Postprandial blood glucose peaks are essential to consider in the high-risk
situation featured by pregnancy in diabetic women, through several aspects
.
First, from a diagnostic point of view, post-stimulative situation offers t
he optimal sensitivity and specificity for a proper gestational diabetes sc
reening.
Next, when considering foetomaternal complications, third term postprandial
hyperglycemia is highly predictive of child birth weight.
Last, regarding metabolic monitoring, taking postprandial blood glucose int
o account leads to increasing insulin dosage, improving final term HbA1c an
d, finally, a lower average birth weight. However, ii is mandatory for a pr
oper management to avoid borderline glycemia, as blood glucose peaks are us
eful for fetal growth.