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After pregnancy, the hormones and metabolism of pregnant women change, especially in the middle and late stages of pregnancy, pregnant women are more likely to have high blood sugar. When blood sugar rises after pregnancy, a diabetic patient is diagnosed with hyperglycemia. Gestational diabetes mellitus refers to the abnormal glucose tolerance of different degrees produced or first discovered during pregnancy, including some patients who have diabetes before pregnancy, but are diagnosed for the first time during pregnancy, so the abnormal glucose metabolism that occurs in the first trimester does not exclude the possibility of abnormal glucose metabolism before pregnancy.
If the blood sugar control is not good during pregnancy, pregnant women with hyperglycemia are prone to premature infants, miscarriages, polyhydramnios, pregnancy hypertension syndrome, and genitourinary system sensations, and the probability of septic shock and hyperosmolar coma will also increase. Studies have shown that although most pregnant patients with hyperglycemia recover slowly after giving birth, studies have shown that the risk of diabetes mellitus is greatly increased in pregnant patients with hyperglycemia.
For the prevention of gestational diabetes, the most important thing is to maintain your weight during pregnancy, and at the same time, you should increase the intensity of exercise as much as possible according to the actual situation of the body to avoid hyperinsulinemia caused by excessive body fat and its reduced exercise, and at the same time avoid excessive food intake with high kinetic energy components in the diet, and basically carry out blood sugar screening around 24 weeks of pregnancy to avoid increased blood sugar but not found to lead to increased pregnancy risk.
Hormones are one thing, but more of a reason is also the daily diet of the mother-to-be. At the beginning of pregnancy, the family felt that they should eat and drink well, and the kinetic energy and nutrients during pregnancy increased a lot in an instant. In fact, the nutrition and kinetic energy required by expectant mothers in the early stages of pregnancy are not so exaggerated, especially the caloric value is not necessarily intentionally improved, and the nutritional elements pay attention to supplementing calcium, folic acid tablets, and protein, and do not increase the supplement of various nutrients.
Generally speaking, eat folic acid tablets, calcium, and iron, and eat the same as usual.
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Gestational diabetes requires a blood glucose checker 42 days postpartum to reassess the diagnosis of diabetes. Some gestational diabetes mellitus can return to normal, some gestational diabetes mellitus can turn into impaired glucose tolerance, and a small percentage of gestational diabetes mellitus continues to maintain a state of high blood sugar, which also becomes diabetes.
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After pregnancy, if you don't pay attention to your daily diet, you are likely to develop diabetes, so during pregnancy, you must pay attention to your diet and eat less foods with high sugar content.
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Pregnant women with diabetes, which we call gestational diabetes, are a condition that affects not only children, but also adults.
Gestational diabetes is generally divided into two conditions, one is that there is no diabetes, and the blood sugar is too high after pregnancy, which belongs to gestational diabetes. There is also a pre-existing diabetes disease, and then you get pregnant, which we call diabetes combined pregnancy.
In either case, it will have an impact on the mother and the fetus. In the case of high blood sugar, the child in the womb is as if he is eating sugar every day, so it is easier to grow a macrosomia, causing a higher risk of childbirth difficulties and postpartum complications.
Gestational diabetes mellitus on the fetus mainly includes the following aspects:
1.Fetal growth restriction: High blood sugar can inhibit fetal growth, causing fetal growth to be smaller than the actual gestational age. At the same time, blood sugar affects metabolism and microvasculature, which can cause abnormal changes in placental blood vessels, thereby affecting fetal development.
2.Macrosomia: If the mother's blood sugar is not well controlled, the fetus is in a mother's hyperinsulic environment, which eventually leads to increased fat synthesis and overdevelopment of the fetal body.
3.There is an increased risk of miscarriage and preterm birth.
4.Fetal hypoxia and fetal death in utero: the mother's blood sugar control is not good, it is easy to metabolize disorders, and even ketoacidosis (which can be simply understood as abnormal sugar consumption, which can only be relied on to break down fat, and then produce too much ketoacid).
5.Fetal malformations: pregnant women who have diabetes before pregnancy and become pregnant without control are statistically found to have a malformation rate of up to 7 to 10 times that of normal people.
6.Even if the baby is just born, if the mother's blood sugar control is not good. It can also cause respiratory distress syndrome and neonatal hypoglycemia in newborns.
Therefore, gestational diabetes needs to be detected and intervened as soon as possible to minimize the impact on the mother and child. At the same time, pregnant women also need to control their weight and exercise more.
Gestational diabetes is detected during pregnancy, and it is necessary to control your diet and increase your exercise。If the effect of the life intervention is not good, the use of drugs is required**. The safer antidiabetic drug during pregnancy is insulin
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The harm of gestational diabetes to the fetus mainly includes: causing macrosomia, fetal malformation, miscarriage and premature birth, fetal growth restriction, fetal distress, fetal death in utero, etc.
