Primordial Prevention of Gestational Diabetes Mellitus A Novel Approach

Objective: Pregnant women should be tested for Post-Prandial Blood Glucose(PPBG) by the 8th week (2 months) with the value of 2hr PPBG 110 mg/dl as a Cut-off so that adequate time is available to control blood glucose within this range otherwise; fetal insulin will start secreting if blood glucose goes beyond 110 mg/dl by 11th week, and therefore within this crucial period blood glucose can be controlled with medical nutrition therapy(MNT), exercise, and Metformin 250 mg twice daily throughout pregnancy.