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Gestational Diabetes Mellitus
Is there a difference between gestational diabetes and regular diabetes?
Gestational diabetes and common diabetes, although both types of diabetes, have significant differences between them. First, gestational diabetes is a disease specifically occurring during pregnancy and often only appears during the gestational period. After pregnancy, the majority of women will revert to a normal blood sugar state, so the main focus for gestational diabetes is on screening and intervention during pregnancy; Second, common diabetes is a chronic disease that accompanies an individual throughout their life, requiring long-term management of blood sugar through various methods. Therefore, the main difference between the two lies in the duration of the disease. Pregnant women with common diabetes, if they become pregnant, are referred to as having diabetes compounded by pregnancy, which also requires strict blood sugar management, but its mechanism of occurrence and principles of treatment differ from those of gestational diabetes.
Can pregnant women with gestational diabetes eat dragon fruit?
For patients with gestational diabetes, it is permissible to eat dragon fruit. Since dragon fruit contains relatively low sugar levels, it can be consumed. However, it should not be eaten in excess, as excessive consumption can still lead to fluctuations in blood sugar levels. In the treatment of gestational diabetes, we should not cause the pregnant woman's weight to decrease, hence a low-calorie treatment is not advocated. Generally, the total calories are calculated based on standard weight, approximately 30 to 35 kcal per kilogram of body weight per day. Sugars should make up about 50%, proteins 20%-25%, and fats 25%-30%. It is best to divide these into three main meals and three snacks, adjusting the proportion and calorie content of the diet according to body type. Therefore, patients with gestational diabetes can eat dragon fruit, and it can be consumed as a snack between main meals.
Gestational diabetes standard values
Standards for gestational diabetes, so what is gestational diabetes? It refers to diabetes that either develops during pregnancy or is first detected at this stage, presenting varying degrees of hyperglycemia, including previously unrecognized glucose intolerance or diabetes prior to pregnancy. Pregnancies in known diabetic patients are not included in this category, and may also be referred to as diabetes complicating pregnancy. So, how is gestational diabetes diagnosed? We can conduct a 75g anhydrous glucose tolerance test, where a fasting blood glucose greater than or equal to 5.1 mmol/L, and blood glucose greater than 10 mmol/L one hour after, meets the criteria to diagnose gestational diabetes.
How to self-test for gestational diabetes
Gestational diabetes refers to conditions where there was no diabetes before pregnancy, and during the course of the pregnancy, specifically between the 24th to 28th weeks, a standard glucose tolerance test is conducted to screen for glucose metabolism. The specific procedure involves not eating after 8 p.m. the night before, though drinking water is allowed, followed by fasting for more than ten hours. The first blood sample is taken on an empty stomach. Then, 75 grams of anhydrous glucose, as prescribed by the doctor, is dissolved in 250 to 350 milliliters of water and consumed within 3 to 5 minutes. Starting from the first sip of this glucose solution, blood samples are taken again one hour and two hours later. The results from these three blood samples are used to determine the possibility of gestational diabetes.
What should I do about gestational diabetes?
As prenatal checkups are becoming increasingly popular, many expectant mothers undergo a glucose tolerance test between the 24th and 28th week of pregnancy to diagnose gestational diabetes. More and more expectant mothers are finding their blood sugar levels exceeding the diagnostic thresholds and are being diagnosed with gestational diabetes. Most of the time, gestational diabetes in expectant mothers is caused by reduced physical activity and overeating during pregnancy. For such expectant mothers, we can advise them to control their weight, strictly manage their diet, and increase their physical activity to maintain proper blood sugar levels. In fact, only a small portion of pregnant women diagnosed with gestational diabetes require insulin injections to control their blood sugar.
Is gestational diabetes easy to treat?
