Gestational diabetes: “sweet” pregnancy, beware of hyperglycemia crisis


alopah Date:2021-08-27 14:31:49 From:alopah.com
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Don’t worry too much about gestational diabetes. You should maintain a relaxed and happy mood, ensure adequate rest, and actively carry out blood sugar management. Once diagnosed as gestational diabetes, you should consult your obstetrician, make a reasonable pregnancy management plan, and find a professional dietitian to help adjust diet structure, develop suitable exercise plan, correct medication, regular and quantitative intake, control blood sugar in a reasonable range.

 

When you recuperate at home during pregnancy, enjoy the care of the family and eat various supplements, have you ever thought about the consequences of this “sweetness”. Maybe you should check your blood sugar regularly.

 

Gestational diabetes mellitus is more than diabetes

 

Statistics show that Asian population is a high incidence of gestational diabetes mellitus. The incidence rate of diabetes in pregnancy is as high as 16-17%, and has an increasing trend. According to the doctor, there are two types of diabetes during pregnancy. One is found before pregnancy, including type 1 diabetes and type 2 diabetes, commonly known as diabetes and pregnancy. The other is the first discovery of diabetes during pregnancy, and the blood sugar will gradually return to normal after delivery. It is called gestational diabetes mellitus, and most of the pregnant women with diabetes are the latter.

 

This special physiological condition during pregnancy will aggravate the condition of diabetes. During this period, diabetes will be more difficult to control, and the complications of diabetes will also increase. In addition to the symptoms of diabetes itself, diabetes also has a certain effect on pregnancy.

 

Pregnancy complications: gestational diabetes mellitus can increase the risk of hypertension, infection and ketoacidosis.

 

Fetal complications: because the mother is at a high blood glucose level, it may cause the fetus to absorb too much nutrition, resulting in a giant fetus; Or because placental function is affected and diet control is too strict, resulting in fetal growth restriction;

 

Complications of delivery: Patients with gestational diabetes need higher risk of surgical midwifery, cesarean section and birth injuries.

 

Adverse pregnancy outcomes: gestational diabetes mellitus increases fetal malformation, preterm delivery and miscarriage risk;

 

Neonatal diseases: gestational diabetes may cause neonatal hypoglycemia, neonatal jaundice.

 

In addition to the risk of pregnancy before and after pregnancy, the doctor said that gestational diabetes mellitus has a long-term effect. According to statistics, 50%-70% patients with gestational diabetes eventually develop type 2 diabetes. In gestational diabetes, the risk of obesity and metabolic syndrome is 2-4 times that of the average person.

 

Management of gestational diabetes mellitus, focusing on Four Misunderstandings of four groups of people

 

Gestational diabetes

 

There are not a few elderly pregnant people. The incidence rate of gestational diabetes may also be increased, the doctor said. The body condition of pregnant women will affect the blood glucose level during pregnancy. Over 35 years of age, BMI of pregnancy, more than 24, history of impaired glucose tolerance, polycystic ovary syndrome, and so on, are at high risk of gestational diabetes.

 

In addition, it is also necessary to consider the factors of this pregnancy and past pregnancy and delivery history. Fetal more than gestational weeks, amniotic fluid, recurrent vulvovaginal candidiasis infection during pregnancy, or have unknown causes of stillbirths, stillbirths, abortion history, fetal history of fetal macrosomia, history of fetal abnormalities, history of gestational diabetes and so on, should strengthen blood glucose monitoring and management during pregnancy.

 

Pregnant women with family history of diabetes have a higher risk of developing gestational diabetes.

 

Avoid Four Misunderstandings and do a good job in blood glucose management during pregnancy:

 

Some small problems often encountered in clinic are often the causes of poor blood glucose control and complications in pregnant women. Do you have these misunderstandings?

 

1,There is no discomfort and no need for special treatment

 

Most people will have a similar idea. They will choose to go to the hospital only when they have symptoms. Many pregnant women are also caught up in the same misunderstanding. Doctors say that gestational diabetes is usually found by screening, usually without direct symptoms, but without symptoms, it does not mean that there is no need for treatment, and its subsequent harm is not small.

 

2, diabetes is caused by sweet food, and it is safe to eat steamed rice without sweet tooth.

 

Not only sweets and rice contain “sugar”, in fact, the final product of most foods is glucose. Gestational diabetes needs professional nutrition guidance. It can not choose to go on a diet autonomously. At the same time, it also controls the normal nutritional needs of the fetus.

 

3, If the blood glucose value is normal, it means recovery and no further attention is needed

 

In fact, once diagnosed as gestational diabetes mellitus, continuous monitoring and follow-up is necessary. Director Zeng Huiqian explained that because the endocrine level during pregnancy will change significantly, blood glucose will fluctuate with the increase of gestational weeks.

 

4, Medication during pregnancy will affect the fetus

 

When dietary adjustment cannot control blood sugar, drug treatment should be carried out, and insulin will not pass through the placenta and affect the fetus. It can be safely used during pregnancy.

 

Don’t worry too much about gestational diabetes. You should maintain a relaxed and happy mood, ensure adequate rest, and actively carry out blood sugar management. Once diagnosed as gestational diabetes, you should consult your obstetrician, make a reasonable pregnancy management plan, and find a professional dietitian to help adjust diet structure, develop suitable exercise plan, correct medication, regular and quantitative intake, control blood sugar in a reasonable range.

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Modern medicine in the 18th century.In the 18th century, European countries have entered the period of the establishment of capitalism. In the 18th century, with the independence of the United States and the revolution in France, the bourgeoisie gained power in most Western European countries, expanded its power outward and developed world trade.