In the nutrition clinic if pregnant women bellied, perhaps referral to a nutritionist to do because of gestational diabetes diet Guide. Find themselves unexpectedly high risk pregnancy pregnant women, mother often feel lost, consternation and worry. If you are a \"sugar Mama\", what should I do?
What is gestational diabetes mellitus
And women without diabetes, glucose tolerance when an exception occurs during the pregnancy period, known as the \"gestational diabetes\", blood glucose is too low and may cause fetal congenital malformations, neonatal respiratory distress syndrome, stillbirth, polyhydramnios, prematurity, and maternal urinary tract infection, headache, not only affects fetal development, also mother\'s health, so check for diabetes during pregnancy is very important.
Of gestational diabetes in pregnant women is likely to happen again during the next pregnancy, if the pregnant should inform the doctor again and for examination. Zeng Li pregnant women suffering from this disease, occurs after middle and old aged women higher than normal chance of diabetes mellitus, postpartum should seek to maintain ideal body weight and maintain a regular diet, exercise habits, and periodic inspection of blood glucose values.
How gestational diabetes testing
Yu pregnancy 24-28 week Shi, after oral 50 grams of glucose sieve check and the 100 grams oral glucose tolerance test, measured fasting, and meal Hou 1 hours, and 2 hours and the 3 hours of blood glucose concentration, if found which at least has two item numerical than standard value Shi (fasting, 105mg/DL; meal Hou 1 hours, 190mg/DL; meal Hou 2 hours, 165mg/DL; meal Hou 3 hours, 145mg/DL), is diagnosis for pregnancy period diabetes.
Gestational diabetes mellitus and high risk groups
And the risk of gestational diabetes mellitus related factors are: race, family history of diabetes, obesity, the past is unexplained stillbirth or neonatal death, front tire giant baby, polyhydramnios and pregnant women with more than 30 years of age. If it has one of the above risk factors condition of pregnant women, you should pay more attention to screening of diabetes during pregnancy.
What about gestational diabetes
Minor can be made by nutritionist to guide, diet control is executed before, then take a blood sample if the fasting blood glucose value is greater than 105mg/DL, 2 hours after meal blood glucose value is greater than 120mg/dl, it should be combined with insulin, expect to control the blood sugar value to: 60~90mg/DL on an empty stomach (measured blood glucose value of fasting 8 hours), 60~105mg/DL before meals, meal 1 hour <140mg/DL, <120mg/dl 2 hours after meals.
Gestational diabetes diet principles
In patients with gestational diabetes diet control is for the purpose of providing maternal and fetal enough calories and nutrients, maternal and fetal appropriately increasing weight, meet the ideal blood sugar control, prevention of toxemia of pregnancy and reduce the incidence of preterm birth, miscarriage and dystocia.
Nutrition requirement and normal pregnant women the same, but more attention must be calorie-intake, nutrient ratio of allocation and distribution of meals. In addition, you should avoid sweets and high oil and food intake, and increased dietary fiber.
Principle 1 notice the heat demand
Increase in early pregnancy does not require special heat, the latter part must be in accordance with the required heat before pregnancy, a further 300 Kcal/day. Due to the weight loss may cause increased ketone bodies in the womb, to adversely affect the fetus, it should not be reduced in weight during pregnancy.
Principle 2 Note meals distribution
For the maintenance of blood sugar level stable and avoid the occurrence of ketonemia, distribution of the meals are very important. Because time consuming large quantities of food will cause blood sugar increase rapidly, and when the maternal fasting too long, easy to produce ketone bodies, it is recommended that frequent small meals, daily intake of food into 5~6 meals. Special dinner to be avoided and time away from the next day breakfast is too long, so supplementary snack before going to bed.
Principle 3 takes the correct sugar
Carbohydrate intake is to provide heat, maintain normal metabolism, and avoid the ketone bodies produce. Should not mistake not to eat blood glucose or starch can control weight without eating; but should try to avoid the addition of sucrose, fructose, glucose, sugar, honey, sugar, maltose sugar-containing beverages and dessert, you can avoid the fast increase in blood sugar after a meal. If you need to add a little sugar, but harmless to the fetus of Acesulfame k should be used. Recommends that you try to choose higher fiber content of unpurified staple, better blood sugar control, such as replacing white rice with brown rice or corn meal, choose whole grain bread or bread, etc. High blood sugar level of gestational diabetes pregnant women morning \' so content must be less starchy food for breakfast.
Principle 4 focus on protein intake
If you have intake enough nutrition before pregnancy, without increasing protein intake in the early days of pregnancy, trimester of pregnancy, the late daily need to increase the volume to 6 grams of protein, 12 g, half of which required from high biological value proteins, such as: deep red meat, fish and eggs, milk, soy milk, tofu and other soy products. It is best to have at least two cups of milk a day to get enough calcium, but never to the milk when drinking water, so as to avoid blood sugar is too high.
Principle 5 grease note
Cooking oils to vegetable oil, reducing fried, fried, flaky pastry food, and animal skin, fat, and so on.
Principles over more than 6 intake of fiber quality
Within the weight range of intake, intake of high fiber foods, such as replacing white rice with brown rice or grain is rice, increasing intake of vegetables, eat and do not drink fresh fruit juice, thus delaying increases in blood sugar, helps blood sugar control, feeling more satisfied. But not unlimited fruit.
Closing remarks
Many checks of prospective mothers have gestational diabetes, because finally get through many of the uncomfortable symptoms of early pregnancy, is preparing to take to strengthen when the diet to provide fetal nutrition,
He doesn\'t eat, are both worried and frustrated. Gestational diabetes diet in pregnant women and pregnant women generally similar, but need to control and every meal a day diet intake and closely observe the weight and, if necessary, shall be in accordance with physician indicates self monitoring of blood glucose and urine ketone test. Hard all patience is in order to control and health and safety of mother and baby, you will think it is worth, and also for his perseverance to feel proud of!
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