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HABC1 blood result gestational diabetes turning T2???

9 replies

ThisHangryDeer · 23/11/2024 14:57

Hello everyone! Hoping someone can share some advice and thoughts on my situation. Was diagnosed with GD at 34 weeks pregnant. 0.2 over on 1hour post sugary drink. Fasting and 2hour reading were both 4.4. My HAB1C (I think that's what it's called -2/3month average) at 34 weeks was 29. Was diet controlled for rest of pregnancy with no spikes which is good and made me wonder if I actually had it or just mildly if that's a thing? Baby born average size at 41weeks.
However since then I had a HAB1C result at 12 weeks postpartum and I was shocked to see it was 38 - so sounds significantly higher than the one in pregnancy. I had been eating some carbs and sugar but not loads, just more than in pregnancy as im exclusively breastfeeding (I thought would help???) also have 2.5year old too, so life is busy and both baby and toddler wake at night 😵‍💫 Anyway from what I've read online my result is close to pre-diabetic. Doctor says it's normal and brushed me off. I feel super anxious about it though as my dad has Type 2.
I am being mindful of what I eat and follow glucose goddess advice.
What are people's thoughts on my HAB1C being higher than in pregnancy? Does it sound like I'm on the way to T2? Do breastfeeding hormones have any influence? Maybe I'm kidding myself looking for reassurance and have to just accept the HABC1 result.
Thanks in advance! Anxious Annie here!

OP posts:
Mmr224 · 23/11/2024 15:05

I would say 29 is really quite low to be honest. 38 is a little high but I get tested periodically and I run between 34 and 37, including 2 pregnancies in my 40s. I was also told I had gestational diabetes with one pregnancy, but even the midwife thought this was wrong as I didn't have a single high reading in 7 weeks after I started monitoring and I also didn't change anything about food or excersise. Baby was born 7 lbs at 37 weeks so not exactly huge. I would suggest if you are concerned, to get a repeat in 3-6 months. You should also be offered annual testing now you've been diagnosed with gestational diabetes .

ThisHangryDeer · 23/11/2024 15:46

Thank you!! X

OP posts:
InfoSecInTheCity · 23/11/2024 15:54

I'm T2, also had GD 10 years ago. My most recent HbA1C was 54 / 7.2% which was a huge improvement 9n my diagnosis result in a August when isn't was 72 / 11%

Diabetes is diagnosed if the result is anything over 48 / 6.5% so you are within the normal range.

PotatoFan · 23/11/2024 17:03

38 is completely normal, not prediabetic or diabetic

ThisHangryDeer · 23/11/2024 18:54

thanks all. But isn’t it strange that my HABC1 was 29 at the end of my pregnancy (34weeks) and is so higher 12 weeks post partum? I assumed because I had GD that my insulin resistance would be worse in pregnancy not right after?

OP posts:
Mmr224 · 23/11/2024 23:08

ThisHangryDeer · 23/11/2024 18:54

thanks all. But isn’t it strange that my HABC1 was 29 at the end of my pregnancy (34weeks) and is so higher 12 weeks post partum? I assumed because I had GD that my insulin resistance would be worse in pregnancy not right after?

Honestly, I'd be dubious that this was correct as 29 is pretty low. I'd definitely try to get a couple of readings over next 3-6 months as comparison

Orangebadger · 11/01/2025 09:50

ThisHangryDeer · 23/11/2024 18:54

thanks all. But isn’t it strange that my HABC1 was 29 at the end of my pregnancy (34weeks) and is so higher 12 weeks post partum? I assumed because I had GD that my insulin resistance would be worse in pregnancy not right after?

I know this is old, but as a HCP working within diabetes and in antenatal care, HbA1Cs are not very accurate in pregnancy due to Haemodilution. This means that you have increased your blood volume a lot while pregnancy to support baby. This can lower your Hb, which is the cell the HbA1c is taken from. So it's pretty normal that in pregnancy we see lower HbA1cs.

An HbA1c of 38 is totally normal so do not worry.

LIZS · 11/01/2025 10:02

38 is not high, certainly not in t2 range. Have your eating habits changed in the meantime?

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