Gestational diabetes range

Written by Lin Xiang Dong
Endocrinology
Updated on September 04, 2024
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Gestational diabetes refers to abnormal blood sugar levels occurring during pregnancy. This term is used if the diagnosis is made during pregnancy, and does not include patients who were already diabetic before pregnancy, who are referred to as having diabetes concurrent with pregnancy. The criteria for diagnosing gestational diabetes are based on the results of the OGTT (Oral Glucose Tolerance Test) conducted between 24-28 weeks of pregnancy. According to the OGTT results, a fasting blood sugar level ≥ 5.1 mmol/L, a one-hour blood sugar level ≥ 10.0 mmol/L, or a two-hour blood sugar level ≥8.5 mmol/L, meeting any one of these criteria confirms a diagnosis of gestational diabetes.

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Diabetic foot ulcer precursors

Diabetic foot, also known as diabetic foot disease, is a very serious complication among endocrine disorders in diabetes, with the most severe consequence being foot ulceration that cannot heal, leading to amputation, and even causing sepsis. Diabetic foot does not occur without reason; there are many warning signs before its occurrence. For example, the affected foot feels cold, it is painful to walk, and there are abnormal sensations. These signs are actually telling you that the blood vessels and nerves in the foot are already affected. Once any abnormal sensation is noticed, it is essential to seek medical attention at a hospital, and it is crucial to provide early and proactive treatment to nourish the nerves and improve circulation in order to prevent diabetic foot.

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Can people with diabetes eat watermelon?

People with diabetes should avoid watermelon as it contains a high amount of sugar, which might exacerbate their condition and lead to complications, adversely affecting their health. Many cases of diabetes are associated with poor dietary habits, such as frequently consuming high-sugar and fried foods, which can lead to symptoms like excessive eating, drinking, urination, and weight loss. For those with mild symptoms, dietary therapy can help alleviate symptoms by adopting a low-salt and low-fat diet, coupled with aerobic exercises to aid recovery. If treatment results are not satisfactory, it may be necessary to take hypoglycemic drugs under a doctor's guidance. It is also important to develop a habit of regularly monitoring blood sugar levels to keep them within a normal range. During stable periods of the condition, choosing fruits with lower sugar content, such as figs, apples, or grapefruit, is advisable.

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Causes of Gestational Diabetes

Gestational diabetes refers to the abnormality of blood sugar levels that occurs during pregnancy, at which time it is called gestational diabetes. The reason for the occurrence of gestational diabetes is due to significant changes in the body's endocrine hormones after pregnancy. The body releases many hormones, such as estrogen and progesterone, which can increase insulin resistance. Thus, a much greater amount of insulin is needed to maintain normal blood sugar levels. If the pancreatic beta cells are not sufficient to compensate for the increased insulin secretion needed to meet the normal metabolic requirements caused by these resistance factors, then elevated blood sugar and abnormal glucose metabolism occur, ultimately leading to gestational diabetes.

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What to eat for diabetic foot

For patients with diabetic foot ulcers, first, their diet should control blood sugar. Foods with a high glycemic index like porridge, glutinous rice, and rice noodle rolls should be avoided. Additionally, sweet foods are also off-limits; it's important for meals to be regular and measured. Second, as patients with diabetic foot ulcers need nutrients for wound healing, they can eat foods high in protein such as eggs, fish, fish soup, and lean meats to promote wound healing. Third, if the patient also has high blood lipids, it's advisable to maintain a light diet and avoid greasy foods.

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How to treat diabetes in the elderly?

For elderly patients with diabetes, our long-term treatment goal is to delay the onset and progression of chronic diabetic complications, maintain good health and self-care ability, improve quality of life, and extend healthy lifespan through good metabolic control. The short-term goal is to control hyperglycemia and its metabolic disorders, eliminate the symptoms of diabetes, and prevent acute severe metabolic disorders. Our "five-pronged" approach to diabetes management is also suitable for elderly patients, including diabetes education, medical nutrition therapy, exercise therapy, blood glucose monitoring, and medication therapy. Therefore, for elderly diabetic patients, it is essential to keep blood glucose levels within a controllable range, delay the onset of complications, and provide a healthy twilight years for elderly diabetics.