Zhenzhen is 25 weeks pregnant. Yesterday, she came to the clinic with the result of drinking sugared water: "Doctor Yin, I am only 23 years old, and pregnant sugar appeared in my first pregnancy. What can I do?"
Gestational diabetes is actually a very common disease in pregnancy, and its existence can make blood sugar rise and fall. High blood sugar will make the quality of blood vessels worse, the placenta will age earlier, and the baby will grow larger, especially in the case of giant babies, which will increase the incidence of dystocia during delivery; Hypoglycemia will make pregnant women and fetuses suffer from transient energy deficiency of whole body cells at the same time. Therefore, for the sake of the health and safety of mother and child, pregnant women should be able to eat and move.
Can eat. Mothers to be with gestational diabetes need to change three meals a day into six meals a day, that is, three meals plus three meals, with the total food intake unchanged. For example, if one steamed bread is eaten in the morning, 2/3 steamed bread will be eaten in the morning, and the remaining 1/3 will be reserved for extra meals in the morning. The time of the other six meals should be fixed. For example, breakfast is from 7:00 to 8:00 in the morning, extra meals are from 9:30 to 10:00 in the morning, lunch is from 11:30 to 12:30 in the afternoon, extra meals are from 15:00 to 15:30 in the afternoon, dinner is around 18:00, and extra meals are from 22:00 before bed. It can be adjusted slightly according to your own living habits, but the interval between meals cannot be too short, The eating time of each meal should not exceed 20 minutes. At dinner, you can eat staple foods such as cereal rice, cereal steamed bread, corn, pumpkin, high-quality protein and proper amount of vegetables and fruits. When adding food, you can choose tomatoes, cucumbers, soda biscuits, whole wheat bread, and low-fat or nonfat milk. Here again, we should eat less milled rice, white flour and porridge that are especially sticky, and try to eat less fruits with high sugar content, such as watermelon.
Will move. Proper exercise after meals is a good helper to control blood sugar. Taking a rest of 5-10 minutes after meals and taking a walk for another 20 minutes will help keep blood sugar at a stable level.
It should be noted that the doctor will adjust the exercise and diet plan according to the patient's specific weight, age, work nature, etc. Pregnant women must make diet notes in daily life so that they can understand their own diet habits and find out the reasons for fluctuations in blood sugar and urine ketone.
Fan Ying, Chief Physician of Obstetrics and Gynecology, Shougang Hospital, Peking University □ Yin Jinlan
