Subscribe
Gestational Diabetes Mellitus
Can you eat melon seeds with gestational diabetes?
Patients with gestational diabetes can eat sunflower seeds, but the amount must be controlled and should not be excessive. Each serving should be a small handful, as sunflower seeds contain a high amount of fat. Consuming too much can lead to increased blood sugar and lipids, which is not conducive to controlling blood sugar. When eating sunflower seeds, try to choose plain raw or roasted sunflower seeds, and avoid those with sweet flavors or other heavy flavorings added. Patients with gestational diabetes can also eat nuts in moderation, but the amount should be controlled to about the equivalent of two large walnuts per day, and it is best to consume them between meals.
Do you need insulin for gestational diabetes?
Gestational diabetes refers to the elevated blood glucose levels found during pregnancy. For patients diagnosed with gestational diabetes, we first need to control diet and exercise to manage blood sugar levels, maintaining fasting blood glucose between 4.0-5.3 mmol/L and postprandial (two hours after meals) blood glucose between 4.4-6.7 mmol/L. If blood sugar control can be achieved through diet and exercise, insulin treatment is not required. However, if blood sugar levels still do not meet the standards through diet and exercise, exceeding the figures mentioned earlier, insulin treatment is necessary. For patients receiving insulin treatment, it poses no harm to either the fetus or the mother. In fact, when blood sugar is well-controlled, it can actually reduce the risks associated with gestational diabetes.
Does gestational diabetes require early delivery?
Patients with gestational diabetes primarily have higher blood sugar levels compared to normal pregnant women. For such individuals, strict blood sugar control is generally required. Poor control of blood sugar can significantly impact the baby and pose dangers during childbirth. However, for those patients with well-controlled gestational diabetes, it is possible to carry the pregnancy to full term without the need for early delivery. Early delivery, leading to a premature birth, can have a greater detrimental effect on the infant than the effects caused by high blood sugar. Therefore, patients with gestational diabetes do not need to deliver early. They can manage their condition through strict dietary control, including fetal monitoring and close monitoring of the baby’s vital signs, considering delivery only after reaching full term.
Symptoms of Gestational Diabetes
Gestational diabetes refers to the onset of different levels of hyperglycemia during pregnancy, or first diagnosed during pregnancy, including previously unrecognized glucose intolerance and diabetes before pregnancy. Typical clinical manifestations of gestational diabetes include symptoms such as polyuria, polydipsia, and polyphagia, or recurrent Candida infections of the vulva and vagina. If a pregnant woman weighs more than 90 kilograms, presents with polyhydramnios, or has a macrosomic fetus during this pregnancy, there should be a high degree of vigilance for the possibility of gestational diabetes. Its dangers lie in severe cases or poorly controlled blood sugar in gestational diabetes, which not only tends to lead to miscarriage and preterm birth but also can cause infections, and in severe cases, may lead to ketoacidosis. Therefore, dietary control and medication are very important for managing gestational diabetes.
Can you eat pumpkin with gestational diabetes?
The overall principle of dietary control for patients with gestational diabetes is to manage total calorie intake and to eat smaller, more frequent meals. Consuming five to six meals a day can help stabilize blood sugar levels and reduce the occurrence of hypoglycemia. Therefore, for patients with gestational diabetes, foods that can rapidly increase blood sugar levels, such as those high in sugar, starch, and fat, should be consumed less frequently, as these foods can easily be converted into glucose, leading to an increase in blood sugar levels. Pumpkin, which is high in carbohydrates, should also be eaten in moderation. However, this does not mean that pumpkin cannot be eaten at all. When consuming pumpkin, it should be treated as a staple food. After eating pumpkin, the amount of other staple foods in that meal should be reduced. This helps in maintaining good blood sugar control. Therefore, patients with gestational diabetes can still eat pumpkin, but it should not be treated as a vegetable. Instead, it should be considered like rice, and the amount of rice should be reduced when pumpkin is consumed.
Does gestational diabetes require hospitalization?
Patients with gestational diabetes who initially have adequate blood sugar control do not need to be hospitalized; however, those with poor blood sugar control require further hospitalization for observation and treatment. In addition to diet and exercise, medication control such as insulin therapy is currently recommended for managing blood sugar in gestational diabetes. Insulin therapy must be used under strict medical supervision to avoid hypoglycemia. Since both high and low blood sugar levels can have a dual impact on pregnant women and fetuses, the need for hospitalization for patients with gestational diabetes mainly depends on their blood sugar levels.
Can you eat cherries if you have gestational diabetes?
Patients with gestational diabetes can eat cherries. Cherries have a relatively low sugar content and glycemic index, so eating them will not cause significant fluctuations in blood sugar levels. Additionally, cherries are rich in trace elements, particularly high in iron content, and consuming cherries can help supplement iron. Patients with gestational diabetes can eat cherries in moderation, but they should not consume too much at once, and it is recommended to eat between meals. There are also other fruits with low glycemic indices that patients with gestational diabetes can eat appropriately, such as apples, peaches, pears, oranges, and grapefruits.
What is gestational diabetes like?
Gestational diabetes refers to diabetes that appears during pregnancy, or is detected during pregnancy, or is an abnormal glucose tolerance of any degree. Gestational diabetes affects both the pregnant mother and the fetus. Although the mortality rate of pregnant women with gestational diabetes has significantly decreased, complications are still quite common. It may increase the rate of spontaneous miscarriages and preterm births for fetuses. Secondly, it can cause fetal or neonatal death, and intrauterine growth retardation. Thirdly, it leads to excessive amniotic fluid and macrosomia, and may result in neonatal polycythemia, fetal malformations, neonatal respiratory distress syndrome, neonatal hypoglycemia, as well as neonatal hypocalcemia and hypomagnesemia. For the mother, it can lead to pregnancy-induced hypertension syndrome, infections during pregnancy or childbirth, and in severe cases, diabetic ketoacidosis.
How to control gestational diabetes
Gestational diabetes refers to the onset of diabetes during pregnancy, or the first detection of varying degrees of hyperglycemia, including glucose intolerance and diabetes that were not identified before pregnancy. The risks of gestational diabetes are more severe in patients with serious conditions or poor blood sugar control, as it can easily lead to miscarriage and preterm birth, infections, and in severe cases, ketoacidosis. So, how can gestational diabetes be controlled? It can be managed through dietary control and insulin treatment. Dietary control is crucial; the ideal dietary management aims to ensure and meet the caloric and nutritional needs during pregnancy while preventing hyperglycemia or ketosis due to starvation, ensuring normal fetal growth and development. For cases where dietary management is insufficient to control diabetes, insulin is the primary medication. (Please seek professional medical guidance before using any medication, and do not self-medicate.)
How to control diet in gestational diabetes
Gestational diabetes is characterized by elevated blood glucose levels found during pregnancy in individuals who did not previously have diabetes. Overall, dietary control for gestational diabetes is similar to that for typical diabetes patients. It involves avoiding high-calorie, high-sugar, and fried foods. It is advisable to consume more fruits and vegetables, as well as foods with a lower glycemic index. Increasing the intake of whole grains and mixed grains is recommended, while nuts such as peanuts and sunflower seeds should be limited. Foods should be steamed rather than boiled, and fried foods must be strictly avoided.