First of all, it increases the fetal mortality. If it is gestational diabetes, the fetal mortality rate is very high if the blood sugar is not controlled.
Secondly, gestational diabetes will lead to fetal overgrowth, that is, we often say that the fetus is huge, and it will also cause many neurological malformations and fetal vascular malformations, such as hydrocephalus and congenital anal atresia, all of which are caused by gestational diabetes;
There are also some cases, such as neonatal jaundice, neonatal kneepad distress syndrome and neonatal hyperinsulinemia, which are all caused by gestational diabetes.
So the baby can be born healthily, and his own body. Pay attention to sugar control during pregnancy!
Finally, recommend a diet to control sugar during pregnancy.
I am an elderly woman, 38 years old. When filing, there is a special label on the notebook to remind the doctor that I belong to a special group.
Because of my age, I have gestational diabetes, which was found out when I was doing a glucose tolerance test.
The doctor told me to fail the nutrition department. The nutrition doctor took out various models and told me very vividly how much food I could eat. He also printed a recipe for me to eat. That's right.
Finally, when I left, the doctor said that your blood sugar during pregnancy was already very good at your age.
Since then, fasting and postprandial blood glucose monitoring have been done in strict accordance with the forms given by obstetricians every day, and the forms have been filled in strictly and carefully.
How terrible is sugar high?
Sweet Gao Baobao will become a giant baby. I strictly controlled my diet and gave birth to a baby weighing 7.6 kg.
High sugar is easy to cause polyhydramnios. The doctor vividly described that other people's babies were swimming in barrels and my baby was swimming in the pool. Actually, this is not good.
After 40 weeks, the baby did not move. A normal doctor will tell you to go back and wait for the baby to start, but I have gestational diabetes, and the doctor will go directly into the ward to give the baby an infusion to start.
40+2 Caesarean section is performed without any activity of the baby.
My real case tells you that sugar control is really, really important and should be taken seriously.
Sugar control during pregnancy is of course important. A friend of mine, who was pregnant at the same time, didn't control the sugar well in the middle and late stages, so she did a lot of tests. Finally, the baby was too big and was forced to have a caesarean section. Now the baby is one year old and still not well.
My friend, a pregnant mother who loves fruit, is expecting a baby 10 days later than me, so we often exchange baby indicators together and see the same doctor for prenatal examination.
By the second trimester, her blood sugar began to be a little high, and the doctor advised her to control it and eat less sweets. However, she just likes to eat fruit, and superstitious eating grapes will make the baby's eyes bigger and eat a lot of grapes.
Because she is over 30 years old and has high blood sugar, she needs to hang up nutrition, obstetrics and endocrinology every time she starts in the second trimester. It is very difficult to wait for a doctor in several departments, not to mention the cost of doing more tests.
Even so, her trip to control sugar was not smooth. By the third trimester, the fetus is obviously very big. At 36 weeks, the doctor estimated that the fetus weighed more than 8 kg. If it is full-term, it will be difficult to give birth naturally. She was already very weak and wanted to have a good baby. She was worried about the poor health of caesarean section, but the child was really big and her blood sugar and blood pressure were high. Finally, she had a caesarean section at 39+5 and gave birth to a baby of 8 kg and 3 oz.
Because it is a caesarean section, the damage to vitality is still relatively large. So far, the baby is over one year old and still very weak. She regretted meeting and chatting a while ago. She said that if I had known, I would have eaten less grapes. After eating so much, the baby's eyes are not big.
My sugar control method is that my blood sugar is too high when I am pregnant for 8 months. My urine test has three plus signs. The doctor clearly told me that if I don't control it, my baby will be bigger in the later stage, and I should take more blood to measure my blood sugar every time.
I'm afraid of blood tests during the whole pregnancy, and I'm an older firstborn, and I really don't want to face caesarean section. You just listened to the doctor and started to control sugar.
Eat less noodles and rice on your eyelids. I used to love grapes, cantaloupes and other fruits with high sugar content, but later I changed to tomatoes, fruit cucumbers and other fruits with low sugar content. It was really tasteless, but for the sake of the baby and myself, I persisted. By September of pregnancy, blood sugar finally returned to normal. When you wanted to check, you said the baby was still older. If you want to give birth naturally, you can still suggest controlling your diet as much as possible. So during the whole nine and a half months, I was basically hungry and hungry every day. Fortunately, the baby's estimated weight didn't increase. Finally, I naturally gave birth to a baby weighing 7.3 kg, with a great figure.
