How to monitor the condition of gestational diabetes?

  Good or bad blood sugar control during pregnancy is directly related to the safety and security of both mother and baby. Poor glucose control during pregnancy not only increases the incidence of miscarriage, hyperemesis, infections, excessive amniotic fluid and obstructed labor, but also increases the risk of fetal malformation, macrosomia or neonatal hypoglycemia. In addition to blood glucose, diabetic mothers-to-be have many items that need to be monitored on a regular basis, so we will talk to diabetic mothers-to-be about monitoring their condition during pregnancy.  1.Glucose monitoring: At least two days a week, we should take out the whole day blood sugar spectrum, including blood sugar before three meals, two hours after three meals and before going to bed, and if necessary, we should also measure the blood sugar at 3 am.  2.Check glycosylated hemoglobin (HbA1) every 2~3 months, and it is required to control below 6%.  3.Urinary ketone body test: If the pregnant woman is in a stressful state such as high fever or infection, or there is loss of appetite, urinary ketone body and blood glucose should be checked simultaneously. If the urine ketone body is positive, further differentiate whether it is hyperglycemic ketoacidosis or starvation ketosis, because the treatment of the two is completely different.  4, routine urine testing: if urine protein positive, suggesting possible diabetic nephropathy or gestational hypertensive syndrome; if positive white blood cells, often suggesting a urinary tract infection.  5, blood pressure monitoring: if there are no special circumstances, the blood pressure needs to be monitored not less than 2 times a week on non-same day. If combined with hypertension, at least insist on measuring blood pressure once a day in the morning and once in the evening, and require blood pressure control to 130/80 mmHg or less.  6.Every three months to check the fundus of the eye, timely detection of retinopathy.  7, weight monitoring: pregnant women with normal weight growth (1 pound per week), there is no need to worry. The premise is that the pregnant woman’s blood sugar should be well controlled. If the blood sugar is high, even if the pregnant woman’s weight growth is normal, the fetus may be malnourished. In addition, it is best to weigh on an empty stomach, after urination and defecation, wearing as little clothing as possible to ensure accuracy.  8.Fetal development monitoring: Routine ultrasound examination will be conducted at 18 weeks, 28 weeks, 32 weeks and 36 weeks to observe the fetal development and exclude any congenital malformation of the fetus.  9, fetal heart and fetal movement monitoring: fetal heart monitoring will be done from 36 weeks of pregnancy, home fetal heart monitor can be used to monitor the baby’s fetal heartbeat, the fetal heartbeat is faster than adults, the normal range of fetal heart is 120~160 times/min, too fast or too slow are not normal. Fetal movement starts to appear at 16~20 weeks of gestation and should be recorded daily thereafter. If you find that the fetal movement is less than 10 times a day, or the fetal movement pattern changes, you should seek medical attention promptly.  The above is some knowledge about gestational diabetes condition monitoring, I hope that the majority of diabetic mothers-to-be must pay great attention to regular monitoring to ensure the safety of mother and baby.