Red Net Moment News June 14 (Correspondent Wu Lingyan) "I have no diabetic patients in my family, and my blood sugar is not high before pregnancy. How can I get diabetes when I get pregnant?" Such a conversation occurs in the obstetric clinic every day.
Yi Wangjun, director of the obstetrics and gynecology department of the Third Hospital of Changsha City, explained that there was no diabetes before pregnancy, and it did not mean that it could be "highly worrying" during pregnancy.Due to the increase in the factors that resist insulin after pregnancy (such as obesity, lack of exercise, etc.), the sensitivity to insulin decreases and demand increases.
Pregnant mothers should understand the relevant knowledge of hyperglycemia during pregnancy in order to better cooperate with the doctor and protect the health of themselves and the baby.
First of all, you must understand the high risk of high blood sugar during pregnancy
Obesity (especially severe obesity), first -level relatives (parents, brothers and sisters) suffer from type 2 diabetes, I have coronary heart disease, chronic hypertension, high density lipoprotein <1 mol/liter and (or) glycerin threeEntin> 2.8 mar/liter, history of pregnancy diabetes, history of huge child childbirth, history of polycystic ovary syndrome, early pregnancy period (before 12 weeks of pregnancy) on an empty -stomach -empty urine sugar repeated positive, and age> 45 years old.High -risk factors should be alert to high blood sugar during pregnancy; even without these high -risk factors, pregnant mothers cannot take it lightly.
Second, understand the harm of hypertrophic hyperglycence during pregnancy
For pregnant mothers, hyperglycemia during pregnancy can increase the risk of early eclampsida, cesarean section, excessive amniotic fluid and prenatal/postpartum depression. In the later stageRate; for the fetus, hyperglycemia during pregnancy can lead to excessive growth, dystocia and dystocia, siege dying, fetal malformations, respiratory distress and (or) myocardial disease, hyperglycemia, hyperbilotin ledmia and many other serious serious severeThe problem, from a longer -term perspective, can also increase children’s risk of suffering from various chronic diseases in the future.
Third, understand important examinations and time points related to hyperglycemia during pregnancy
1. Before preparing for pregnancy: Check the blood sugar of the abdominal and judge whether there is a pre -pregnancy diabetes;
2. First birth test: Check the blood glucose of empty abdominal, determine whether it is in line with the numerical value to meet the damage to diabetes or pregnancy before pregnancy or the damage to the empty blood glucose or not diagnosed;
3. 24-28 weeks in the middle of pregnancy: Check the glucose tolerance test (OGTT) to diagnose whether the diagnosis is hypertrophic during pregnancy; once diagnosis is diagnosed, you need to listen to the doctor’s suggestion and regularly monitor blood sugar.
4. Maternal women with hyperglycemia during pregnancy should review OGTT 4-12 weeks after giving birth.
If there is any abnormality in the above test, pregnant mothers need to communicate with the doctor in time to formulate individualized blood sugar management methods, and cooperate with doctors to monitor and control blood sugar.
Do a good job in daily blood sugar monitoring and management
Blood glucose monitoring is of great significance for blood glucose management, but the most easily ignored by pregnant mothers, especially for pregnant mothers with clear diagnosis diagnosis of gestational diabetes, to pay more attention to monitoring blood glucose: self -provided blood glucose instrument at home, for those who do not need insulin, at least 1 weekly monitoring 1Sky abdomen blood glucose and post-three meals of blood glucose; those who need to use insulin to monitor blood sugar before and after three days of three meals per week.
Pregnant mothers’ blood glucose control goals are: empty blood glucose before meals <5.3 mmol/liter, 1 hour of blood glucose <7.8 mmol/liter, 2 hours of blood glucose <6.7 ml/liter, night blood sugar ≥3.3 mo Moore/Lift.
If the pregnant mother has good blood glucose control, the monitoring frequency can be adjusted appropriately under the guidance of a doctor; if the control is not ideal, you need to seek medical treatment in time to obtain targeted treatment.
In addition to blood sugar monitoring, pregnant mothers should also cooperate with doctors to do relevant knowledge learning, diet management, exercise management, drug treatment, etc. to better control blood sugar.
Because gestational diabetes has a wide range of influence in the metabolism of the body, Yi Wangjun reminds that if pregnant mothers have symptoms such as nausea, vomiting, and fatigue of unknown causes, they need to prevent ossed up and poisoning.Urinary/reproductive infections such as frequent urination, urgency, dysuria, increased leucorrhea, and vulvar itching, etc., occur in time in time.