The quality of modern life has improved, and many expectant mothers who are pregnant for the first time are afraid that the child’s nutritional lack of nutrition and growth and development during pregnancy will not meet the standards during pregnancy.I believe that many pregnant women have also heard this disease, but there are still some pregnant women who do not know enough about gestational diabetes and do not pay enough attention.These pregnant women usually have a lot of fluke and believe that they will not have gestational diabetes.This delays the treatment of gestational diabetes, which is very unfavorable to the health of pregnant women and fetuses.
Pregnancy diabetes refers to a disease that women do not have diabetes before pregnancy, but a disease that occurs after pregnancy. This disease is a series of sugar metabolism caused by a series of changes in women during pregnancy.Disease.
If pregnant women have no timely intervention treatment after gestational diabetes, this will seriously affect the health of pregnant women and fetuses.
For pregnant women, pregnant women may experience symptoms such as elevated blood pressure and rising blood sugar.For the fetus, it is likely to affect the normal development of the fetus or cause huge children, deformities, etc., and may even cause abortion.
In addition, gestational diabetes may also affect pregnant women and fetuses in long -term, which will greatly increase the risk of diabetes in pregnant women and fetuses in the future.
When pregnant women are older than 35 years old, obesity before pregnancy (BMI ≥ 24kg/m2) and suffering from the history of polycystic ovary syndrome, it will increase the probability of gestational diabetes.
Pregnant women have a family history of diabetes, and the probability of incidence of diabetes during pregnancy is higher than that of normal people.
Pregnant women have the history of bad pregnancy, dead tires, abortion, fetal malformations, and excessive amniotic fluid, which may also cause pregnancy diabetes.
At the first diagnosis of 75G oral glucose tolerance test (OGTT) at 24-28 weeks and 28 weeks of pregnancy.The diagnostic criteria: 1 hour and 2 hours of blood sugar value of 1 hour and 2 hours after taking sugar are lower than 5.1mmol/L, 10mmol/L, 8.5mmol/L.Any point of blood sugar is diagnosed as gestational diabetes or exceeds the above standards.
The OGTT check method is as follows: Prepare 8-10h before OGTT examination, and 3D normal diet before the inspection, that is, not less than 150g of carbohydrate daily carbohydrates.Sitting and smoking during the inspection.During the inspection, 5min inner oral oral liquid containing 75g of glucose liquid 300ml, and extracted from 1H, 2H after taking sugar, 1H, 2H (calculated time from drinking glucose water).
When OGTT checks, the empty blood blood should be extracted before 9 am in the morning. The time may affect the test results. The night before OGTT test should avoid the early morning reactive hyperglycemia caused by the long space, which affects the diagnosis.
Pregnant women have high -risk factors in GDM. For the first time of OGTT test results, if necessary, OGTT examination can be repeatedly checked if necessary.
Most patients with gestational diabetes do not have obvious symptoms.But with the development of the disease, there will be too much or huge amniotic fluid.
(1) I often feel hungry
If pregnant women have diabetes during pregnancy, in the early stages of illness, they usually feel hungry.However, many pregnant women think that they used to eat alone, and now they are pregnant with two people, so they often feel hungry.Hunger is also the most likely to ignore the symptoms of gestational diabetes patients.
In the early stages of pregnant women’s gestational diabetes, pregnant women often feel thirsty, and even if they keep drinking water, they will still feel dry mouth.At this time, pregnant women must be vigilant. This is not a normal manifestation of pregnancy. We must go to a regular hospital to screen for gestational diabetes in time.
(3) Itching of the skin
Pregnant women who have gestational diabetes often feel itching of unknown skin, and there is no symptoms of skin diseases such as rash, that is, dry skin and itching.Because winter itself is easy to dry, and summer is easily bitten by mosquito.Therefore, itching of the skin is also a gestational diabetes that are often ignored by pregnant women.
(4) I often feel tired
Some pregnant women with gestational diabetes often feel tired. Even if they do n’t do anything a day, they still feel tired. At this time, pregnant women have to consider whether they have gestational diabetes.
Pregnant women who have gestational diabetes are prone to hypoglycemia, and some pregnant women will feel dizzy and may even faint.Once these situations occur, you must go to a regular hospital to check whether your blood sugar is normal in time.
Diagnosis is first performed after gestational diabetes, and exercise intervention is performed.
If the blood glucose of pregnant women is strictly diet and exercise control, they will not return to normal values after a week, or hungry ketone disease, increase food intake, and blood glucose exceeds the standard, then insulin needs to be used.
Insulin is safe during pregnancy and no effect on the fetus.At present, insulin available for pregnant women has confirmed that there are short -active insulin, medium -effective human insulin, and premix insulin.The State Food and Drug Administration and the US Food and Drug Administration (FDA) have approved ultra -short -acting insulin can be used for gestational diabetes, and it has also been confirmed that it is safe for mothers and infants.
For patients with gestational diabetic patients, ultra -short -effect insulin compliance is better. It is injected immediately before meals to achieve fast results. While avoiding hypoglycemia, it can effectively control postprandial blood sugar.
1. Control the diet
After pregnant women generally enter the second stage of pregnancy, the appetite will become very good, and the diet will increase significantly.In order to effectively prevent pregnancy diabetes, pregnant women must control their diet.Do not eat too much rice, pasta and potato foods. These foods can only eat 5 to 6 two a day.And pregnant women should not eat foods containing higher sugar, such as ice cream, desserts, drinks, chocolates, etc., should be eaten as little or not.
2. A intake of sufficient protein
Although pregnant women who have gestational diabetes must control their diet, they must ensure that the body has sufficient protein intake, and they can eat more fish, eggs, dairy products, etc. These foods are rich in protein.
3. Eat less meals
After women are pregnant, they must eat diverse foods every day, and eat more vegetables, fruits, soy products, fish, eggs, milk, etc.After the middle stage of pregnancy, you can eat 5 to 6 meals a day, but do not eat for each meal. Just eat 8 minutes full, and the diet should be light, and control the amount of salt.