Prevent Gestational Diabetes and Don’t Become a “Sugar Mommy”

Prevent Gestational Diabetes and Don’t Become a “Sugar Mommy”

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For pregnant mothers, the term “sugar screening” is no stranger. It is a must-do examination during pregnancy. If the “sugar screen” fails, it means you may have gestational diabetes. Why is it that my blood sugar was normal before pregnancy but I became diabetic after pregnancy? What are the dangers of gestational diabetes? How to prevent it? The Beijing CDC WeChat public account issued relevant tips.

Gestational diabetes refers to a disease of abnormal glucose metabolism that occurs or is first discovered during pregnancy. A 75-gram oral glucose tolerance test was performed between 24 and 28 weeks of pregnancy. The blood glucose thresholds at fasting, 1 hour, and 2 hours after oral glucose were 5.1, 10.0, and 8.5 mmol/L respectively. The blood glucose values ​​at any time point reached or exceeded the above standards. That is, a diagnosis of gestational diabetes was made.

After pregnancy, pregnant women’s bodies will undergo some changes, such as increased demand for glucose and the production of insulin-resistant substances (such as placental lactogen, estrogen, progesterone, cortisol, and placental insulinase, etc.). These factors may cause Causes gestational diabetes. In addition, those who are overweight or obese before pregnancy, are older pregnant women, have a history of delivering macrosomia, and have polycystic ovary syndrome are more likely to develop gestational diabetes.

What harm does gestational diabetes cause? First of all, for pregnant women, abnormal blood sugar can lead to a variety of infectious diseases during pregnancy, such as vaginitis and puerperal infection. If gestational diabetes develops to a certain extent, retinopathy such as gestational hypertension, fundus hemorrhage, and ketoacidosis will occur. And if blood sugar is not well controlled during the first pregnancy, the recurrence rate of diabetes in subsequent pregnancy can be as high as 60%, and nearly half of the population will develop type 2 diabetes. Secondly, for the fetus, high blood sugar in early pregnancy may cause fetal teratogenesis. risk, increasing the probability of miscarriage, premature birth, stillbirth and other adverse consequences; in addition, severe gestational diabetes may restrict the growth and development of the fetus, cause low weight, or lead to macrosomia, which may lead to neonatal distress syndrome, neonatal The incidence of hypercholesterolemia is increased.

To prevent gestational diabetes, you need to pay attention to the following things:

The first is to clarify and control total energy intake. Usually, the caloric needs of pregnant women in the early stages of pregnancy are similar to those before pregnancy; while in the middle and late stages of pregnancy, they need to increase calories appropriately.

Generally speaking, the amount should be no less than 1,600 kcal/day in early pregnancy, and 1,800-2,200 kcal/day in middle and late pregnancy. To avoid a sharp increase in blood sugar in pregnant women, eat smaller meals more frequently. The energy of breakfast, lunch and dinner should be controlled at 10%-15%, 30% and 30% of the total daily energy intake respectively, and the energy of each snack can account for 5%-10%.

The food intake should be diversified to ensure the energy supply ratio of each nutrient, and appropriately increase the intake of vitamins and minerals, including foods rich in iron, folic acid, calcium, vitamin D, iodine, etc., such as lean meat, poultry, fish , shrimp, dairy products, fresh fruits and vegetables, etc.

Second, regular exercise before and during pregnancy can significantly reduce the risk of gestational diabetes in normal-weight pregnant women, especially overweight and obese pregnant women.

Pregnant women with no contraindications to exercise should engage in moderate-intensity exercise for at least 5 days a day for 30 minutes a day. Resistance exercises such as walking, brisk walking, swimming, jogging and other aerobic exercises and strength training are recommended. If vaginal bleeding, painful contractions, vaginal discharge, difficulty breathing, dizziness, etc. occur during exercise, you should stop exercising. During exercise, pregnant women should wear loose clothing, replenish moisture in time, and avoid exercising in high temperature and high humidity environments.

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