Question
I underwent a glucose tolerance test at 28 weeks of pregnancy, with an fasting blood sugar level of 5.0 and a rise to 12.3 after consuming glucose one hour later, diagnosed with pregnancy-related diabetes by the doctor. According to the doctor’s instructions, I have been following dietary control and increasing physical activity for two weeks, but there has been no significant improvement in blood sugar control. The fasting blood sugar remains between 5.0 and 5.4, but post-meal blood sugar fluctuates significantly, ranging between 6.4 and 8.7. My diet mainly consists of whole grains, avoiding high-fat and high-sugar foods, but I still feel extremely hungry. I would like to know what effective methods can be used to control blood sugar, as well as whether long-term hunger can affect the development of the fetus.
Answer
It is recommended to adopt a strategy of eating small meals frequently, with low-sodium and low-fat diets, and engage in moderate exercise while ensuring the fetus is developing normally. In terms of diet, avoid high-glycemic foods but do not overly restrict other types of food. Try to choose minimally processed foods and consume enough protein. The doctor suggests taking metformin and Dapagliflozin for treatment and emphasizes that while controlling blood sugar, it is crucial to ensure the normal development of the fetus.