Is it necessary to take insulin for high blood sugar during pregnancy?

First of all, gestational diabetes refers to the varying degrees of abnormal glucose metabolism that occur during pregnancy, but does not include patients who have been diagnosed or have diabetes before pregnancy, which is called diabetes mellitus and pregnancy. Gestational diabetes mellitus has a variety of adverse effects on pregnant women and fetuses, and is easy to cause gestational hypertension, infection, birth canal injury, postpartum hemorrhage, polyhydramnios, macrosomia, diabetic ketoacidosis, miscarriage, premature birth, malformed infants, neonatal respiratory distress syndrome and neonatal hypoglycemia, etc., which must be paid attention to. <

One: High and low blood sugar are not fixed, but fluctuate with the body's demand for blood sugar. Blood sugar is subordinate to the body's need for energy.

2: High blood sugar is allowed by the body. However, low blood sugar is not allowed by the body, and it will be immediately noticeable and manifested.

Three: High blood sugar during pregnancy? It's not that as soon as it is checked out, the control indicators are not normal, and you have to take medicine and take insulin.

The indicator itself is the reference range of high probability, and it is not a dead set. Your blood sugar is high relative to your body's need for energy. If it is indeed much higher, you should also ask yourself if you still have any actual discomfort, such as dizziness, vision loss, urine bubbles, etc.

Four: high blood sugar, the first step to consider is to reflect on your own dietary structure, food**, the order of eating food, whether there is a high sugar, high starch, high carbohydrate diet, etc. and make adjustments accordingly. This is the source of blood sugar and the foundation.

You can't ignore this basic factor, directly look for external forces, take medicine, and inject insulin to forcibly lower blood sugar and forcibly dry up the body's endocrine regulation process. If the blood sugar does not improve after making changes in diet, lifestyle behavior, and adjustments, then further examination should be done.

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The degree to which B-cell receptors accept insulin to carry sugar.

Five: Think back to whether you have low blood sugar, whether you are often hungry, and whether you often skip breakfast.

Six: Whether there is psychological and emotional pressure, problem. As a result, your internal consumption increases, and it continues, causing your blood sugar to be low, so that your body has to activate the hyperglycemic mechanism.

I don't think it's necessary to take insulin because it's only a temporary high blood sugar and won't last forever.

Yes. If your blood sugar is high during pregnancy, you must take insulin to control your blood sugar, otherwise it will bring danger to the fetus.

If the dietary control effect is not good, and the blood sugar is very high, then listen to the doctor's insulin, the effect of insulin lowering blood sugar is more obvious, and the impact on the fetus is relatively low.

Insulin not only has a reliable hypoglycemic effect, but also a biological macromolecular protein, which is not easy to follow the embryo, has no adverse effects on the fetus, and at the same time will not cause long-term harm to the production of endogenous insulin in pregnant mothers, so it is considered to be the best choice for manipulating glucose metabolism disorders during pregnancy. High blood sugar will have adverse effects on pregnancy and fetal physical and mental health, growth and development, and will also harm the physical and mental health of expectant mothers, so it is necessary to control blood sugar.

Drugs for diabetes** include insulin injections and oral hypoglycemic drugs, and pregnant patients with hyperglycemia can only use insulin to regulate blood sugar, and cannot use oral hypoglycemic drugs. Insulin (a macromolecular substance that does not pass through the embryo and has no effect on the physical and mental health of the fetus) can be used to keep the blood glucose level close to normal and not produce low blood sugar, and then consider the pregnancy period, and continue to use insulin to control blood sugar during pregnancy. Pregnant women with hyperglycemia generally carry out standardized diets, exercise**, and carry out 24-hour blood sugar level testing after 3 to 5 days, if the blood sugar level exceeds that on an empty stomach or before meals.

Or if the blood sugar level exceeds two hours after a meal, insulin treatment is necessary. Pregnant mothers who develop starvation hypoglycemia after adjusting and controlling their diet, and pregnant mothers who are not qualified to increase their diet and blood sugar, should also be treated with insulin immediately. High blood sugar during pregnancy is actually quite different from real diabetic patients.

Diabetic patients should be marked by reduced islet function and high blood sugar, and gestational diabetes is related to the glycolytic properties of pregnancy.

