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Found later, when pregnant women develop gestational diabetes diet how to adjust and insulin therapy?

First, for the adjustment of the diet is to adjust the calorie intake, so that excessive weight Buzhi Yu increase or decrease (the first three months of pregnancy and weight change after six months should not exceed 1. 816 Kg / month). Ideal body weight according to the standard, 126 per kilogram joule heat started. Most experts advocate a diet of pregnant women with diabetes should include 50% carbohydrates, 75 ~ 100g of protein, and to encourage more consumption of natural cellulose. Daily intake of calories will be divided into the drink provides three meals and three snacks between meals to avoid nocturnal hypoglycemia and fasting. Second, we must carefully manage low blood sugar, try not to over-correct in order to avoid hypoglycemia, rebound hyperglycemia. For patients with moderate symptoms can be a 230g orange juice or milk; when blood glucose levels <60mg / dl, give 10g of available carbohydrate (such as glucose or about 115g of milk.) For severe reactions, and even coma patients to carry sugar preparations. Nurses also have some emergency measures should be appropriate. At the same time, regular feedback to the relevant information is necessary doctor.

Studies show that pregnant women fasting blood glucose 60 ~ 100mg/dL, postprandial blood glucose 10 ~ 130mg / dL can maintain normal fetal growth by. Gestational diabetes with insulin therapy in


patients with different stages of pregnancy need to dynamic changes in metabolism of insulin dosage adjusted accordingly, requiring multiple daily blood glucose (blood). General clinical determination of blood glucose values before meals to adjust the amount of regular insulin.

For diabetic patients, before and after pregnancy, the need for structured care. Which fasting blood glucose as the main monitoring project. Pregnant women for diabetes, fasting blood sugar is important, and its value in the stage of pregnancy there is a certain requirement, so we should begin before pregnancy PPBG monitoring, the monitoring should continue until the postpartum. 1 to 3 months of pregnancy, 162mg / dL can reduce the risk of miscarriage and deformities, but also to monitor the incidence of ketosis; in 4 to 6 months of pregnancy, 126mg / dL can reduce children's risk of large output, The need to simultaneously monitor of leucine,
Abstract: Objective: To observe the gestational hypertension (pregnancy induced hypertension, PIH) Mother received by La horizon (isradipine) therapy on neonatal blood glucose levels, and with atenolol (atenolol) and non-drug antihypertensive treatment intervention were compared. Methods: 63 cases of PIH mothers and their newborns, according to PIH mothers receiving antihypertensive treatment were divided into three groups: group by pulling the horizon (n = 21), atenolol group (n = 19 ), low-salt diet control group (n = 23). Birth biochemical analysis using glucose oxidase assay maternal and cord blood glucose levels; were 1,3,6,12,24 hours after birth with a dipstick assay using neonatal blood glucose levels. Different stages of neonatal group was used to compare blood glucose levels Friedman rank sum test; groups were compared using Kruskall-Wallis method. Maternal blood glucose as independent variables, umbilical cord blood and raw sugar, 3 and 6 hours after the newborn blood glucose concentration as the dependent variable for the linear correlation analysis. Results: The average among the three groups in maternal and neonatal blood glucose level of the detection of no significant difference. By pulling the horizon and control groups in maternal and cord blood correlated (respectively r = 0.61, P 20.05). Atenolol group had no correlation between the indicators. Hypoglycemia percentages were: 52.4% by La horizon group, 63.2% atenolol, 34.8% in the control group. And hypoglycemia in each group are often occurs in the first 1 hour after birth. Conclusion: PIH mothers receiving treatment and by pulling the horizon atenolol treatment or low-salt diet control interventions on neonatal blood glucose levels have a similar effect, have the potential risk of hypoglycemia. Correlation analysis showed that, according to La horizon compared with the advantages of atenolol affects only newborns after birth, blood glucose levels (correlation exists only between cord blood and maternal blood glucose), and atenolol in the earlier stage of neonatal blood glucose levels (no correlation at any time.) The results also show that, regardless of whether the mother had received antihypertensive treatment, PIH mothers 1 hour after birth the blood glucose control are very necessary.


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