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It is A ‘’Single-step procedure” developed by DIPSI to diagnose Gestational Diabetes. due to the practical difficulty in performing glucose tolerance test in the fasting state
This test is recommended to diagnose Gestational Diabetes in pregnant women who screen positive with 50 gm Glucose challenge test. At least two values must meet or exceed the stated reference value for a diagnosis of Gestational Diabetes mellitus (Fasting >95 mg/dL; 1 hour >180 mg/dL; 2 hours > 155 mg/dL; 3 hours>140 mg/dL). If results are normal in clinically suspected cases, test must be repeated in the third trimester.
A diagnosis of Diabetes mellitus is made if fasting blood glucose exceeds 126 mg/dL and / or 2 hour post load glucose exceeds 200 mg/dL.
The hemoglobin A1C (HbA1c) test measures the average level of blood sugar (glucose) over the past two to three months. It’s a blood test that helps diagnose type 2 diabetes and monitor blood sugar levels for people with diabetes.
When to get tested
What the results mean
Heart failure (HF) has been recognized as a common complication of diabetes, with a prevalence of up to 22% in individuals with diabetes and increasing incidence rates. Detection of people at high risk for HF (stage A) or those with stage B HF (without symptoms but with either structural/ functional cardiac abnormalities or elevated biomarkers natriuretic peptides or troponin) would permit earlier implementation of effective strategies to prevent or delay the progression to advanced HF in individuals with diabetes.
Heart failure screening involves tests to assess heart function and identify potential problems, including blood tests, ECGs, echocardiograms, and potentially imaging tests like chest X-rays or stress tests.
Here’s a more detailed explanation of heart failure screening:
1. Initial Evaluation and Tests:
History and Physical Examination:
Your doctor will start by asking about your symptoms, medical history, and family history of heart problems. They will also listen to your heart, check your heart rate, and blood pressure.
Electrocardiogram (ECG or EKG):
This test records the electrical activity of your heart, helping to detect irregular heart rhythms and other abnormalities.
Blood Tests:
These tests can help identify underlying causes of heart failure and assess overall health.
Blood tests for specific proteins made by the heart and blood vessels, like natriuretic peptides, can help diagnose and monitor heart failure.
Ventriculography: