Gestational diabetes treatment regimen

Gestational diabetes is defined as a sugar tolerance disorder that occurs during pregnancy. Gestational diabetes can cause many events for both mother and pregnancy that have long been proven. However, mild gestational diabetes affects the fetus and the mother is still not well understood.

1. When is gestational diabetes screening required?

Pregnant women should be screening for gestational diabetes in case of:

  • Pregnant women with high risk factors
  • Age > 35, obesity
  • Have a history of gestational diabetes
  • Giving birth to > 4kg
  • Polycystic ovaries , still still life pregnancy of unknown causes
  • Have a family history of diabetes
  • Urinary tract (+) should be tested for pregnancy diabetes diagnosis from the first pregnancy visit.

pregnant obese

Obese pregnant mothers need pregnancy diabetes screening to help detect disease early

In the case of pregnant women in the first 3 months of pregnancy, the standard of diagnosis of gestational diabetes is applied as the average person (removing the HbA1C standard). Pregnancy diabetes diagnostic tests are performed at weeks 24 –28 of pregnancy for all previously undiagnosed gestations. Perform tests to diagnose real (sustainable) gestational diabetes for pregnant women with gestational diabetes after birth from 4 to 12 weeks (applying diabetes diagnostic standards like normal people). In women with gestational diabetes should be tested to detect the progress of diabetes or pre-diabetes at least once every 3 years.

2. How to treat gestational diabetes

2.1. Blood glucose control targets

Gestational diabetics need to be controlled for positive and safe blood glucose levels for a narrow period of time, to ensure the safety of both the maternity and the fetus. Blood glucose levels during hunger < 5,8 mmol/l, đường huyết 1 giờ sau ăn < 7,8 mmol/l và 2 giờ sau ăn < 7,2 mmol/l.

2.2. Nutritional treatment

The total amount of energy per day spent on gestational diabetics is calculated based on the ideal weight. The total daily energy is 30 Kcal/kg. Nutrition should ensure the necessary weight gain during pregnancy: 0.45kg/month in the first quarter, 0.2 – 0.35 kg/week in Q2 and Q3 of pregnancy.

The total amount of energy throughout the day should be divided equally by 3 main meals and 3 side meals but it is not recommended to eat too much carbohydrates at breakfast.

Food for women with gestational diabetes

Pregnant mothers with gestational diabetes need to have a reasonable and scientific diet

2.3. Drug treatment

To date, Insulin human is the only FDA-recognized drug for the treatment of gestational diabetes. Women with gestational diabetes should measure blood glucose 4-6 times daily (before meals, 2 hours after eating and before bedtime). Besides, it is necessary to contact your doctor as soon as blood glucose levels are high or lower than normal.

In summary, pregnant women with high risk factors should be screening for gestational diabetes from the first pregnancy visit, pregnant women who have not been diagnosed with gestational diabetes should be given a screening for gestational diabetes from the 24th to 28th week of pregnancy. Pregnant women should have strict blood glucose control and regular monitoring of fetal development for early and timely detection of complications and appropriate and effective interventions.

Gestational diabetes

Pregnant mother with gestational diabetes may be using Insulin in treatment regimen

At Share99 International Health Hub, there is a full maternity service as a solution to help pregnant mothers feel secure because there is a team of doctors throughout the pregnancy. When choosing a full-service maternity, a pregnant woman can:

  • The process of pregnancy is monitored by a team of specialists
  • Regular examination, early detection of abnormalities
  • Package maternity for the convenience of childbirth
  • Infants receive comprehensive care

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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