Warning Signs for Gestational Diabetic Patients on Insulin

Warning Signs for Gestational Diabetic Patients on Insulin

(Low Blood Sugar)

Excessive Sweating Hunger, weakness
Headache  Feeling faint/dizzy
Pounding of the heart Vision problems
Trembling/shakiness Sleep/confused
  Irritability/crankiness Numbness/tingling around the mouth
Too much insulin  Too little food
Skipped meal or snack  Delayed meal

More than usual amount of exercise

  • If below 50, eat/drink 15 grams of carbohydrates ( 4-6 oz of apple or grape juice) ½ cup = 4 oz.

  • If between 50-70, 4-6 oz of apple or grape juice or eat meal or snack if it is time for it.

  • If above 80, drink water and rest.

  • Recheck your blood sugar 15 minutes after each step above. Repeat the food if blood sugar has not gone up by 20.

  • Follow with your next meal or snack.

  • Make sure someone you live with knows how to use your glucagon kit in case you are unable to take care of yourself.

  • Do not treat a low blood sugar if you do not take medications to control your Diabetes unless you are feeling ill. Your body will usually correct a low blood sugar.

High Blood Sugar

Increased thirst Nausea and vomiting
Increased urination Loss of appetite
Weakness, abdominal Large amounts of sugar or
 & generalized pain ketones in urine
Too little insulin Numbness/tingling around the mouth
Too much insulin  Too much food
Infection, fever Emotional stress
Skipping meals/snacks

If you are feeling ill and your blood sugar stays above 200 for more than 2 to 3 hours, drink fluids without sugar if possible and call the office. If you had diabetes prior to the pregnancy, you may be developing ketoacidosis which requires immediate medical attention!!
If 200 or higher, check your urine for ketones if you have a urine dipstick.
If you are not feeling ill and your blood sugar is at this level more than 2 times in 2 days, call the office.

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