Timely adjustment of dietary structure and appropriate exercise will not be easy to develop into diabetic patients, and there is no need to cause psychological burden. Therefore, patients should not be assumed to have diabetes because of the rise in blood sugar during pregnancy, but should be diagnosed based on further tests (e.g., blood glucose screening, sugar screening). After finding high blood sugar during pregnancy and being diagnosed with high blood sugar in pregnant women, the first thing to do is to eat and drink, exercise control system and blood sugar monitoring.

Most pregnant patients with hyperglycemia are able to achieve glycemic control through a strict diet plan and activity, and only a few patients must use insulin to control their blood glucose.

If the blood sugar is not well controlled, then insulin injections are needed; Not injecting insulin will make blood sugar soar, there will be many complications, the impact on the fetus is also very large, and it is very easy to miscarry.

Pregnant women are at a special stage, if there is diabetes, it is not necessary to take insulin, although insulin is the only drug that can be used, but some pregnant women may achieve the desired goal through diet and exercise, which is achievable.

Although this process is more difficult, but there are still some patients can achieve such an ideal situation, if the blood sugar can not be controlled ideally through lifestyle intervention, pregnant women can only use insulin, so far according to our guidelines, all oral hypoglycemic drugs can not be used for pregnant women, the purpose is to be safe, and the use of insulin is often recommended to use human insulin, because human insulin is exactly the same as the entire chemical structure of insulin in the body, so as to ensure the safety of pregnant women and fetuses to the greatest extent.

For gestational diabetes, if the blood sugar cannot be controlled within the normal range by diet and exercise (the goal is that the fasting blood sugar is less than, the blood sugar is less than 1 hour after a meal, and the blood sugar is less than 2 hours after a meal, you can do without insulin. If you don't reach your blood sugar target by monitoring yourself, you'll need to use insulin**.

If the blood sugar does not reach the target after diet and exercise**, medication** is recommended.

Insulin is currently the standard** medication for patients with GDM, which is consistently recommended by ADA. Chinese guidelines do not recommend the use of oral medications**, but post-2015 ADA and ACOG guidelines indicate that glibenclamide and metformin** GDM can be used in some special circumstances without affecting postpartum breastfeeding.

If the patient has only elevated fasting blood glucose, intermediate-acting insulin or a long-acting insulin analogue can be given subcutaneously at bedtime, starting with a US kg day.

If fasting and postprandial blood glucose is elevated, intermediate-acting or long-acting insulin analogues plus rapid-acting insulin analogues can be given subcutaneously several times a day, starting at a small dose: u kg daily.

The insulin requirement varies greatly in the second and third trimesters, so pay attention to adjusting the insulin dosage according to the blood glucose situation in time. Insulin dosage peaks at 32-36 weeks.

It depends on the specific condition.

Gestational diabetes is first and foremost about exercise and diet. In terms of diet, it is only necessary to meet the nutritional needs of pregnant women, avoid excessive high-sugar and high-fat diets, and then carry out appropriate physical exercise according to their physical fitness.

When the above methods cannot make the blood sugar reach the standard, pregnant women should use drugs under the guidance of doctors**; Because oral hypoglycemic drugs can enter the fetus through the placenta and have adverse effects on fetal nutrition metabolism and growth and development, they are not recommended for pregnant women. Insulin is a macromolecular protein that does not enter the fetus through the placenta, and will not cause adverse reactions to pregnant women and fetuses after insulin injection. At the same time, pregnant women are not dependent on insulin, and doctors can make changes according to the changes in the pregnant woman's condition, so insulin injections can be used**.

At present, the main types of insulin available for pregnant women include short-acting human insulin, intermediate-acting human insulin, and premixed insulin that is a mixture of the two. At the same time, short-acting insulin is widely used in gestational diabetes because it has a fast onset of action, can effectively control postprandial blood glucose, and reduces the occurrence of severe hypoglycemia.

In addition, there are pregnant women who worry that insulin injections in the abdominal wall will prick the fetus, but in fact, such worries are unnecessary. At present, the needles of insulin for injection are relatively short, and they can only penetrate the subcutaneous tissue of the abdominal wall, and will not enter the abdominal cavity or stab the uterus, so naturally they will not stab the fetus. In addition to the abdominal injection, pregnant women can also choose to rotate the outer thigh and outer upper arm for injection.

Gestational diabetes is a pregnancy that can be given insulin, and the mother has diabetes before pregnancy, and at this time, it is necessary to take insulin to control the condition. If pregnant women do not take insulin, their blood sugar will be difficult to control, which will affect their own health and the health of the fetus.

