Question
A pregnant woman underwent a screening for gestational diabetes mellitus at 27 weeks and the result showed A1 stage, with a urine sugar level of 2+. How should she manage the situation of gestational diabetes mellitus complicated with bacterial vaginosis?
Answer
When a pregnant woman is diagnosed with Gestational Diabetes Mellitus A1 stage, if dietary control is not effective, the best treatment method is to control blood sugar through subcutaneous injection of insulin (which has no effect on pregnancy and does not affect fetal development). Regular monitoring of blood sugar levels and timely adjustment of medication doses are required. During pregnancy, kidney function and glycosylated hemoglobin tests should be conducted monthly, along with fundus examination. Blood pressure, edema, and protein in urine should also be monitored. Necessary checks for fetal development, maturity, and placental function should be conducted, and if necessary, hospitalization should be arranged early. Additionally, bacterial vaginosis is caused by Candida albicans infection. When the amount of glycogen in the vagina increases and acidity rises, Candida is most likely to thrive. After good blood sugar control, this condition may improve. Treatment mainly involves local therapy using drugs harmless to both the mother and the fetus, such as clotrimazole, ketoconazole, and miconazole. Wishing both mother and child health.