Playgirl was overweight, had irregular menstruation, and had not gotten pregnant for more than two years after being married. After losing weight, adjusting her endocrine system, and receiving ovulation induction treatment, she finally became pregnant. When she was 11 weeks pregnant, she found that her fasting blood sugar was 5.3. The doctor told her that she needed to control her diet, exercise appropriately, and check regularly. Huahua was confused. Isn't the normal value of fasting blood sugar 6.1? Why are the requirements for pregnant women higher? Isn't this demanding?
Because the growth and development of the fetus during pregnancy depends on glucose , the glucose in the pregnant woman's body can reach the fetus through the placenta. That is to say, some of the blood sugar of pregnant women has to be allocated to the baby, so under normal circumstances, the blood sugar standard of pregnant women is lower than that of normal people.
This is a natural physiological change after pregnancy, and it is not demanding on pregnant women.
In the blink of an eye, Huahua was 16 weeks pregnant, and her fasting blood sugar did not reach the standard. It was always between 6.0-6.4. Huahua was anxious and asked if she could take metformin?
Metformin is a hypoglycemic drug of the biguanide class. It inhibits the output of liver sugar. At the same time, it can improve the sensitivity of insulin , promote the utilization of sugar, and help reduce fasting and two-hour postprandial blood sugar. It is also effective for type 2 diabetes. Overweight and obesity have certain weight loss effects. Although metformin does not harm the liver and kidneys, there is currently no widespread consensus on whether it can be used by pregnant women.
What should we do? Huahua asked.
To control blood sugar during pregnancy, you must eat scientifically and exercise properly to monitor blood sugar under the guidance of a doctor. If blood sugar cannot reach the control target, insulin treatment can be used under the guidance of a doctor.
Will taking insulin affect the baby?
The structure of insulin is exactly the same as that secreted by the body itself, and the insulin injected by oneself does not pass through the placenta and has no adverse effects on mother and baby.
Time flies so fast. Huahua is 25 weeks pregnant. She was the last one to walk into the clinic before getting off work. She told me that during the prenatal checkup, the doctor recommended a glucose tolerance test, but Huahua was afraid of needles and asked if she could not do it.
A glucose tolerance test is performed during pregnancy, usually between 24 and 28 weeks of pregnancy. Through this test, it is mainly to rule out whether there is diabetes during pregnancy. The glucose tolerance test has high accuracy. If it is just a fasting blood glucose test, it cannot clearly rule out gestational diabetes . Therefore, this inspection is necessary.
Gestational diabetes can easily lead to polyhydramnios and macrosomia . It can also cause a variety of pregnancy complications, which have a greater impact on pregnant women and fetuses. The purpose of conducting a glucose tolerance test is to screen out abnormal people for management as early as possible and avoid complications for mothers and children.
However, if you have diabetes before pregnancy or have impaired glucose tolerance, you do not need to do a glucose tolerance test during pregnancy.
It also needs to be combined with the usual blood sugar changes during pregnancy. If fasting blood sugar does not appear to be high during pregnancy, you may consider not doing this test.
Huahua asked another question before leaving: When will the pregnancy be cured if blood sugar is high during pregnancy?
If you are diagnosed with gestational diabetes during pregnancy, you should first change your lifestyle and control your blood sugar through a reasonable diet and appropriate exercise.
If the treatment effect is not obvious, it can be treated with drugs under the guidance of a doctor.
If blood sugar can be controlled within the ideal range through treatment, you can generally choose to terminate the pregnancy between 39 and 40 weeks of pregnancy, which is when delivery is about to take place.
If blood sugar control is not ideal, you should follow the doctor's advice to choose the appropriate timeto terminate the pregnancy.
Huahua said "thank you" repeatedly and pushed the cart back, leaving me to come up with this piece of dried tofu...
