Common misconceptions about nutritional therapy for gestational diabetes

  If you see a pregnant woman with a large belly in the nutrition clinic, most of the time she is referred to a nutritionist for dietary guidance because of gestational diabetes. It is often confusing, disconcerting and worrying to find out that you are a pregnant woman with a high-risk pregnancy. What should you do if you are a “sugar mom”? Some mothers worry that controlling their diabetes will require them to control their diet, and that “control” means “eating less”, so they worry that eating less will Therefore, they worry that eating less will affect their baby’s nutritional health and cause nutritional deficiencies. In fact, scientific nutritional treatment is to ensure the nutritional status of mother and child under the premise of a reasonable combination of diet, the food should be eaten less or not recommended to eat less, but need to consume sufficient food also need to eat more, in order to ensure adequate nutrition, balance, reasonable, so do not worry about the lack of nutrition.  Some mothers who have gestational diabetes are very afraid of the adverse effects on their children. They hope to achieve the goal of lowering blood sugar through strict dietary control or even eat less or no food. Excessive diet control is not only detrimental to blood glucose control but can also lead to starvation ketosis, which can endanger the life and health of the baby. The purpose of scientific nutritional therapy is to control blood glucose on the basis of ensuring adequate nutrition. Therefore, controlling blood sugar does not mean eating less, and eating less may bring adverse effects.  3, blood sugar control in the postprandial 10mmol / L below can “rest easy” Some pregnant women have diabetes in their own families, so they refer to the diagnosis and treatment standards of ordinary diabetics, that as long as the blood sugar control in the postprandial 10mmol / L below can ” In fact, we for gestational diabetes blood sugar control requirements are very strict, the basic requirements to reach or close to normal blood sugar levels, if only to meet the ordinary diabetic blood sugar standards may be dangerous to the health of the child.  4, with diabetes need to eat more ginseng, red dates, wolfberry to supplement the body pregnant women should pay attention to learn to choose, because inappropriate tonic, not only is not beneficial but harmful to health, can be described as “laborious and unpleasant”. In general, pregnancy tonic should pay attention to what is lacking, should be a comprehensive understanding of the active ingredients of the tonic, belong to the blood, iron, calcium or vitamin supplement, and then targeted supplementation. It should be noted that tonic products such as ginseng and gui yuan, through which many people hope to nourish the middle and benefit the qi, can do more harm than good to pregnant women and the fetus. However, from the perspective of traditional Chinese medicine, the mother’s body is in a state of Yin and blood deficiency and Yang is relatively strong during pregnancy, while ginseng is a nutritional product that is a great tonic for vital energy. If pregnant women consume a large amount of ginseng for a long time, it may aggravate the Yin deficiency and fire, and many of them show adverse reactions such as excitement, mania and increased blood pressure. In addition, taking too much ginseng can produce anti-diuretic effect and cause edema, which may aggravate pregnancy vomiting, edema and hypertension, and may even lead to miscarriage. Therefore, it is not advisable to supplement during pregnancy, and if supplementation is needed, it must be done under the guidance of a doctor.  5, gestational diabetes will return to normal after delivery and no longer need to control the diet After all the hardships to finally bring the baby safely and healthily to earth, most women with gestational diabetes can breathe a sigh of relief, blood sugar gradually return to normal, no longer need to control the diet. At the same time, because of the traditional Chinese saying that during the menstruation period, you must take supplements, so you start to eat and drink again. It is important to note that pregnant diabetics are still at high risk for diabetes when their blood sugar returns to normal after delivery, and poor eating habits may lead to early visits of type 2 diabetes. Therefore, even after childbirth should still pay attention to the establishment of good eating habits.  6, the less staple food the better the control of diabetes Many pregnant women only control the intake of staple food, think that the less the meal the better the blood sugar and control the staple food to eat only half a tael to a tael per meal, this will cause two consequences: one is due to insufficient intake of staple food, the total calories can not meet the needs of the body metabolism and lead to excessive decomposition of body fat, protein, body wasting, malnutrition and even starvation ketosis and affect the normal development of the baby. The other is to think that the diet has been controlled, so that the fats, snacks, meat and eggs are not controlled, so that the total daily calories far exceed the control range, and the fat intake is too much, so that it is easy to complicate hyperlipidemia and cardiovascular disease, so that the diet control fails. In fact, diabetic diet needs to control the total calories generated by the intake of food with fat containing high calories. On the contrary, staple foods containing more complex carbohydrates raise blood sugar at a relatively slow rate, and the intake should be increased in the appropriate range. Moreover, the right amount of carbohydrates is necessary to maintain the normal development of the child’s brain, so women with gestational diabetes should not only not restrict the intake of staple foods too much, but also ensure at least 200-250 grams of staple foods daily.