I am 45 days days? pregnant and having fasting sugar is 102 and pp is 142. What can I eat now? Even my tsh is 16. Help me to get a healthy baby.

Question

lybrate-user, Thanks for the query
During pregnancy blood glucose needs to be maintained between 90 to 120 mg through out the day. You have much higher values. These can lead to a number of issues with fetus. Also lead to increased weight in the fetus (macrosomia) and at times very bad consequence. You have to start taking Insulin to control blood glucose urgently.
Secondly TSH needs to be maintained around 2 to 3 mU/L during the pregnancy. I am surprised these instructions have been not given to you or you are not following those. Through out the pregnancy TSH levels should be: 1st trimester: 0.1 to 2.5 mU/L, 2nd trimester: 0.2 to 3 mU/L & 3rd trimester: 0.3 to 3 mU/L, if these levels are not maintained as required can lead to very serious problems with the fetus as well as bad out come of the pregnancy. You need to reduce the TSH below 2 mU/L. Thyroxine if not being taken should be started immediately If you have any doubts please come in a private conversation. Thanks.

Prabhakar Laxman Jathar · Accepted Answer

lybrate-user, Thanks for the query
During pregnancy blood glucose needs to be maintained between 90 to 120 mg through out the day. You have much higher values. These can lead to a number of issues with fetus. Also lead to increased weight in the fetus (macrosomia) and at times very bad consequence. You have to start taking Insulin to control blood glucose urgently.
Secondly TSH needs to be maintained around 2 to 3 mU/L during the pregnancy. I am surprised these instructions have been not given to you or you are not following those. Through out the pregnancy TSH levels should be: 1st trimester: 0.1 to 2.5 mU/L, 2nd trimester: 0.2 to 3 mU/L & 3rd trimester: 0.3 to 3 mU/L, if these levels are not maintained as required can lead to very serious problems with the fetus as well as bad out come of the pregnancy. You need to reduce the TSH below 2 mU/L. Thyroxine if not being taken should be started immediately If you have any doubts please come in a private conversation. Thanks.

Vandana Walvekar · Answer

The blood sugars are not major issues but check again if history of dm in family tsh is vv high and needs urgent mgt asyour baby is in a crucial developmental stage pl go to gyn and do not take unsuprrvised mgt.

Pulak Mukherjee · Answer

Take low calorie diet..take less carbohydrate..u can take oats in brkfast....u can take egg,fish,chicken,,lots of green veggies...walk regularly...avoid sugar..take green tea without adding sugar..