Ms. Liu, 28 years old, 6 and a half months pregnant.Since pregnancy, Ms. Liu has a good appetite and eats a lot. For her child’s nutrition, she has never thought about diet. At the same time, she often feels thirsty, drinks more water, and goes to the toilet. She mistakenThe normal phenomenon is not at your heart.What was worried about Ms. Liu was that she was fat before pregnancy, but her weight decreased after pregnancy. She guess whether she was too hard because she was pregnant and was going to consult a doctor during the checkup.
During the fifth birth checkup, Ms. Liu informed the doctor that she had a weight loss. The doctor carefully asked Ms. Liu’s living conditions. Ms. Liu had a weight of 94kg before pregnancy.At the same time, Ms. Liu’s father also had diabetes and family history. Doctors suspected that Ms. Liu might have gestational diabetes during pregnancy.Because Ms. Liu had eaten on the day of the checkup, the doctor told her to go to the hospital for examination on an empty stomach the next day.
The next day, Ms. Liu went to the hospital after the doctor’s order and went to the hospital on an empty stomach.The results of urine sugar showed that the urinary sugar was positive; the results of the empty blood glucose measurement reached 10.2 mmol / L, which was higher than the normal value; diagnosed with gestational diabetes.
Girl Liu found that after being diagnosed with gestational diabetes, she was puzzled and scared. Many people did not know enough about gestational diabetes. Today we take Ms. Liu as an example to popularize it.
Gestational diabetes refers to diabetes that occur or diagnose diagnosis during pregnancy during pregnancy.
Generally, there are three more symptoms (that is, drinking, more food, urine, and weight loss). Most pregnant women do not have any symptoms, and a small number of pregnant women may have symptoms such as skin acupuncture and eye discomfort.
Diabetes in gestational period are very harmful. If the pregnant woman reaches the D, F, R class, the pregnancy must be completed.Fortunately, Ms. Liu’s gestational diabetes was not so serious. She had no organic lesions and had better blood glucose control. Therefore, she could continue her pregnancy under the close monitoring of doctors and her positive cooperation.The doctor clarified in detail that there may be the following risks: For Ms. Liu itself, if she fails to control blood sugar, she is prone to infection, and it is also prone to diabetic keto acid poisoning.For the fetus, the embryo may develop abnormal, which may cause excessive amniotic fluid, huge fetal, and fetal malformations higher than other fetuses.The possibility of respiratory distress syndrome and hypoglycemia is also higher than that of other healthy pregnant women.
First: healthy life and active prevention.
Pregnant women should pay attention to their own blood sugar, especially Ms. Liu’s father has diabetes. She has a high weight before pregnancy. It belongs to the obese people. There are two high -risk factors. They are high -risk people.Diabetes with gestational diabetes.
There should be more attention during pregnancy. Under the premise of ensuring nutrition, do not eat too much or supplement. Pregnant women may threaten health.Pregnant women should also exercise appropriately. They can do walking, swimming, yoga and other exercises. They use exercise to consume too much calories and keep it without growth during pregnancy.
Ms. Liu’s father has diabetes and has a high weight before pregnancy. It belongs to obese people. There are two high -risk factors. At the beginning of pregnancy, she should start controlling diet and monitoring blood sugar, which can effectively avoid gestational diabetes.
Second: face up to the disease and actively treat it.
We need to correct the harm of gestational diabetes, but we don’t need to be afraid of it, and gestational diabetes can be cured.
There is a strict diet control in the treatment of gestational diabetes. Daily foods that can be intake can provide both the calories and nutrients required by pregnant women, ensure the healthy and normal growth and development of pregnant women, and avoid too little food intake and cause pregnant women’s meals.Post -hyperglycemia and hungry ketone.
It is better to control the blood glucose value of 1 hour after a pregnant woman’s meal. It is better to be below 7.8 mmol/L. Diabetes 1-12 weeks of pregnancy. Pregnant women need the same heat when they are not pregnant (2100 ~ 2400 calories, such as increasing physical labor to 2,700 calories)EssenceAfter 13 weeks or after pregnancy, the heat increases by 3%to 8%per week, but pay attention to avoid excessive control of diet, otherwise it may lead to limited fetal growth and pregnant women’s hunger.