There are two conditions of gestational diabetes mellitus, one is pre-pregnancy on the basis of pre-pregnancy diabetes, also known as diabetes mellitus complicated with pregnancy; The other is diabetes mellitus that occurs during pregnancy due to normal glucose metabolism before pregnancy, which is called gestational diabetes. Gestational diabetes mellitus has a great impact on mothers and children, and the harm to the fetus mainly includes the following aspects:
1.Fetal macrosomia: Regardless of gestational diabetes, if the pregnant woman's blood glucose control is too high, the fetus will be in the environment of high insulinemia caused by maternal hyperglycemia for a long time, which promotes protein and fat synthesis and inhibits lipolysis, resulting in excessive somatic development.
3.Miscarriage and preterm birth: High blood sugar in the first trimester can cause abnormal embryonic development, which can eventually lead to embryonic death and miscarriage. Preterm labor is prone to occur with polyhydramnios, and early termination of pregnancy is often required when complications such as hypertensive disorders and fetal distress occur during pregnancy.
4.Fetal growth restriction: Hyperglycemia in early pregnancy has the effect of inhibiting embryonic development, resulting in delayed embryonic development.
5.Fetal distress and intrauterine fetal death: can be caused by diabetic ketoacidosis that occurs in the second or third trimester of pregnancy.
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After pregnancy, gestational diabetes mellitus is not very harmful to the fetus, because for the fetus, only the blood sugar of the pregnant woman itself rises, and it does not have an impact on the fetus, but if the long-term pregnant woman is in a state of high blood sugar, then it also has a certain impact on the growth and development of the fetus.
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If you get diabetes during pregnancy, it will easily cause the fetus to develop macrosomia, and after the occurrence of macrosomia, the fetus will be prone to symptoms of hypoglycemia during delivery, and the symptoms of hypoglycemia will appear, which will affect the development of the brain.
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Introduction: If a pregnant woman suffers from diabetes during pregnancy, she should pay attention to the intake of balanced nutrition to control the diet in order to provide pregnant women with sufficient calories and nutritional needs, but it can also avoid high blood sugar to the normal development of pregnant women and fetuses, so we must pay more attention to dietary control, avoid eating some high-fat and high-calorie foods, in addition to controlling weight, to avoid weight growth too fast, may also cause blood sugar to grow too fast. Exercise should also be carried out appropriately, which can promote blood circulation, help blood sugar discharge, and stabilize blood sugar levels during exercise.
In addition, it is necessary to cooperate with the doctor's guidance and recommend taking some medications to control blood sugar.
If the blood sugar is not well controlled, it is easy to suffer from some other complications during pregnancy, such as high blood pressure, hyperlipidemia and other diseases, and it will also make the fetus premature and low-weight babies, dystocia is huge and the incidence of congenital malformations will be significantly higher than that of other fetuses. Even after birth, the fetus may suffer from hypoglycemia and respiratory distress syndrome, which can have serious consequences for the fetus and the pregnant woman.
There are many causes of diabetes during pregnancy, and if you have diabetes in your family, you may also develop diabetes. In addition, if the mother's immune system is deficient, if the immune system is not able to secrete insulin normally, it will also suffer from diabetes. In addition, many people's diet is based on high calories and high fat, and consuming too many calories will lead to excessive fat storage in the body, resulting in obesity, which may lead to overnutrition and diabetes.
Finally, after suffering from diabetes, pregnant women do not need to be too nervous or anxious, as long as they follow the doctor's guidance and advice to control their diet and cooperate with the doctor actively, the problem is generally not too big.
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If you suffer from diabetes, it is recommended that you must have a light diet, eat more vegetables, fruits and fish, and do not eat high-calorie foods.
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I think you should control your diet at this time, and don't eat anything sweet at this time, otherwise it will lead to a serious illness.
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Insulin should be used correctly under the advice of a doctor, and sugar intake should be controlled, blood sugar index should be actively checked, and more light foods should be eaten, and more vegetables and fruits should be eaten.
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In life, you should control your diet, and it should not be too high in sugar. Something light should be eaten. You can get a good treatment. Do not drink medicine.
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Because most of what pregnant women eat will be absorbed by the baby, so that pregnant women lack nutrients, pregnant women must eat more nutritious fruits and foods, so that they will supplement the nutrients, so as not to let themselves get diabetes.
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Because the diet of pregnant women is irregular, they can eat when they are hungry at any time, and because the diet of pregnant women during pregnancy is relatively large, there will be sugar intake, and the food intake can be reasonably controlled, and you can eat more fruits containing fiber, accelerate the body's metabolism, and exercise appropriately during pregnancy.
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1. After pregnancy, women will bring more changes to the body, including endocrine hormone changes, which can lead to insulin resistance, and the decrease in the role of insulin will cause abnormal blood sugar, leading to the occurrence of diabetes;
2. Pregnant women may eat more after pregnancy, but exercise decreases, some pregnant women are worried about insufficient nutrition, but do not like to exercise after overeating, resulting in rapid weight gain, causing insulin resistance, leading to the occurrence of diabetes.
Maintain a healthy diet, moderate exercise, and a normal weight before and during pregnancy. Glucose tolerance tests are screened before pregnancy and around the 6th month of pregnancy (24-28 weeks) to detect potential risks early and avoid effects on the health of the mother and fetus.
