Gestational diabetes symptoms

Written by Tang Zhuo
Endocrinology
Updated on October 22, 2024
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During pregnancy, there are two scenarios concerning diabetes: one is where diabetes is diagnosed before pregnancy, referred to as pregestational diabetes combined with pregnancy. The other scenario is where the sugar metabolism is normal before pregnancy, or there is an underlying reduced glucose tolerance, and diabetes appears or is diagnosed during pregnancy, also known as gestational diabetes. Over 80% of diabetic pregnant women have gestational diabetes. Typically, gestational diabetes doesn't show clear symptoms of the classic "three polys and one less" - excessive drinking, eating, urination, and weight loss. Some women with gestational diabetes may experience itching of the vulva, caused by repeated infections with Candida albicans. Additionally, gestational diabetes may lead to conditions like fetal macrosomia and polyhydramnios during pregnancy, and pregnant women with gestational diabetes are more prone to infections.

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Symptoms of diabetes in the elderly

Elderly diabetes often begins inconspicuously, lacking the typical symptoms of excessive thirst, urination, hunger, and weight loss. It can present with various complications such as diarrhea, constipation, urinary retention, limb numbness, skin itching, and shoulder joint pain. Elderly diabetics often have concurrent infections, particularly in the respiratory and urinary systems, as well as cholecystitis and skin infections. They may also suffer from ketoacidosis, hyperosmolar hyperglycemia syndrome, and coexist with multiple chronic diseases of old age such as heart failure, coronary heart disease, hypertension, and hyperlipidemia. They require different types of medications and are susceptible to hypoglycemia, making timely diagnosis and treatment challenging. These are the symptoms of diabetes in the elderly.

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Written by Lin Xiang Dong
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How to reduce sugar in a diabetic diet?

Dietary control is the most important method of treatment for diabetes. If dietary control is improper, all hypoglycemic drugs, including insulin, will not be very effective, and the focus of dietary management in diabetes is to control the intake of carbohydrates. Our Chinese diet is primarily based on carbohydrates like rice. Mainly, we control the amount of rice consumed, with each meal (lunch and dinner) consisting of about 100 to 200 grams of rice. This is complemented by plenty of vegetables and a certain amount of lean meat to enhance satiety. By controlling the intake of carbohydrates in our daily lives, blood sugar levels can drop significantly.

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Written by Li Hui Zhi
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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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Written by Lin Xiang Dong
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Prevention of Gestational Diabetes

The prevention of gestational diabetes mainly focuses on diet and exercise. First, weigh yourself every morning to monitor weight changes during pregnancy, as excessive weight gain can increase the risk of gestational diabetes. Second, maintain a healthy and balanced diet that is low in fat and calories, and high in fiber and protein, avoiding excessive consumption of high-sugar foods. Third, regularly engage in exercises suitable for pregnancy. Fourth, keep a regular routine. Finally, closely monitor the fetus.

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What should diabetics pay attention to in their diet?

There is a general principle for the diet of diabetes, which is to pay attention to controlling the total daily caloric intake. The second principle is to have a balanced diet, and to be more specific, there are several points: The first one is to eat at fixed times and fixed amounts. Fixed times means having three meals a day at regular intervals, eating on schedule and paying attention not to have extra meals. Generally, the majority of diabetic patients should not eat less in more meals. Fixed amounts mean that the portion size of each meal should be roughly the same every day, not less today and more tomorrow. The third principle is to try to eat drier foods and avoid liquid foods, as liquid foods are easy to digest and absorb, causing blood sugar to rise quickly after meals. Therefore, these are some of the points that need attention in the diet for diabetes.