Now I use it after delivery, and my body has recovered a lot. My body shape has basically returned to that before pregnancy, so I think I am more grateful for my original self-discipline.
Conclusion: It is really important to sleep sugar during pregnancy, which is related to your mother's health and the smooth production process. I hope pregnant mothers can follow the doctor's advice and strictly control it. Let me share my real experience.
At that time, I overheard many rumors when I was pregnant, saying that children who eat more grapes have big eyes and children who eat more fruits have good skin ... I love fruit when I am not pregnant, and my pregnant husband sees that I like fruit, so he keeps fruit at home every day.
It was not until the sixth month of pregnancy that I went for a sugar screening that I was labeled as "gestational diabetes".
My family thought that the hospital must be fooling pregnant women because I was thin at that time. In their impression, diabetics are all obese, which is hardly mentioned in my hometown.
But the doctor told me clearly that if the blood sugar control during pregnancy is not good, it will have an impact on pregnant women and children. Not only will the child have the risk of a huge baby, but it will also affect the child's physical function, which is also very unfavorable to pregnant women.
So, I started the process of self-testing blood sugar, poking it with my finger five times a day.
Say it is bitter tears. Besides pricking your fingers five times a day, you have to walk for half an hour after dinner. At that time, I went out for a brisk walk for half an hour every day with a big belly.
But also have to control the diet, fruit control in a small fist-sized amount, porridge, pasta can not be eaten. Eat more green vegetables and lean meat, not fat meat, not high-calorie food, and eat less oil and salt, which is light and tasteless. ...
At that time, I felt that it was really not easy to be a mother for my baby. Once I was really greedy and ate a small bowl of noodles. As a result, blood sugar soared and I was too scared to eat any more.
So I summed up an experience. Like me, my blood sugar is normal at ordinary times, but I got gestational diabetes during pregnancy. I must have eaten too many high-sugar things in the early pregnancy, such as fruit, pasta, rice porridge and white rice ... If I eat nothing but nothing during the whole pregnancy, my blood sugar can be controlled.
Later, I weighed myself a few days before I was born. I didn't expect to gain only 14 kg during the whole pregnancy. The baby was born at 6 kg, and it was better to give birth naturally.
I think my blood sugar was well controlled in the second trimester, because I passed several follow-up reexaminations, and there was no major problem. But the lesson I learned from this incident is that don't eat too many fruits at once during pregnancy, especially grapes. The sugar content is high and your blood sugar soars minute by minute!
When I was hospitalized, there were two parturients in the ward. They are also pregnant, but they are hospitalized because of gestational diabetes. They have to take insulin to lower their blood sugar, so they should pay special attention to their diet. The amount of staple food for each meal is strictly controlled. I remember that two pregnant women were often hungry at that time, but the doctor did not allow them to eat more staple food. Therefore, sugar control during pregnancy is very important. Otherwise, if you really have gestational diabetes, you should not only be hospitalized, but also be careful in your diet, which is not good for the fetus. In the third trimester, every time doctors ask for weight control and sugar intake control.
What is the purpose of sugar control during pregnancy? If you don't control sugar during pregnancy, you will really get gestational diabetes, and the probability of giving birth to a huge baby is very high! Because of gestational diabetes, the fetus is very dangerous at birth. Because the fetus is in a hyperglycemia environment for a long time and the pancreas is very active, it is easy to cause hypoglycemia during delivery. If the energy supply is not done well, it is likely to damage the brain of the fetus. In addition, such babies are more likely to suffer from hypocalcemia and polycythemia.
How to control sugar? Be sure to pay attention to eating fruit during pregnancy. I know a pregnant woman who eats fruit as a meal. I can't eat anything else because I have a bad appetite during pregnancy. As a result, the sugar exceeded the standard, and she got gestational diabetes, and finally had to be hospitalized to lower her blood sugar. So you can't eat fruit during pregnancy, because fruit has a high sugar content. Eat more fruits with low sugar content, such as tomatoes, pomegranates and cucumbers, which can also be eaten as fruits. The sugar content is relatively low and refreshing.
