Postpartum glucose tolerance test How to draw blood glucose tolerance test, also known as glucose tolerance test, is a laboratory examination method for diagnosing diabetes, mainly including intravenous injection and oral administration. Intravenous glucose tolerance test is suitable for special patients such as gastrectomy or malabsorption syndrome, and oral glucose tolerance test (OGTT) is the most common clinical examination method.
Before screening, 50g glucose powder was dissolved in 200ml water on an empty stomach 12 hours, which was completed within 5 minutes. After the first sip, draw blood to check blood sugar. If the blood sugar value is ≥7.8mmol, it is abnormal for glucose screening, and further glucose tolerance test (OGTT) is needed.
Glucose tolerance test (OGTT): Blood samples were taken on an empty stomach 12 hours before the test to check blood sugar; Add150ml 50% glucose injection into100ml water, or dissolve 75g glucose powder in 200ml water; Drink the prepared sugar water within 5 minutes, count from the first bite, and draw blood to check blood sugar after drinking 1 hour, 2 hours and 3 hours respectively.
Glycosylated hemoglobin is a new diagnostic standard for diabetes. Glycosylated hemoglobin detection can usually reflect the blood sugar control of patients in the last 8- 12 weeks. Fasting blood glucose and postprandial blood glucose reflect the blood glucose level of human body at a specific time, which is easily influenced by diet, glucose metabolism and other related factors. Glycosylated hemoglobin can stably and reliably reflect the average blood glucose level of human body 120 days before the test, and is not interfered by blood drawing time, fasting, insulin use and other factors. For some pregnant women with unstable blood sugar test data, glycosylated hemoglobin can be tested.
How to control diet and lose weight with high postpartum blood sugar 1? Control the total calories in a day.
In order to make the postpartum body recover quickly, new diabetic mothers should strictly control the total calories not to exceed 1500 calories. Total calories include not only staple food, but also non-staple food, cooking oil, snacks, etc., because these foods will also be converted into blood sugar in the body after eating.
2. Reasonable diet and scientific catering
Under the condition of controlling the total calories of new diabetic mothers all day, the calories provided by three nutrients-carbohydrate (sugar), protein and fat should account for 50%~60%, 15%~20% and 20%~30% of the total calories respectively. The intake ratio of protein for new diabetic mothers can be increased appropriately.
In order to ensure the supply of protein, a certain amount of beans, milk, eggs and lean meat should be consumed every day. In order to avoid excessive calories, the total amount of various meats should not exceed150g per day; In particular, the intake of oil should not be too much, especially to control animal fat, unsaturated fatty acids such as vegetable oil should be the main ones, and the calories of animal oil should not exceed 10% of the total calories. If you still don't feel full after eating these things, eat some vegetables. There is no limit to this.
Gestational diabetes can generally return to normal about 2 months after delivery. If not, it will develop into type 2 diabetes. Control the intake of staple food in the diet. Eat more vegetables. Keep 2 pairs of meat/1 egg/1 bag of milk.