this is high, it is still considered normal. The hormone insulin regulates glucose levels in the blood and her system is working well seeing as how in the hours thereafter, the levels are back to normal.

The lower level at the 3 hour interval should be considered normal and should not cause concern. Understand that there is always some individual variation in each and every person. There is no such thing as partial gestational diabetes, and you either have it or you don't The overall results of the test show that your wife's insulin/glucose regulation is working well and she has tested negative for gestational diabetes. This should put your concerns to rest.

Take care and please ask any follow up questions, if any.

Impaired glucose tolerance is a situation where the blood glucose levels are elevated even after 2 hours of a glucose challenge, but not high enough to call it diabetes or warrant treatment. Impaired glucose tolerance can be associated with cardiovascular risks in the future and in some cases can progress to diabetes.

Having said that however, your wife's test results do not meet the criteria for impaired glucose tolerance or gestational diabetes. She would need to have high blood glucose levels even at 2 hours after the glucose load. At 2 hours your wife's glucose levels are returning back to normal, and then have normalized thereafter by the third hour. Yes, sustained high blood glucose can have affects on the baby and is the condition known as gestational diabetes. However, be assured that your wife is not currently at risk for those complications as she has good control over her blood glucose levels. Pregnancy is a metabolically demanding situation under normal conditions. Your wife will need regular visits to her physician to monitor the progress of her pregnancy and ensure that she has adequate nutrition and weight gain ensuring a healthy baby and mother.

Take care and be well. Please ask any questions as follow ups, if any.

Hello and thanks again for your queries at Doctor Spring.

The reason why ferritin levels are checked is because it can indicate iron deficiency as a cause of anemia. Although her ferritin levels are low, her hematocrit is good as you have mentioned indicating that she is not anemic.

Low ferritin levels have not been associated with adverse affects of pregnancy. Also, supplementation with iron pills has not been shown to provide any benefits of pregnancy when there is no anemia present. I suggest you monitor her hematocrit at each visit to the doctor to make sure she does not develop anemia due to iron deficiency. If her blood count drops, then iron supplementation is warranted.

In the meantime wait and watch. The reason is being is that high levels of ferritin is associated with preterm birth and complications. Iron pills may increase her levels unnecessarily. Conservatively, it is not advisable to treat her for iron deficiency anemia when her blood counts are normal. Work closely with your local physician in monitoring her pregnancy at regular intervals.

Take care and be well.