Besides, don't eat too much chocolate, cream, etc. I only eat occasionally to relieve my craving.
For the baby, sugar must be controlled! After all, nothing is more important than the safety of the baby.
When I was pregnant, I checked my body in the hospital and found that my blood sugar was high. Because it was not very high at first, the doctor did not recommend insulin. After that, I began to control my diet and pay attention to exercise. I worry about what people with gestational diabetes eat every day. I dare not put sugar in my food, and I dare not touch anything sweet. Later, I bought a blood glucose meter in the hospital and measured my blood sugar every day. It's really hard to prick your fingers every day. The following is my own experience, which is a remedy for pregnant women with diabetes. Ladies can refer to:
1, break time, breakfast at 7 o'clock, breakfast at 9 o'clock 10 o'clock, lunch 12 o'clock, when you are hungry at 3 o'clock, have dinner at 7 o'clock and drink milk at 9 o'clock. I haven't paid attention to the rest time before, and my young mother must feel the same way. This has a great influence and needs special attention.
2. In terms of diet, it is a custom in my hometown to eat more nutritious things during pregnancy, which is good for my baby, so I have been eating whatever has high nutritional value (the older generation has never heard of gestational diabetes, and they always feel that big fish and big meat are good for their health, so they can't bear to refuse every time, but after finding out diabetes, they finally corrected this idea on the advice of doctors). Later, I consulted the nutrition department of the hospital about how to eat pregnant women with hyperglycemia, because! ! However, for the sake of the baby's health, for your own health, you must hold back, you must hold back.
3, the main control is to eat less staple food, rice, steamed bread and so on. And try not to eat. Instead, eat more vegetables, eat more meat and eggs (remember to overdo it), eat more miscellaneous grains, regularly ration every meal, and eat less fried, spicy and other foods with high oil content (which can also prevent acne). When you are hungry, you can eat some fruits properly, such as pitaya, apples, oranges and so on. Kiwifruit, etc. These are fruits with high moisture and low calories. (Note: Try to eat fruit when blood sugar is low between meals. )
The doctor's prescription for pregnant women is as follows:
Breakfast: 7:00-8:00, a glass of milk, an egg and two or three Bayer cookies.
Chinese food: from 1 1 to 12, two grains of rice and two vegetables,15g of meat and oil, and bean products can be added appropriately.
Afternoon: 2: 30 to 3: 00, 2-3 cookies and an apple.
Dinner: from 6: 00 to 7: 00, you can eat more vegetables and increase dietary fiber for dinner. Like me, I like to eat leeks, zucchini, wax gourd, vegetables and eggplant. Better like tomatoes, with low sugar content, can be used as both fruits and vegetables. I don't know if there is a treasure mother who likes rice as much as I do, but after pregnancy, the doctor advised me to eat less rice and steamed bread, which was really hard.
Later: at 9 o'clock, a cup of pure milk, a piece of oatmeal bread or two strip biscuits.
It may not feel great at first, but the effect will be more obvious in a week or so. You can also take some time out for walking, walking slowly, walking every day and other sports.
In addition, prepare more milk, yogurt, bread, biscuits and so on. If you are hungry, you can eat some mats. Sometimes you can eat some fruits selectively when you are hungry. Diet control, coupled with appropriate small exercise, helps to control blood sugar. Walking after dinner is good exercise. Usually choose some sugar-free low GI foods, such as Bayer cookies mentioned above. Although it can directly lower blood sugar than drugs, the dietary fiber inside can transform the absorption of some sugar in the body and indirectly lower blood sugar, which is safe and secure.
After two weeks, the sugar screen was rechecked, and the fasting blood glucose was 4.9 in the morning, 8.0 one hour after meals and 6.3 two hours later. Oh yeah!
After the return visit, I entered the maintenance period. In the morning, the number of Bayer cookies was reduced, and more meals could be added appropriately. In fact, diabetes is not such a serious disease. You don't have to worry about anything after you control it. These are my own experiences, and there is no logic. If there is a mother with high blood sugar like me, I hope it will help you. Finally, I wish everyone a healthy baby.