Gestational diabetes nowadays is often related to excessive supplementation for pregnant women, meaning eating too much and too well. Families tend to be overprotective, and there is no need for exercise. Additionally, during pregnancy, insulin resistance and some special bodily changes occur. Therefore, between the 24th and 28th weeks, high blood sugar levels can be detected. After the diagnosis of gestational diabetes, first and foremost, it is necessary to adjust one's mindset and control the diet strictly. During pregnancy, it is sufficient to ensure adequate protein intake, and it's not about eating more or better. Secondly, for gestational diabetes, exercise can be intensified to control blood sugar levels.
Can you eat sweet potatoes if you have gestational diabetes?
The overall principle of dietary control for gestational diabetes is to manage the total calorie intake by eating smaller, more frequent meals, dividing the day into five to six meals. This helps not only in controlling blood sugar levels but also reduces the occurrence of hypoglycemia. For patients with gestational diabetes, foods that quickly raise blood sugar, as well as those high in sugar content, starch, and fat, should be limited as these can easily convert into glucose, leading to an increased blood sugar level. Sweet potatoes, which are available in many varieties on the market, some with higher sugar content and some with lower, should be considered accordingly. Those with higher sugar content should ideally be avoided to prevent excessively high blood sugar levels, while those with lower sugar content can still be consumed. However, when eating sweet potatoes, they should be treated as a staple food, and the amount of other staple foods should be reduced accordingly to maintain good control of blood sugar levels.
Can pregnant women with gestational diabetes eat grapes?
Fruits are natural vitamins, and consuming fruits appropriately during pregnancy is extremely significant for supplementing vitamins, which can promote fetal growth. Patients with gestational diabetes are not entirely forbidden from eating fruits; however, it's essential to control the intake of fruits, ideally between 100 to 150 grams per day. Grapes are not completely off-limits, but since grapes have a high sugar content, if consumed, the quantity should be controlled to avoid eating too much. Opting for fruits like kiwis and apples, which have lower sugar content, is a better choice for those with gestational diabetes during pregnancy. Gestational diabetes can affect both the pregnant woman and the fetus. For the pregnant woman, it can increase the rate of miscarriages and is likely to complicate with gestational hypertension. Lowered immunity can lead to infections, particularly urinary and reproductive system infections, may cause excessive amniotic fluid, and increase the likelihood of difficult labor due to a larger baby. The impact on the fetus can lead to congenital disabilities, a significantly large baby, or restricted fetal growth, so it is crucial to control blood sugar levels during pregnancy. While ensuring the pregnant woman is not hungry, insulin can be used when necessary to maintain stable blood sugar levels during pregnancy.
Can you eat oranges if you have gestational diabetes?
Pregnant women with gestational diabetes can eat oranges, but they should limit the quantity. Since oranges are high in sugar, they should not be consumed in large amounts. In fact, just like mothers with diabetes or those who are pregnant, they need nutrients such as calories, protein, calcium, iron, folic acid, vitamin B, etc. However, attention should be paid to meal frequency. Under a constant total caloric intake, it is advisable to eat small and frequent meals, focusing on the quality and quantity of the diet to maintain stable blood sugar levels. It is necessary to limit the quantity of fruit consumed and avoid fruits that are high in sugar as they should not be consumed in large amounts. Therefore, pregnant women with gestational diabetes can eat oranges, but should not consume them in large quantities and should maintain proper portion control.
What are the symptoms of gestational diabetes?
Diabetes during pregnancy, compared to diabetes outside of pregnancy, still presents symptoms such as polydipsia, polyphagia, and polyuria, but does not manifest as weight loss. Due to the increase in body weight from the enlarging uterus, fetus, and amniotic fluid during pregnancy, signs of weight loss are not evident. There are generally two types of diabetes in pregnancy. One is when diabetes pre-exists before pregnancy, which is termed diabetes mellitus with pregnancy; the other is when blood sugar levels were normal before pregnancy and diabetes develops during pregnancy, known as gestational diabetes. Over 90% of pregnant women with diabetes have gestational diabetes. Those with gestational diabetes have abnormal glucose metabolism, but most can return to normal after childbirth; however, the risk of developing Type 2 diabetes in the future increases.