The normal blood sugar value of pregnant women deserves the attention of every pregnant mother

Blood sugar during pregnancy is something every pregnant mother should pay attention to. When I was 24 weeks pregnant, I did a one-hour sugar screen. It was very sad and failed. I was very nervous and looked for content about \”gestational diabetes\” everywhere. Later on Sina Weibo @ Lin Liyan, an American registered dietitian, took pictures of the content in her book \”Eating Healthy During Pregnancy\” and gave it to me. This part is very detailed and answered a lot of my confusion. Although I later passed the 3-hour glucose tolerance test, I still feel that more people should pay attention to blood sugar issues. Today’s article is compiled based on the content in the book and my experience. Why do pregnant women need to test their blood sugar during prenatal care? 1. The possibility of occurrence is high because changes in hormone levels during pregnancy can easily cause insulin resistance and lead to abnormal blood sugar. Even people with normal blood sugar before pregnancy, or low-risk people who are thin, have no family history, and have never had a single pregnancy, may still suffer from gestational diabetes. I searched online and there seems to be data that the current incidence of gestational diabetes is around 9.2% and is on the rise. 2. Once high blood sugar during pregnancy occurs, which is very harmful to the baby, it may cause macrosomia, neonatal hypoglycemia, hypocalcemia, dystocia, premature birth, etc. 3. It also affects pregnant mothers and may cause pregnancy-induced hypertension, cesarean section, etc. Even if blood sugar returns to normal after delivery, the risk of diabetes in the future will increase. But don’t be too nervous. Blood sugar is also a mirror, reminding us to pay better attention to our eating habits and exercise. If we control it properly, it will be easier to get back in shape after giving birth. One netizen said this: \”My oldest child has diabetes, and my second child has not passed the first hour or three hours. If you have diabetes, the doctor will ask you to go to class, and the nutritionist will teach you how to eat, exercise after eating, and test every day. I regained my previous weight immediately after giving birth and started eating healthily.\” How do you know if you have gestational diabetes? Generally speaking, the test is conducted around 24-28 weeks. High-risk patients may require earlier testing. I roughly drew a schematic diagram: I was sieving sugar for an hour and drank this bottle. The taste was okay, but it was taken out of the refrigerator and I had to drink it within 5 minutes. After drinking it, I froze to death and made me want to vomit. The result of 1 hour was converted to 8.17 mmol/L, which failed. So I was asked to do a 3-hour glucose tolerance test every few days. During the 3-hour glucose tolerance test, I first drew blood on an empty stomach and drank water containing 100g of glucose after the draw. But I learned my lesson and ordered an unfrozen bottle, but it was even sweeter, yum! Then I sat and waited, and then drew blood every hour for a total of 4 times. It starts around 8 o\’clock and ends at 12 o\’clock. Fortunately, I passed. When the blood was drawn, I asked if there were many people who could pass 3 hours but could not pass 1 hour. The doctor said that there were quite a few, at least more than half. However, nutritionists also suggest that if the 1 hour has not passed or the 3 hours has passed, the blood sugar may be high after more than 30 weeks. You should also test it yourself at that time, and you cannot eat and drink as much as you want after 30 weeks. A reminder: Many people say that it is easier to pass the test by walking around. In fact, this is a bit of cheating. It artificially lowers the value and may cover up the problem. During the test, it is required to move as little as possible. What to do if gestational diabetes is confirmed? Mainly through diet and exerciseControl blood sugar. If the control is not ideal, insulin injections are needed. The blood sugar control goals mentioned in the book are: Fasting: 5.3 mmol/L 1 hour after a meal: 7.8 mmol/L or less 2 hours after a meal: 6.7 mmol/L or less If 1 hour after a meal, 6.7 mmol/L or less is better for me At that time, less than an hour passed. To put my mind at ease, I bought a blood glucose meter and tried to control and monitor it for a few days. The process of taking a selfie to measure my blood sugar is roughly like this: This is a shot I got specially for writing this article (covering my face). The nutritionist