Ms. Liu usually likes to eat meat, fried foods, hot pot and other foods, drinking milk tea, and not eating vegetables. The doctor suggested that she develop special recipes: there are diverse foods, starch intake is mainly valley, eat more rough grain; Protein intake is mainly fish, eggs, and meat. Eat more beans and soy products, drink more milk, and eat more milk products. It should be noted that milk tea that Ms. Liu likes usually has less milk.The amount of sugar is more, it is not recommended to drink; vitamins have eaten more fruits and vegetables, fruits, and more animal internal organs. If vitamins are lacking, you can also take supplements under the guidance of a doctor; try to consume less fat as much as possible; pay attention to pay attention to as much as possible; pay attention to pay attentionThe method of cooking is less salt and less oil during cooking. Each person is less than 6g of salt per day and 25-30g of oil. The method of cooking is mainly steamed and cooking.Don’t drink, eat less meals.
Most patients like Ms. Liu can control blood sugar in the satisfactory range through reasonable diet control and appropriate exercise treatment.
The treatment of gestational diabetes is mainly insulin. Insulin is a macromolecular protein. It does not pass the placenta and has a small impact on the fetus.Oral hypoglycemic drugs are not recommended.The gestational diabetes medication must be cautious and there is no uniform standard. The doctor will determine the dose determined according to the actual situation of the pregnant woman, so the medication must be strictly used under the guidance of the doctor!
Gestational diabetes generally does not develop into diabetes. Only a few pregnant women have increased blood sugar again after childbirth, from gestational diabetes to diabetes.
Most pregnant women will change their body hormones soon after childbirth. Anti -insulin substances will quickly decrease, blood sugar will quickly return to normal, and insulin can be disabled after childbirth.A small number of pregnant women’s hormone changes are slow and require insulin. At this time, the amount of insulin is reduced to 1/3 to 1/2 before childbirth. Generally, the amount of insulin can be restored to pre -pregnancy level after 1 to 2 weeks of treatment.Restore the pre -pregnancy level, and these pregnant women have no diabetes during pregnancy. However, even if the blood sugar is restored to normal levels, women with a history of gestational diabetes have a high possibility of suffering from type 2 diabetes in the future, and the next pregnancyAt the time, the recurrence rate of gestational diabetes is as high as 33%to 69%.
A small number of pregnant women are damaged in postpartum isnivation, and the blood glucose cannot be restored to pre -pregnancy level, and gestational diabetes has developed into diabetes.Some pregnant women have unhealthy postpartum lifestyles, consume a large amount of high -calorie food, and have a small amount of exercise, which increases weight, does not control blood sugar, insulin resistance occurs, and eventually leads to diabetes during gestational diabetes.Very few mothers are damaged during the islet function during pregnancy, and insulin secretes less insulin or cannot secrete insulin after delivery.The method can be completely cured.Diabetic diabetes develops into women with diabetes. With the age of age, long -term control of blood sugar may occur, and it is necessary to reduce blood sugar by drilling insulin.
In addition, women who have diabetes before pregnancy are not known. After pregnancy, they are found to be abnormal blood sugar. They are diagnosed with gestational diabetes. Postpartum blood sugar recovery will still be diagnosed with diabetes even before pregnancy.
Maternal mothers with gestational diabetes should conduct oral glucose tolerance tests at 6 to 12 weeks after delivery. If blood sugar is still abnormal, the maternal may be diabetes or gestational diabetes for diabetic diabetes in pre -delivery.Inject insulin to control blood sugar.
First, adjust your diet after delivery to reduce calorie intake.According to tradition, maternal habits are used to supplement a lot during the period of "confinement". In fact, the maternal diet can eat normally under the premise of ensuring nutrition.It should be appropriately adjusted according to the mother’s own situation.
Secondly, appropriate exercise should be performed after childbirth.After 12 ~ 24 hours, the mother can get out of bed and move around. After 24 hours, they can perform simple exercise with the assistance of the professionals.You can do exercise such as sit -ups and sitting on the abdomen and hip muscles. The first time is 15 minutes each time, 2 times a day, and the amount of exercise is appropriately increased according to the time of time and the recovery of the maternal recovery.You can restore the amount of exercise before pregnancy; if there is a weight loss, it is recommended to increase the exercise intensity 6 months after delivery.
Finally, you must monitor blood sugar for a long time.If the gestational diabetic maternal maternal maternal blood glucose does not return to normal after childbirth, you can monitor blood sugar according to the way of self -testing of blood sugar by diabetic patients. You need to buy a regular blood glucose meter, test 4 times a day for blood sugar.Measurement before bedtime. After the blood glucose stabilizes, the number of measurements can be gradually reduced, and at least once a day, until the blood sugar is returned to normal.
Pregnant women who have bred life are angels. We must take care of her carefully, avoid adverse factors for health, ensure the physical and mental health of pregnant women and fetuses, and hope that every mother can usher in their children healthy and healthy!