In recent years, affected by multiple factors such as social mood, environmental pollution, delayed childbearing age, work and life pressure, the number of infertile people in my country has increased significantly.
Fortunately, IVF technology is becoming more and more mature, and its acceptance is getting higher and higher. This has made many infertility families relieved. Today, thousands of people receive IVF treatment every year.
However, patients need to face many difficulties during IVF treatment, and gestational diabetes is one of them. After
was successfully transplanted in vitro, many pregnant mothers were worried that their nutritional intake would be insufficient, which would affect the health of their babies, so they ate a lot and became "sugar mothers" accidentally.
Gestational Diabetes
Diabetes during pregnancy has two conditions, one is the diagnosis of diabetes before pregnancy, called "diabetes with pregnancy."
Another type of diabetes that has normal glucose metabolism or potential impaired glucose tolerance before pregnancy, appears or diagnosed during pregnancy, is also called "gestational diabetes (GDM)".
More than 80% of pregnant women with diabetes have GDM, and less than 20% of pregnant women with diabetes. So, I will focus on GDM for everyone. The diagnostic criteria of
GDM
normal pregnant women with fasting blood glucose≧5.1mmol/
OGTT (Glucose Tolerance Test) 1-hour blood glucose≧10.0mmol/L
OGTT 2-hour blood glucose≧8.5 mmol/L
If one of the three meets one of the three, gestational diabetes can be diagnosed.
The effect of GDM on pregnancy
Under normal circumstances, most of the glucose metabolism of GDM patients can return to normal after delivery, but the chance of developing type II diabetes will increase in the future, and it will also increase the risk of mother and child, so we should pay attention to it. The effect of
1
on pregnant women
Pregnancy is prone to complications of hypertension during pregnancy, increased risk of vaginitis and urinary system infection, increased miscarriage rate and incidence of polyhydramnios; increased dystocia, birth canal injury, prolonged labor, and postpartum hemorrhage during delivery Risk and cesarean section rate.
Studies have shown that women with GDM will have a significantly increased risk of developing type II diabetes in the next 20 years. The effect of
2
on the baby
during pregnancy increases the risk of intrauterine hypoxia, intrauterine growth restriction, premature delivery, macrosomia, stillbirth and fetal malformations; after birth: neonatal respiratory distress syndrome, hypoglycemia, hypocalcemia The risk of disease, hyperbilirubinemia, etc. increases.
There is increasing evidence that GDM offspring have an increased risk of obesity and diabetes in adulthood. How does
prevent gestational diabetes?
Control your diet: balanced nutrition, light diet, small and frequent meals, control sweets, and no excessive fruit.
Weight control: For pregnant mothers with normal weight before pregnancy, the appropriate value for weight gain during the whole pregnancy is about 12.5kg, and 0.36~0.45kg per week in the middle and late pregnancy.
Appropriate exercise: Pregnant mothers should have no less than 30 minutes of low-intensity activities every day, preferably 1~2 hours of walking, gymnastics and other outdoor activities. Yoga and swimming during pregnancy are also good choices.
Timely check-ups during pregnancy, especially sugar screening at 24 to 28 weeks.
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