When pregnant women suffer from gestational diabetes, there is no need to be afraid, this kind of disease can be solved by **, and it will not affect the healthy growth of the fetus. If the blood sugar of a pregnant woman is high and difficult to control, it is necessary to use the help of insulin, so as to control the body's indicators and provide a healthy growth environment for the fetus. In daily life, we must develop good living habits, we must do regular work and rest, and we must not stay up late, otherwise our physical fitness will decline, and the indicators in the body will also decline.

In the usual diet, it should also be strictly controlled, in the first trimester, for some foods with high sugar content, you must eat less, the diet should be kept light, and you can not eat some foods with high fat and high sugar. In the process of eating, you can eat less and more meals, after each meal, you must know how to exercise, according to your own physical condition, do some exercise, and make a scientific and reasonable diet recipe to help yourself become healthier.

In daily life, we must do an appropriate amount of exercise diet and exercise, which is always the basic way to help the body become healthier, and diabetes diet and exercise are also very important, after each meal, we must do a moderate amount of exercise, so as to be able to control blood sugar after meals, and we can not exercise on an empty stomach to avoid the appearance of hypoglycemia. For those who are pregnant, high blood sugar and low blood sugar are equally scary, and systematic blood glucose monitoring should be carried out, and the more frequent the monitoring should be as the month becomes. Pregnant women should monitor their blood sugar every week, and keep themselves in a healthy state through diet and exercise, so that they can live a more secure life when their blood sugar reaches the target.

Under normal circumstances, pregnant women do not need to take insulin, they need to go through strict diet management and exercise**, blood sugar will generally be well controlled, if they cannot be controlled by diet and exercise, then they need to take insulin; If you do not take insulin, because the continuous increase in blood sugar in pregnant women will affect the growth and development of the fetus, for example, it may cause a huge amount, and it will also have no effect on the organs of the pregnant woman.

No, for natural diabetes, many patients can control their blood sugar by changing their lifestyle**, controlling their diet, and exercising moderately, if the condition is severe. You need to take insulin according to your doctor's instructions. Otherwise, it will affect the health of the pregnant woman and the development of the fetus.

This is not necessarily the case, and it depends on the blood sugar control of the pregnant woman. If it is too severe, not taking insulin may cause high blood sugar, which will eventually affect the development of the fetus.

From the perspective of pregnant mothers, uncontrolled severe hyperglycemia to a certain extent pregnancy complications (such as pregnancy-induced hypertension, eclampsia, etc.), dystocia, etc., the incidence of dystocia will be greatly increased, from the baby's point of view, if the mother has gestational diabetes, hyperglycemia will significantly increase macrosomia, see this problem, I want to correct, not all gestational diabetes needs insulin injections to control blood sugar, often most gestational diabetes can be controlled through diet and exercise. Only a small percentage of pregnant women with gestational diabetes need insulin injections to control their blood sugar.

With the change of human lifestyle and diet, the incidence of diabetes and gestational diabetes is increasing year by year. Pregnant women with gestational diabetes should receive proper pregnancy management and appropriate treatment**, and insulin injections should be required if necessary**. When many pregnant mothers do glucose tolerance tests or fasting blood sugar measurements in our department, they find that their blood sugar levels are high and they don't think so, thinking that it is better to eat during pregnancy, so the blood sugar can return to normal after giving birth to a child.

In fact, gestational diabetes is a high-risk pregnancy.

First, poor glycemic control of gestational diabetes is harmful to both mother and baby, leading to an increased incidence of pregnancy-related complications such as hypertension and ketoacidosis and infection. For the fetus, it can lead to fetal malformations, stillbirth, dystocia, premature birth, etc. Therefore, it is necessary to control blood sugar more strictly than in general diabetes, and first, to clarify the diagnosis of gestational diabetes.

According to the recently released Guidelines for the Prevention and Treatment of Type 2 Diabetes Mellitus in China (2017 Edition), gestational diabetes includes three conditions, namely gestational diabetes, overt diabetes during pregnancy, and pre-pregnancy diabetes, and gestational diabetes does not include the latter two conditions.

If your blood sugar is much higher, you will definitely choose to be hospitalized for insulin if your blood sugar is still not well controlled by improving your diet and increasing your activities. Otherwise, if the blood sugar is high, it will have a bad effect on the mother and the fetus, such as easy fetal dysplasia, easy miscarriage, and so on.