Questions
A pregnant woman at 25+ weeks of pregnancy has a glucose screen value of 8.7 mol/L, with glucose tolerance test results of 4.7 before fasting, 10.5 after 1 hour, 8.4 after 2 hours, and 7.9 after 3 hours. The doctor stated that if two or more of these do not meet the standard, it is diagnosed as gestational diabetes. The patient inquires whether she has been diagnosed with gestational diabetes and what the treatment should be.
Answers
Based on the provided data, although the glucose screen value is slightly elevated, the glucose tolerance test results show normalcy, therefore, it should not be diagnosed as gestational diabetes. It is not uncommon for pregnant women to experience similar situations during pregnancy, and there is no need to be overly concerned, but it is important to take it seriously and have regular check-ups. The patient should control her diet and engage in moderate exercise. In terms of dietary management, a strategy of small meals throughout the day should be adopted, avoiding overly sweet and spicy foods, and abstaining from smoking and alcohol. Increase the intake of high-fiber foods such as brown rice, whole grains, vegetables, and fresh fruits, while reducing the consumption of fried, baked, and crispy foods, as well as animal skin and fatty meats. Moderate exercise can help with a smooth delivery and control excessive sugar in the body, but it should not lead to overexertion. Ensure adequate sleep and a regular schedule. Doctor’s Question: Does the family have a history of diabetes?