What is the normal blood glucose level for pregnant women?

  Nowadays, the incidence of gestational diabetes is increasing, and many pregnant women are worried that they may accidentally get gestational diabetes as well. In fact, doctors will also check blood sugar during pregnancy tests, and if you are at high risk for diabetes, you can also test your own blood sugar for early peace of mind. So, what is the normal blood glucose value for pregnant women?  I. What is the normal blood sugar value for pregnant women?  1, the normal value of fasting blood glucose for pregnant women: For general people, the normal value of fasting blood glucose can be maintained in the range of 3.9~6.1mmol/L. However, due to the special nature of pregnant women, the normal value of blood glucose is controlled more strictly, and it is stipulated that the normal value of fasting blood glucose for pregnant women should not exceed 5.1mmol/L. 2, the normal value of 1 hour postprandial blood glucose for pregnant women: The value of 1 hour postprandial blood glucose is generally used to detect diabetes in pregnant women. Authoritative data shows that the normal blood sugar value of pregnant women 1 hour after meal shall not exceed 10.0mmol/L. 3.Normal blood sugar value of pregnant women 2 hours after meal: The normal blood sugar value after meal shall not exceed 11.1mmol/L, while the normal blood sugar value of pregnant women 2 hours after meal shall not exceed 8.5mmol/L. 4.Normal blood sugar value of pregnant women 3 hours after meal: The normal blood sugar of pregnant women 3 hours after meal shall not exceed 8.1mmol/L. It is stipulated that it should not exceed 8.1 mmol/L. Two of the above indicators or more than two can be diagnosed as gestational diabetes.  How to do the laboratory test of gestational diabetes mellitus?  Urine glucose measurement should be done for all pregnant women at the first diagnosis, and if it is negative in early pregnancy, it should be repeated in middle and late pregnancy. In normal pregnancy, especially after the fourth month of pregnancy, the renal tubular reabsorption capacity of glucose in pregnant women is reduced. Sometimes glucose values are within the normal range, but glycosuria occurs due to a decrease in the renal glucose excretion threshold. Physiological lactosuria may also occur during postpartum lactation. Therefore, those with positive urine sugar need further fasting glucose and glucose tolerance measurement to clarify the diagnosis.  2.Glucose measurement The blood glucose value of normal pregnant women is generally lower than normal, rarely exceeding 5.6mmol/L (100mg/dl), and fasting blood glucose is often 3.3~4.4mmol/L (60~80mg/dl).  3. Hemoglobin A1 (HbA1) measurement Blood glucose, glycated serum protein and glycated HbA1, all three can be used as indicators to reflect the degree of diabetes control. However, their meanings are not the same. Blood glucose concentration reflects the blood glucose level at the time of blood collection; glycated serum protein reflects the average (total) level of blood glucose 1 to 2 weeks before blood collection; glycated HbA1 and HbA1c reflect the average (total) level of blood glucose in the 8 to 12 weeks before blood collection.  During the erythrocyte survival cycle, hemoglobin is slowly glycosylated to produce HbA1. the amount of change in HbA occurs according to the average blood glucose level, which is about 4% in non-diabetics and can be as high as 20% in diabetics, but the blood glucose level can decrease after the patient is controlled by treatment. hba1 can be subdivided into HBA1a, HbA1b, and HbA1c. hbA1c accounts for the largest percentage of Measurement of HBA1c can replace HBA1 level. The average HBA1 level in normal pregnancy is 6%, but it can rise in diabetic pregnancies and fall as pregnancy progresses and diabetes is better controlled, so the application of HbA1 measurement can be used as an auxiliary method for blood glucose measurement. Miller (1982) reported that the incidence of congenital malformations in the descendants of pregnant women with diabetes is significantly higher when HBA1c is elevated, which also indicates that diabetes is poorly controlled.  Third, what should I do if the blood sugar of pregnant women is high?  Once a pregnant woman’s blood glucose is too high, it can have a very negative effect on the fetus. Such effects are multifaceted, such as intrauterine nutritional disorders, fetal teratogenesis, and giant fetus. Pregnant women should pay attention to the symptoms of high blood sugar, and the following measures can help them lower their blood sugar.  1, develop healthy recipes After the first detection of blood sugar exceeds the standard, we should control the diet under the advice of the doctor, many mothers-to-be to the late weight gain is too fast, then it is easy to cause obesity during pregnancy, obesity during pregnancy will naturally lead to excessive blood sugar, ask the doctor to help arrange a reasonable pregnancy recipes, in strict accordance with the recipes to eat during pregnancy, in addition to regular re-examination, until the indicators drop smoothly after the birth can be at ease. In addition, we should review the diet regularly, and we can feel relieved only after the indicator has dropped and the baby is delivered.  2.Ensure a balanced diet to control the elevated blood sugar of pregnant women and ensure the normal development of the fetus. The principles of dietary treatment are: pregnant women do not lose weight, adjust the proportion of food structure and calories according to their body type; eat less and more meals, preferably divided into 3 big meals and 3 small meals; eat less fruits with high sugar content; 400-500 grams of vegetables per day, including not less than 50% of colored vegetables.  3, control starch intake Many patients with high blood sugar and pregnant women do not know which foods are high in starch and which foods are low in starch. Foods with high starch are roughly fava beans, potatoes, vermicelli, bran, gluten and so on. These foods pregnant women with high blood sugar or do not eat for the better.  4, eat less and more meals Take the principle of eating less and more meals, so that the food is digested and absorbed as much as possible, while eating less meat and more vegetables, less rice, fruit can not exceed 200 grams a day, choose to eat between 2 meals, high sugar content of food temporarily do not eat, if you worry about eating less fruit will lack vitamins, then you can use vegetables to make up for the lack of vitamins, vitamins do not only exist in the fruit, vegetables must contain. When the vitamins do not only exist in fruits, vegetables must contain. What are the fruits with high sugar content? Apples, strawberries, bananas, watermelon, cherries, cantaloupe, melon, etc. In short, all sweet fruits should not be touched, and then consider whether to continue eating them after the blood sugar value is stable.  5, take sugar from coarse grains Pregnant women should take certain sugar foods, mainly to provide heat, maintain normal metabolism and avoid ketone body production. It is recommended to try to choose unrefined staple foods with high fiber content, which can be more conducive to blood sugar control, such as: brown rice or grains instead of white rice, use whole grain bread or buns, etc.  6, do not eat sugary snacks In addition to fruit other sweets should also be temporarily listened to, most women love to eat sweets, chocolate, wafer, cookies and so on these small snacks are also very much like pregnant mothers-to-be, and almost the necessary home, in order to their own health and the health of the baby to control their desire is worth it. If the mother-to-be feels hungry for something to eat, she can choose sugar-free cookies or sugar-free soy milk, etc.  Warm tip: The impact and harm caused by high blood sugar in pregnant women to the fetus and the pregnant women themselves is incalculable, so it is recommended to participate in early treatment.