How does gestational diabetes appear? Placenta is the energy and nutrition transport channel between mother and fetus, but at the same time it can produce some hormones and various factors to prevent insulin from working normally, which is called insulin resistance. Although the pregnant mother's body produces more insulin as compensation, it still can't maintain the normal blood sugar level. After 24 weeks of pregnancy, insulin resistance began to increase and blood sugar began to be abnormal, so screening began at 24 weeks of pregnancy.
What serious harm does gestational diabetes have?
It will cause excessive amniotic fluid and urinary system infection in pregnant mothers. It can also cause embryonic dysplasia, macrosomia, hypoglycemia after birth, respiratory distress syndrome and so on. Once you have a history of gestational diabetes, you will get sick again every time you are pregnant.
Dietary nutrition therapy for gestational diabetes mellitus
Can maintain the reasonable weight gain of pregnant women.
Ensure the nutritional needs of the mother and the growth and development of the fetus.
Keep pregnant mothers' blood sugar stable.
Matters needing attention in dietary nutrition treatment of gestational diabetes mellitus
First of all, we should understand the complications of gestational diabetes, especially pay attention to prevent the occurrence of fetal growth restriction. Secondly, we should eat less and eat more meals, six meals a day, regularly and quantitatively, and each meal must contain carbohydrates. Even if you are not hungry, you need to add meals; It is recommended to add meals 3-4 hours after meals. In the first two weeks, monitor the big contour every 3 4 days. After the blood sugar is stable, monitor the big contour once a week or every 3 4 days, and accurately record the results of micro blood sugar and food (including food variety and weight, etc.) for 7 times. ) and exercise in the diabetes diary.
Dietary suggestions for gestational diabetes mellitus
1. According to the source and nature of food, food is divided into four categories and eight subcategories. The same or different kinds of food can be exchanged within a certain weight range.
2. The calorie of each food is 90 kilocalories.
3, can avoid food is too monotonous.
4. Similar foods are interchangeable: 50g rice 50g flour; 25g biscuits and 25g oatmeal;
5, different kinds of food can also be interchanged: 25g oatmeal 200g orange; 50 grams of steamed bread 500 grams of watermelon (with skin)
Pregnant mothers need to pay special attention to the phenomenon of high glucose tolerance during pregnancy test. The best choice is to consult your attending doctor. Parenting is also recommended to go to a professional regular hospital for examination. There are relatively many problems to be paid attention to in the treatment of abnormal glucose tolerance. So what should I do during pregnancy?
Hyperglycemia in pregnant women can cause dry skin, nausea and vomiting, and poor mental state. It is mainly caused by improper diet during pregnancy. The best choice of diet during pregnancy is to divide it into three big meals and three small meals, and eat less fruits, vegetables and high-sugar fruits with a sugar content of 400-500 grams every day, of which colored vegetables and fruits should not be less than 50%.
7:00-9:00
Drink some low-sugar freshly ground soybean milk and fresh milk. Remember, it must be low-sugar, and then a small cereal packets, made of corn flour or buckwheat flour, and two pieces of coarse grain bread.
10:00- 13:00
Miscellaneous grains rice should be the staple food for pregnant mothers' lunch. When cooking, put some millet in white rice. This is because white rice has a high sugar content, so it is best to eat miscellaneous grains rice for dinner.
17:00- 19:00
Mostly the same as lunch.
Ten o'clock in the evening
When sleeping at night, pregnant mothers can choose to have another meal before 22 o'clock. This is because they can't eat for about 8 hours after going to bed at night. Due to the special physiological needs during pregnancy, if you don't eat for a long time, pregnant mothers with diabetes are very likely to increase "urine ketone", which is toxic and harmful to your baby. Therefore, they must have a meal before going to bed at night, only eating melons and fruits and a few coarse grain biscuits.
Pregnant mothers need not be too alarmed when they encounter high glucose tolerance during pregnancy test. It is also very important to know the specific situation from the attending doctor and what to pay attention to next, while maintaining good diet and living habits.
Glucose tolerance is a very important test in pregnancy test, and it is also a test of some professional diseases. These diseases naturally do not want to happen to themselves and their babies. Therefore, pregnant mothers must pay more attention when doing pregnancy tests to ensure that their pregnancy test values are correct.
