Mogtt

Izzat Mubarak: Dr Shaiful why is ogtt repeated at 3rd trimester(late pregnancy) at 30 wks when at that time we already know that blood glucose will be high at that time?? Simply said it is non informative.

In the words of Dr Muna "it is a malpractice performing mogtt at 3rd trimester"

P/S: Im sorry that it is already resting time

Dr Shaiful Ehsan: Assalam izzat....
It is NOT A MALPRACTICE performing OGTT at 3rd trimester...

IT IS IN OUR GUIDELINE AND UNIVERSAL GUIDELINE....

I am not sure why she said like this...
But try to look at guidelines and facts rather than someone's opinion only....
If u really wanna follow someone's opinion....then u can quote those expert in O&G (preferably local o&g which PRACTICE clinical in Msia)...

I would like to quote Dr Rachel's O&G consultant HOSHAS....
"OGTT  can be repeat at any weeks if new indication arise....eg polyhydramnios, excessive wt gain & suspected big baby durinh scan & ect...)

If there is RIsk factors for GDM, need to be done early for the 1st time (preferably around 12 weeks) and repeat 2nd time at 28 - 30 weeks...

Bear in mind...that's already a 3rd trimester....

Nevertheless, we already understand that GDM is related with hormonal changes in pregnancy which is diabetogenic....
Normal pregnancy would be able to adapt to this changes without expressing hyperglycaemia in blood....
But those GDM mother, they unable to adapt and exhibit intolerance / GDM.....

 Izzat Mubarak: Wasalam...thank you dr shaiful.👍

Yupp the more weeks of pregnancy, the more diabetogenic hormone there is....
And once the risk factor and indicator is there.....They need to be detected....
What's the point of doing ogtt at the point of most would able to adapt....we definitely do not want to miss the critical point as well....
Tq



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Liza: Dr, for mogtt, if fbg 6.2 then 2hpp 6.2 as well, pts diagnosed as gdm or not ?

 Dr Shaiful Ehsan: Fasting more than 5.6....we need only one reading to be high...so it is GDM...

 Kalau mcm ni....most likely yg glucose water tu dia tak minum betul....sebab tu tak berapa naik....
Sorry pt memang mcm tu....sometimes...