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Because of the endocrine disorders of pregnant women, the blood sugar and blood pressure of pregnant women are higher than those of ordinary people, if they are not dealt with well, they are particularly prone to gestational diabetes.
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At this time, the body's resistance is even lower, and the body needs to provide more nutrients, close to the growth and development of the fetus, if the resistance is low and there must be companionship, then it is likely that there will be diabetes, the best way is to eat lightly during pregnancy, nutrition is reasonable, avoid picky eating or overeating, and actively control weight.
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The causes of diabetes in pregnant women include the following:
1. Age, as the age increases, the probability of gestational diabetes will become higher and higher. After the age of 30, the chance of gestational diabetes increases significantly.
2. Obesity, obese women are prone to insulin resistance, and are prone to an increase in blood sugar during pregnancy.
3. Genetic factors, such as a family history of diabetes, and patients who have given birth to macrosomia or neonatal obesity, are prone to gestational diabetes after pregnancy.
Fourth, endocrine disorders, the process of pregnancy itself is a process of great endocrine changes, in which changes in various hormone levels lead to weakened insulin secretion or increased glucagon secretion, resulting in gestational diabetes.
1. Age, the older the pregnant woman, the higher the incidence of gestational diabetes. Clause.
2. Obesity can make patients prone to insulin resistance. Clause.
3. Genetic factors, i.e., patients with a family history of diabetes. Clause.
Fourth, endocrine disorders, changes in hormone levels during pregnancy can easily cause insulin resistance.
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Because pregnant women eat foods with high sugar content, it is easy to cause blood sugar to rise, and they are prone to diabetes, and hormone levels will also change after pregnancy, endocrine dysfunction may also lead to diabetes.
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Because pregnant women secrete a lot of substances when they are pregnant, and the child will also absorb some of the nutrients on the woman's body, which will lead to a decrease in resistance, and diabetes will occur.
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After pregnancy, the mother's body resistance decreases, and the sensitivity of insulin also decreases, so she is particularly susceptible to diabetes.
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Gestational diabetes is a relatively common complication of pregnancy, affecting 15% of pregnant women, which means that one in 10 people has gestational diabetes.
China itself is a big country with diabetes, and the prevalence of diabetes in our country is. Genetic testing has also shown that Chinese people have susceptibility genes for diabetes. In addition to the above human species problems, another important reason why pregnant women are prone to diabetes is the physical changes of pregnant women.
1. Increased intake and consumption of glucose during pregnancy
In order to meet the nutritional needs of the fetus during pregnancy, the mother's utilization of glucose increases, and correspondingly, more energy supplies are consumed. In this process, the renal glucose threshold of pregnant women decreases, insulin antagonism increases, and if pregnant women have limited insulin secretion, they are prone to the situation that the body cannot compensate for the above physiological changes, resulting in gestational diabetes.
2. Pregnant women have high-risk factors for diabetes
Under normal circumstances, the human body can compensate for such changes and maintain blood sugar at normal levels while ensuring fetal and maternal function. However, when pregnant women have high-risk factors for diabetes, such as advanced age, overweight, adverse pregnancy history, and family history of diabetes, the probability of developing gestational diabetes will be greatly increased.
Gestational diabetes has serious adverse effects on both the mother and the fetus. Gestational diabetes can lead to maternal infection, increased amniotic fluid, high blood pressure, etc., and the probability of diabetes in gestational diabetes patients 5-10 years after giving birth will be greatly increased.
Gestational diabetes in the mother can lead to fetal macrosomia, fetal hyperglycemia, and excessive insulin secretion can also lead to neonatal hypoglycemia.
Some of the factors in gestational diabetes are controllable factors, and minimizing the risk of these controllable factors can reduce the probability of occurring gestational diabetes.
1. Prepare for pregnancy
Pregnant women who are overweight or obese are more likely to develop gestational diabetes, and controlling their weight to a reasonable level during pregnancy can help prevent it.
2. Control calorie intake
Gestational diabetes can be effectively avoided by planning a reasonable diet during pregnancy, avoiding excessive intake of high-fat and high-carbohydrate diets, and controlling the total amount of food intake.
3. Moderate exercise
After the physical state is stabilized, moderate exercise can help prevent gestational diabetes, gestational hypertension and other diseases, which is very beneficial to the health of pregnant women and fetuses. Moderate slow walking in pregnant women can increase caloric expenditure and enhance cardiopulmonary function.
4. Do a good job of prenatal examination
Prenatal check-ups include monitoring of the blood glucose status of pregnant women, and regular prenatal check-ups can help to detect abnormal blood sugar early, and the sooner intervention is taken, the better it will be to control the disease.
Insulin is the preferred choice for gestational diabetes, and there have been no reports of adverse effects of insulin on the fetus and pregnant women.
When applying insulin, the application time, dosage, and application method should be strictly followed by the doctor's instructions, as these factors have a great impact on the efficacy of the drug. Improper application can easily lead to drug failure or cause hypoglycemia in pregnant women.
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