saw the video and said that I wiped it with alcohol wipes too hastily, and everyone should clean it carefully. Although it is a needle prick, it is not as scary as imagined, it does not hurt, and the value can be obtained in a few seconds. It should be noted that blood sugar monitoring starts from the first bite of food. If you start eating at 12 o\’clock, then the blood sugar level will be measured at 1 o\’clock. The following focuses on dietary control. Diet control does not mean you can sit back and relax if you are not diagnosed with gestational diabetes. You also need to pay attention to your diet. But don’t overdo it. Don’t just eat tomatoes and cucumbers every day. Babies also need us to provide sufficient nutrition to grow. It’s impossible not to eat enough. Balance and just right are the best. The book mentions that food is divided into three categories: carbohydrates, proteins, and fats. They have different abilities to raise blood sugar. Carbohydrates have the strongest ability to raise blood sugar. The table below only lists proteins and fats, so it is not straightforward. Affects blood sugar levels. The following are foods rich in protein and fat: These three categories all contain calories. If the calories consumed > the calories consumed, the weight will increase, and vice versa. This is what we usually call the key to losing weight. The core of controlling blood sugar is to eat food that can ensure appropriate calorie levels without causing blood sugar to rise abnormally. It’s not that you don’t eat any carbohydrates (too few will cause high levels of urinary ketones), but it’s about a reasonable mix and replacing some of the high-glycemic foods with foods with low glycemic ability. For example: Use whole grains and beans with high dietary fiber instead of refined rice and noodles; choose uncooked foods, such as porridge, which raises sugar faster than dry rice; if you eat an apple, you can replace it with half an apple and some nuts. Eat less things like pearl milk tea. The following pictures are all taken in the book. Click to see the big picture, which can give you some rough reference. The carbohydrate content of the food makes me feel hungry… After looking at these tables, I found that I particularly like them. They are high in carbohydrates, such as glutinous rice balls, rice dumplings, rice cakes, steamed buns, steamed buns, dumplings…and many of these will be converted into sugar. Well, you’d better be careful, lest you won’t be able to enjoy these delicious foods when you get old. Another point that is often overlooked is that insulin resistance in pregnant women is more serious in the morning and blood sugar is difficult to control. It becomes more difficult in the later stages of pregnancy. Generally, you should not eat too much in the morning. Lin Liyan’s public account “Sober Food” has some diabetic breakfast recipes. But you can eat some before going to bed to avoid low blood sugar at night, which will cause the liver to release a large amount of glucose into the blood and cause high fasting blood sugar in the morning. The book mentions eating small meals frequently, maybe three meals plus three snacks. You can do some after meals, not too intenseexercise. An example of a pregnancy recipe (non-pregnancy sugar). Not all sugar mommies are reading this article. There are also recipes for normal situations (non-pregnancy sugar) mentioned in the book. They are also excerpted here to give everyone an intuitive feeling. This is a recipe for an underweight pregnant mother in her third trimester. Height is 158cm and weight is 46kg. He needs to grow approximately 0.45~0.58kg per week. Again, don’t overdo it. You should eat what you should, just don’t overdo it:) I wrote at the end that I had gestational diabetes and I needed to review my blood sugar after delivery. If you become pregnant again, you will also need to test your blood sugar before pregnancy. Quoting a passage from the book: The development of type 2 diabetes begins when the level of insulin in the blood is too high, and then progresses to the pancreas being overworked, its function declines, the insulin secreted begins to decrease, and blood sugar gradually becomes unable to be controlled, and blood sugar rises to The level of pre-diabetes and then progression to diabetes. Depending on the individual, this process may take 20 years, it may only take 5 years, or it may take 30 years. How to prolong this process, or even completely avoid diabetes, what we can control is our diet, exercise, lifestyle, and mental state.

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