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Can you have glucose in your urine despite having normal blood sugar levels?

(12 Posts)
Hiccuping Sat 24-Feb-18 04:12:20

I'm pregnant and had a little bit of +sugar in my urine so was asked to monitor my blood sugars after meals and when I woke up. I have monitored for nearly 4 weeks and the diabetes midwife was happy for me to stop monitoring as my numbers were all within range.

However in my last midwife appt I had +sugar in my urine and she said that they would probably induce me which I so don't want ( previous induction which was really traumatic).

I find this really odd. Surely if I'm ok and baby is ok then I should be allowed to go full term and go into labour naturally.

It really upset me and has to the worried about the birth.

I feel like this is all based on a bit of sugar in my urine. But can you still get sugar in your urine even if your blood sugar is within range.

Has anyone had experience of anything similar. Any advice would be appreciated. I can't seem to find any info online.

adayatthebeach Sat 24-Feb-18 04:24:53

My mother was a insulin dependent diabetic and before they came out with glucose meters she tested her urine. She told me if your sugar is above normal it spills into your urine. Why not test your blood again to see for yourself. Is she’s watching you for preeclampsia also?

Hiccuping Sat 24-Feb-18 04:29:52

My blood pressure has been fine . Is that what's pre eclampsia is?! Sorry for being ignorant if not.

I have been testing all day for nearly 4 weeks and not once have I had a reading over the limit. I have also tested several times between meals too and at night to just see what my sugars are like. So lots more testing than what they wanted me to do and I've had all within normal range.

Bue Sat 24-Feb-18 05:07:58

It is not uncommon to spill glucose into your urine in pregnancy. If your blood glucose levels have been fine and the diabetes nurse/midwife has told you to stop, they are not going to induce you based on this. And you can refuse anyway. (As an aside, doing a urine dipstick at every antenatal appointment is no longer best practice but for some reason the NHS persists with this.)

Callamia Sat 24-Feb-18 05:58:39

Yes! With my first child, I was trace/+1 everytime. I had several GTTs, and a HbA1C - all normal. I saw the diabetes specialist midwife once, and she was unconcerned.

I did manage to not get positive urine readings when I went to my midwife appointments before breakfast, but that’s probably not ideal. The best reason I was given for it was that my kidneys were working hard with pregnancy, and were ‘leaky’ - I don’t think that’s solid medical terminology, but no one was worried after the blood test results anyway.

I ended up having my son in the birth centre, and all was ok. I didn’t have the same issue in my second pregnancy at all.

KochabRising Sat 24-Feb-18 06:03:30

Yes you can. However you should never assume and ignore it. You’ve monitored and seen Normal readings so yes it could just be spillover.

You don’t have to consent to induction. Go back, speak to your midwife and put your case. You’d be wise to not refuse if they can give you concrete evidence that you have sugar control issues, but you’re within your rights to challenge this and ask for a more concrete reason to induce

flumpybear Sat 24-Feb-18 06:07:05

You can get leaky kidneys when pregnant and it dies t automatically mean GDM but you need to seek medical support to check

Hiccuping Sat 24-Feb-18 07:22:56

bue she said that it was high sugars that was causing the sugar in urine even though I showed her my reading record book.

Callamia that's me now- trace or + glucose almost everytime. It's so frustrating! I've already had 2 gtt tests done which came back fine.

KochabRising I genuinely don't believe I have any blood sugar control issues. I will find out next week in my last scan what the consultant advises.

Pythonesque Sat 24-Feb-18 07:35:46

An average midwife may well understand that glucose in the urine is there because the blood sugars are too high. The diabetes midwife, and the obstetricians, will also know that the threshold for kidneys to let glucose into the urine can be reduced in pregnancy which is what your readings are most consistent with.

Knowing that you probably have this reduced threshold, any decisions relating to glucose levels have to be based on blood glucose levels.

It's hard when you get mixed messages, but quite common unfortunately. Hope things continue to go smoothly!

KochabRising Sat 24-Feb-18 07:37:56

Talk it through with the consultant. Explain your reluctance to undergo induction and tell them you are deciding whether to consent to it. Ask what the alternatives would be and the risks and benefits of each. Make a decision from there. Remember the consultants do have the experience and expertise but it’s also your body and you need to understand their reasoning and be an active participant. They may have a very good reason to want to induce you and if so you’d be unwise to refuse, but if it’s purely a tick box trigger on these results then it’s worth exploring more. Polite, firm, informed all the way.

Hiccuping Sat 24-Feb-18 12:05:24

Thanks everyone. This has made me feel a bit better. Just feel sometimes you can get railroaded into doing something you're not comfortable with.

Hiccuping Mon 26-Feb-18 17:59:56

Appt is tomorrow. I'm really anxious and worried about it. I also now want a home birth! Not sure if I'm asking for too much here though!

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