Poor blood sugar control during pregnancy is easy to get gestational diabetes.
Let's talk about the dangers of gestational diabetes:
1, harm to pregnant women.
Pregnancy may lead to spontaneous abortion, pregnancy-induced hypertension, infection and polyhydramnios; Pregnant women have a higher risk of developing type II diabetes after delivery.
2. Harm to children.
May lead to fetal malformation, macrosomia, neonatal hypoglycemia and so on. Children are at increased risk of obesity and type II diabetes.
Sugar should be controlled throughout pregnancy. If you have gestational diabetes, don't be too flustered. Most of them can be controlled by diet, and insulin can be used if the diet is not good.
If you have gestational diabetes, you need to do the following:
1, listen to the nutrition clinic.
Many pregnant mothers suffer from diabetes because of unreasonable diet structure. The nutrition clinic will explain in detail how to match the diet with gestational diabetes, so that you can avoid detours.
2. Monitor blood sugar.
You need to buy a blood glucose meter, monitor fasting blood glucose every morning and 2 hours after breakfast, lunch and dinner, and record the diet and blood glucose value of each meal. If the blood sugar level is high, you need to adjust your diet in time. If blood sugar can be controlled, you can test it for 2 days a week. During pregnancy, I had a lot of acupuncture on my thumb, which was really difficult.
3. A reasonable diet.
Eating during pregnancy is very particular, not to say that you can't eat, but to control the amount you eat. Many pregnant mothers like to eat a lot of fruit during pregnancy. However, fruit has a high sugar content. For sugar mom, it is necessary to control the daily fruit intake, and an apple a day is enough.
Vegetables, fruits, sweet potatoes, meat and egg proteins, milk and oils are indispensable during pregnancy, and each category should be controlled. Determine the quantity according to the current weight.
As soon as I eat white rice and pasta, my blood sugar soars. Finally, I switched to miscellaneous grains rice, and my blood sugar was controlled.
It is recommended to eat less and more meals during pregnancy, six meals a day. Generally, meals are served at 9- 10 in the morning and 3-4 in the afternoon, and before going to bed at night.
In order to control the weight during pregnancy, we can calculate the range of weight gain during pregnancy according to the pre-pregnancy body mass index. Insufficient or exceeding this range is not good.
It is not easy for every pregnant mother with gestational diabetes. For the sake of the children, bear it.
Thank you for your invitation.
It should be said that all pregnant women are at risk of developing diabetes during pregnancy. This is because during fetal development, the demand for glucose increases, hormones secreted by placenta interfere with the action of insulin, insulin resistance increases, and insulin secretion is relatively insufficient, which will lead to the fluctuation of pregnant women's blood sugar.
Once you get diabetes, it will have a great impact on pregnant women and fetuses. First of all, it is easy to cause maternal infection, polyhydramnios and hypertension. 20%-50% of patients may develop type 2 diabetes after delivery. At the same time, after the baby is born, it is more prone to hypoglycemia, hypocalcemia, hypocalcemia, polycythemia and jaundice. In the future, the chances of developing metabolic syndrome such as diabetes and obesity will also increase greatly.
According to the diagnostic criteria of diabetes issued by the National Health and Family Planning Commission, the fasting blood glucose and the blood glucose values at 65,438+0 hours and 2 hours after taking glucose are 5.65,438+0 mol/L, 65,438+00.0 mol/L and 8.5 mol/L respectively, which can be diagnosed as gestational diabetes.
Once you have gestational diabetes, you should pay attention to the following principles:
1, strictly control the weight gain during pregnancy to avoid excessive and rapid weight gain.
2, 5 meals a day, 3 meals and 2 meals, should be regularly quantified, a small number of meals, total control.
3, control the total staple food (about 300 grams per day), improve the proportion of coarse grains, thick and thin collocation.
4. Choose foods and combinations with low glycemic index.
5. Eat more vegetables, especially green leafy vegetables and dark vegetables.
6, control the total amount of fruit, no more than 200 grams a day.
7. Ensure the normal intake of fish, eggs, milk and bean products.
8. Exercise for 20-30 minutes after each meal, with a total of not less than 60 minutes per day.
9. Bring your own blood glucose meter, self-monitor blood glucose, and guide your diet, exercise and life.