Pregnancy Diabetes: Insistence during pregnancy, and health risks for mother and child
Introduction
During this period of pregnancy, which is full of expectations and expectations, pregnancy diabetes is like a “ghost” hidden in the dark, threatening the health of mothers and children. When mother-in-law is immersed in the joy of a new life, she may not have been able to detect a silent rise in blood sugar and is placing an ambush for a range of potential risks. The global increase in the incidence of gestational diabetes, which affects one in every several pregnant women in the country, is a matter of urgent concern and in-depth study of its causes, risks and responses.
“The Life Before the Pregnancy Diabetes”
Pregnancy diabetes (GDM) is the first case of a sugar metabolic abnormality during pregnancy. Its occurrence is closely related to placenta hormonal hormones during pregnancy, with a significant increase in placenta cumulin, estrogen and gestational hormones, which are like “*” and are resistant to the normal functioning of insulin, which reduces the body’s sensitivity to insulin, prevents insulin from efficiently performing sugar-reducing functions and increases in blood sugar, which is beyond normal range.
Not all pregnant women are susceptible to gestational diabetes. Women of advanced age (over 35 years of age) experience changes in their physical functioning, with a relative decrease in metabolic regulation and a significant increase in the risk of gestational diabetes; women who are overweight or obese before pregnancy (BMI≥24kg/m2) have their own basis of fat accumulation, insulin resistance and are more likely to experience sugar metabolic disorders during pregnancy; pregnant women with a history of diabetes, who have suffered from obscenity and carry sensitive genes, have increased their rates of morbidity; and pregnant women who have had a history of unwanted pregnancy, such as those who have had a large child, an unknown cause of death, and a fetal malformation, need to be given extra vigilance to re-pregnancy.
Hazard to Matrix “Multiface Analysis”
Short-term risks: high blood sugar during pregnancy exposes pregnant women to high blood pressure diseases during pregnancy, as is the case with a “chain reaction”, and blood vessels convulsion, strangulation, uncontrolled rise of blood pressure in a high sugar environment, seriously threatening the life of the mother and the child, causing ecstasy convulsions, early placental stripping, etc.; repeated high blood sugar conditions during pregnancy also induce infections of the urinary system; high sugar urine is like a “bacter-bacter” and breeds bacterial diseases such as coliform, as well as urinary frequency, excrement and urinary pains to pregnant women, which can cause kidney damage if infected with retorization and kidneys. Long-term risks: After childbirth, pregnancy diabetes appears to be “falling” but leaves many health problems. About half of the sugar moms are likely to progress to type 2 diabetes in the next 5-10 years, and it is difficult to recover from the persistent impairment of insulin function, as it was at first, with a long-term “disturbation” of blood sugar; excessive weight gain during pregnancy due to high sugar, metabolic disorders, followed by a sharp increase in the risk of cardiovascular disease, coronary heart disease, myocardiasis, etc., are like “time bombs”, hidden in life and at any time endangering life and health.
Serious effects on the foetus and the newborn
Anomalous foetal development: high sugar is transmitted through placenta, the fetus is in a “high sugar environment” for a long time, insulin-required growth, fattening, excessive insulin insulin, stimulating the excessive growth of the fetus, creating a huge child (birth weight > 4000g), increasing the risk of complications in childbirth, injury to the shoulder, which can cause fractures in the neck of the newborn, neurosis of the arms, and, at the same time, high sugar disrupts the normal development of the embryo and increases in the incidence of organ malformation, such as a congenital heart disease, a heart heart and a kidney, which places a heavy burden on the family. 2. Neonatal health problems: New-born insulin cells remain inert for high levels of insulin, causing low blood sugar, in the form of sleep addiction, tremors, suspension of breathing, etc., which, if not corrected in a timely manner, can damage the nervous system and affect the mental development; high-insulin haemorrhage also inhibits the synthesis of pulmonary bubble surface activity, causes respiratory distress syndrome in newborns, post-natal respiratory difficulties, blubber and life-threatening conditions, requiring urgent treatment and assisted gas.
Screening and diagnosis: securing the “safe line”
1. Timing and process of screening: Our guidelines recommend that all pregnant women who have not diagnosed diabetes be routinely subjected to the 75g oral glucose tolerance test (OGTT) for 24-28 weeks of pregnancy. An empty stomach of 8 – 14 hours is required before the examination, after which the abdominal blood is emptied, followed by the oral glucose of 75 glucose, with blood glucose for one and two hours, respectively. When an empty abdominal glucose of 5.1 mmol/L, an hour of blood sugar of 10.0 mmol/L, and two hours of blood sugar of 8.5 mmol/L, pregnancy diabetes can be diagnosed by any one of the standards, and high sugar can be precisely targeted. 2. Diagnosis is significant: early screening and early diagnosis are a key starting point for the prevention and treatment of pregnancy diabetes, prompt detection of potential high sugar, intervention in management during the onset of the disease, adjustment of diet, exercise and, if necessary, medication to prevent the deterioration of the condition, building the foundation for the safe and healthy health of the mother and the child, and rewriting the bad outcome.
Integrated response strategy: multi-pronged “breakdown”
Dietary management’s “fixed tone”: following the principle of multi-eat diet, three meals per day are split into five to six meals to stabilize blood sugar fluctuations and avoid high sugar “peaks” after meals. Increased intake of food fibres, vegetables (e.g., broccoli, celery), fruits (e.g., apples with low sugar, grapefruit), whole grains are the “primary force” that slows down the absorption of carbon water and “torts” the blood sugar curve; controls the total quantity and quality of carbohydrates, discards fine rice, selects coarse grains (maize, oats) and distributes properly the amount of calories per meal and ensures that the mother and the child nutrition is accompanied by sugar. Moderate motion “stable blood sugar”: Aerobics during pregnancy, such as walking, yoga for pregnant women, swimming (subject to professional guidance) for about 30 minutes per day, can increase insulin sensitivity, assistive muscle “ingestion” of glucose, consumption of excess sugar, abating insulin resistance, and also help to achieve reasonable weight control, build up body mass and save energy for good yield. Drug intervention “Foundable Shield”: Insulin is the “preferred agent” for the treatment of pregnancyal diabetes in cases of poor diet and control of sugar, which can be refined to reduce sugar and ensure the safety of the foetus through placenta; some new sugar-reducing medicines have been carefully used during a certain stage of pregnancy, under strict clinical trials, with doctors weighing the benefits and closely monitoring, helping pregnant women to meet the standards of blood sugar and protecting the health of their mothers and children. ** Post-natal follow-up “retention”: 6-12 weeks after delivery to review OGT to assess the status of sugar metabolism recovery and to regulate the long-term management of diagnosis of diabetes; thereafter, annual medical examinations are conducted to screen blood sugar, promote healthy lifestyles, and prevent “re-attacks” of diabetes and to protect the health of women.
Concluding remarks
Teenage diabetes is a serious challenge during pregnancy, ranging from immersion to “storms” that cause maternal and child health, and endangers both during and outside pregnancy. However, through precision screening, scientific control and co-operation from diets, sports, medicines, follow-up visits, it is possible to disperse the “high sugar haze” and to care for the mother and the child, so that pregnancy returns to good expectations and the health of new lives. Mother-to-mothers need to strengthen their health awareness and work together to build a “safe wall” against pregnancy diabetes.
Combined pregnancy diabetes
