How can sugar mothers with gestational diabetes control their blood sugar?

  1, control diet “sugar mother” refers to pregnant women who suffer from “gestational diabetes”. Once diagnosed with gestational diabetes, the first thing to do is to control your diet, which is most important. Try not to eat grapes, watermelon, cantaloupe and other high-sugar fruits, and eat some low-sugar fruits such as dragon fruit, sage fruit, guava, grapefruit and kiwi fruit in moderation. Normally, you can eat bitter gourd and soy beans with ribs, boiled pumpkin and other foods to lower blood sugar. Staple food to coarse grains, such as oats, buckwheat, sorghum, corn, sweet potatoes, beans, etc., can be cooked with rice into mixed rice, can not be cooked into porridge, because the starch paste will raise blood sugar.  2, increase exercise Second, the way to control blood sugar is to increase the amount of exercise, three meals after walking for half an hour to an hour, walking is not a slow walk, but a brisk walk to a slightly sweaty kind.  The third step is to adjust diet and exercise by monitoring blood sugar 2 hours after meals. The method of monitoring blood glucose: from the moment you start to eat to two hours, take a drop of blood from your finger with a microcomputer blood glucose meter to measure the blood glucose of peripheral blood. It is required that the blood sugar of 2 hours after meal is controlled at the level of 6-7mmol/L. If the blood sugar is too high, it means that the control is not ideal and it is easy to cause serious consequences such as excessive amniotic fluid, oversized fetus, difficult shoulder delivery, poor uterine contraction, postpartum bleeding and even fetal death in the uterus, etc. It is necessary to control the diet more strictly and strengthen the exercise; if the blood sugar is too low, it means that the diet is too little and it is easy to be malnourished, which will affect the growth and development of the fetus and lead to The baby’s birth weight is not enough, need to go to the incubator monitoring, adults are prone to hypertension, diabetes and other metabolic diseases, should adjust the diet structure, increase calories.  4.Nutrition department consultation Then secondly, the nutrition department will calculate the sugar mother’s total calories for a day according to her BMI (height/weight squared) and blood sugar value, and distribute them according to the ratio of 1, 2 and 2, specifically how much rice, how much meat and vegetables and fruits; 5.Hospitalization monitoring It is inconvenient for sugar mothers to monitor blood sugar by themselves, or if the blood sugar control is not satisfactory, they need to be hospitalized for close monitoring, first “big profile”, i.e. measuring blood glucose before three meals, 2 hours after three meals and before bedtime 7 times a day, with pre-meal blood glucose below 5.3mmol/L, only high post-meal blood glucose can be changed to “small profile”, i.e. measuring blood glucose 2 hours after meals and before bedtime every day, and asking the nutrition department to adjust calories. If the blood glucose control is ideal and the fetal growth and development is good, you can be discharged from the hospital and go home to monitor yourself.  6. Application of insulin If the sugar mother’s blood sugar is still not well controlled after the above methods, she needs the intervention of an endocrinologist and treatment with insulin. Insulin has a large molecular weight and will not enter the fetus through the placenta, so it is very safe. There are several uses of insulin such as rapid-acting, short-acting, medium-acting and long-acting, subcutaneous injection, intravenous drip and insulin pump, etc. The dose and method should be decided and adjusted according to the level of postprandial blood sugar. All these are done under the guidance of endocrinologist.  7. Timing of delivery When is the best time for a sugar mom to have a baby? Because diabetes affects the fetus’ lung maturity, if delivered too early, the baby’s lung maturity is low and the first bad breath will affect the function of other organs. Delivering beyond the due date increases the poor prognosis of the fetus. Therefore, pregnant women with gestational diabetes plan to deliver between 39-40 weeks of pregnancy for the best outcome for mother and child.