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How to control blood sugar in gestational diabetes1. Regulate your diet
Patients can take the principle of small meals and frequent meals, and can eat 5-6 meals a day to prevent the rapid rise of blood sugar caused by eating too much food at one time, prevent the ketone body caused by the mother's fasting time for too long, and maintain the stability of blood sugar values. Sugars** are carbohydrates, if you eat too much, you will quickly raise your blood sugar, and if you consume too little, you will not have enough energy.
Patients should not eat foods containing sugar, honey, maltose and rock sugar, and try to choose staple foods that contain high fiber and are not refined, such as brown rice, whole wheat bread, to help control blood sugar. Protein can provide the basis for the growth and development of infants, patients should eat more milk, eggs, fish, legumes, etc., which are rich in high-quality protein, and drink at least two glasses of milk a day. Try to replace animal oil with vegetable oil, such as peanut oil, corn oil and olive oil, and do not eat fried and fried foods and fatty meats.
Do not eat organ meats that contain high cholesterol.
2. Control your weight
Body obesity is a high-risk factor for diabetes, because people overeat or overnourish will make weight gain too fast, thereby aggravating insulin resistance, impaired glucose tolerance, disordering glucose metabolism, and eventually inducing gestational diabetes, which must be controlled during pregnancy.
3. Do a good job of maternal monitoring during pregnancy
Patients must strictly follow the doctor's instructions to control their diet, go to the hospital regularly for check-ups, especially monitor blood sugar changes, and adjust the dosage of insulin in time under the guidance of the doctor to prevent the condition from worsening. You need to have a check-up every week in the first trimester until the 4th week of pregnancy, and every two weeks in the second trimester, along with a fundus exam. In addition, it is important to pay close attention to the child's development and the placenta.
Patients with mild gestational diabetes can become pregnant to term if the placenta is well functioning and the fetus is not large.
If a pregnant woman with diabetes adjusts her diet and still cannot control the disease, she should use insulin to control her blood sugar levels. Usually take the principle of a small number of meals, each meal only eat seven minutes full, the diet is mainly light, salt and seasoning intake. You should participate in more physical exercises, such as walking or yoga for pregnant women, which can convert excess sugar into energy, prevent blood sugar accumulation, and absorb ultraviolet rays by getting in the sun, and can also replenish calcium.
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The best way is to strictly control your diet, don't eat sweets, and even strictly abide by three meals a day, and exercise for about an hour after meals every day, so the effect is very good.
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The time and space knowledge school is not difficult, as long as you control the amount of food, eat less, and eat less sweets, such as desserts, or fruits that are too sweet, and move around more, so that blood sugar will naturally not be high.
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I think you can make changes in your diet, you can eat some yams, and then you can also eat some onions, and you can also eat oats and so on.
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Usually do more exercise, use software to record food intake, adjust diet according to prompts, eat less snacks, eat fruits in moderation, and measure blood sugar by yourself every day.
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Case
Recently, the Department of Obstetrics and Gynecology of our hospital admitted a patient with diabetes mellitus in 3 months of pregnancy, and when admitted, the expectant mother's glycosylated hemoglobin was as high as 11%, and the fasting blood glucose was as high as 10mmol L. Recognizing the dangers of hyperglycemia to the patient and fetus, the obstetrician immediately consulted the hospital's endocrinologist and recommended the use of an insulin pump**. At present, the expectant mother's blood sugar has improved significantly compared to before.
Many pregnant mothers have doubtsI am often told that my blood sugar is too high during pregnancy tests, so why is it so easy to cause high blood sugar during pregnancy? What should I do if my blood sugar is high? , you need to control your diet, but you are afraid of affecting your baby's development if you eat less, how can this be good?
With these doubts, I will take you to know how to control your blood sugar during pregnancy and stay away from "sugar baby".
What are the effects of pregnancy on diabetes?
Pregnancy can make occult diabetes explicit, causing GDM to occur in pregnant women who have not had diabetes before, and aggravating the condition of patients with pre-existing diabetes.
Fasting blood glucose is low during the first trimester, and some women taking insulin** may experience hypoglycemia if their insulin dose is not adjusted in a timely manner. As pregnancy progresses, the anti-islet cord-like substance increases, and the insulin dose needs to be increased. During childbirth, physical exertion is greater, the amount of food eaten is small, and if the insulin dose is not reduced in time, hypoglycemia is prone to occur.
After the placenta is excreted, the anti-insulin substances secreted by the placenta disappear rapidly, and the amount of insulin should be reduced immediately. Due to the complex changes in glucose metabolism during pregnancy, if the insulin dosage is not adjusted in time, some patients may have low or high blood glucose, and in severe cases, even hypoglycemic coma and ketoacidosis.
What are the effects of diabetes on pregnancy?
The impact of gestational diabetes mellitus on mothers and babies and the extent of the impact depend on the diabetes and the level of glycemic control. Patients with severe disease or poor glycemic control have a great impact on mothers and children, and the short-term and long-term complications of mothers and children are still high.
Questions and answers
q
Are the diagnostic criteria for gestational diabetes the same as for non-gestational diabetes?
A: No, all pregnant women at 24-28 weeks should have a sugar screening test.
(1) Fasting blood glucose measurement (FDG).
FDG can be used to diagnose GDM directly, without the need for an oral glucose tolerance test (OGTT); fdg
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