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妊娠糖尿病的病发怎么降低?

时间:2018-07-05 来源:http://www.sdchanhou.com/ 作者:admin 点击:
1.定期产检:在确定怀孕后,一定要定期到正规医院进行规律的产检。所有非糖尿病的孕妇,都应在孕24~28周时,到医院常规行75g葡萄糖耐量试验(OGTT),主要目的就是尽早筛查出妊娠糖尿病并及时给予规范化的治疗。而对于有肥胖、糖尿病家族史、巨大儿分娩史、无明显原因多次自然流产史等妊娠期糖尿病高危因素的孕妈妈,则在首次孕检的时候医生就会安排进行一次OGTT,初次试验血糖正常时孕妈妈也不可放松警惕,必要时还需要在妊娠晚期再行一次OGTT,以排除孕期合并妊娠糖尿病的可能。
1. regular production inspection: after determining pregnancy, we must regularly go to regular hospitals for regular production inspection. All non diabetic pregnant women should go to the hospital routine 75g glucose tolerance test (OGTT) at 24~28 weeks. The main purpose is to screen out gestational diabetes as soon as possible and give timely standardized treatment. For the pregnant mothers with high risk factors of gestational diabetes, such as obesity, family history of diabetes, birth history of huge children, and no obvious cause of spontaneous abortion, the doctor will arrange a OGTT at the time of first pregnancy test, and the mother can not relax when the first test is normal, and if necessary, it needs to be pregnant. OGTT was later performed to exclude the possibility of gestational diabetes mellitus during pregnancy.
2.饮食控制:如果一旦确诊患有妊娠期糖尿病的话,为了安全起见,一般建议先入院进行血糖及营养的规范化管理,待稳定后再回家自行监测。饮食控制是基本也是有效的方法之一。由于怀孕时孕妇不仅要满足自己的营养需求,而且还要为胎儿的发育提供营养支持,因此,理想的饮食控制目标是既能保证和提供妊娠期间孕妇的热量和营养的需要,又要避免餐后高血糖或饥饿性酮症的出现,保证胎儿的正常生长发育需要。因此,好请的医生为您制定一份个性化的营养方案,并根据孕期的具体情况作出适当的调整。饮食上建议少吃多餐,以一天5-6餐为宜,从而可有效地避免餐后血糖迅速升高。在食物的选择上,主食要粗细搭配,每天安排适量的优质蛋白,如鱼、禽、蛋、奶及奶制品等,同时增加绿色蔬菜的摄入。在病情控制满意的情况下,也可以在医生的指导下在两餐之间适量吃一些升糖指数较低的水果,如青苹果、柚子、石榴、李子等。
2. diet control: if the diagnosis of gestational diabetes, for the sake of safety, it is generally recommended to go to the hospital to standardize the management of blood sugar and nutrition, and then go home and monitor it after stability. Diet control is one of the most basic and effective methods. Due to pregnant women not only to meet their nutritional needs, but also to provide nutritional support for the development of the fetus, the ideal diet control goal is to ensure and provide both the heat and nutrition needs of pregnant women during pregnancy, and to avoid the appearance of postprandial hyperglycemia or starvation ketosis, and to ensure the normal fetus. Growth and development need. Therefore, it is best for a professional doctor to develop a personalized nutrition plan for you and make appropriate adjustments according to the specific circumstances of pregnancy. It is recommended to eat less and eat more meals on the diet, with 5-6 meals a day, so that the postprandial blood sugar can be effectively increased. In the choice of food, the staple food should be carefully matched, and a proper amount of high quality protein, such as fish, poultry, eggs, milk and milk products, is arranged every day, and the intake of green vegetables is increased. Under the condition of satisfactory control of the disease, under the guidance of the doctor, we can also eat some fruit with lower sugar index between two meals, such as green apple, grapefruit, pomegranate, plum and so on.
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3.定期血糖监测:密切监测自己的血糖情况并记录下来,以便为医生制定适宜的治疗方案提供重要的参考依据。在治疗初期的时候,监测的频率要高一些,一般需要在餐前、餐后、空腹及夜间进行监测,好每天能监测4-8次,在血糖控制比较满意并且稳定后,监测的频率可以稍微减少一些,但也应做到每周至少监测一次。
3. regular blood glucose monitoring: closely monitor their blood sugar and record it, so as to provide an important reference for doctors to develop appropriate treatment options. At the beginning of the treatment, the frequency of monitoring should be higher. It usually needs to monitor before, after meal, in the stomach and at night. It is best to monitor 4-8 times a day. After the control of blood sugar is satisfactory and stable, the frequency of monitoring can be slightly reduced, but it should be monitored at least once a week.
4.适量的运动:在饮食控制的同时,进行适量的运动,能够促进葡萄糖的利用,增加细胞内糖代谢,降低游离脂肪酸,从而减低血糖。但应注意避免在空腹情况下运动或是一次的运动强度过大。
4. appropriate exercise: at the same time, in the diet control, a proper amount of exercise can promote the use of glucose, increase the metabolism of sugar in cells, reduce free fatty acids, and reduce blood sugar. However, attention should be paid to avoiding exercise under an empty stomach or excessive exercise intensity.
5.必要时辅以药物治疗:多数的妊娠期糖尿病患者经合理饮食控制和适量的运动后,血糖均能控制在比较满意的范围内。但若血糖控制还不理想的话,则可在医生的指导下辅以药物治疗。有些人可能会担心孕期用药的安全性问题而拖着不肯用药,其实,也不必太过于担心这些胰岛素治疗会影响到腹中胎儿,胰岛素属于大分子蛋白,一般情况下很难通过胎盘屏障到达胎儿体内,所以,在医生的指导下适量地用药,相对来说还是比较安全的。
5. supplemented by drug treatment: most of the patients with gestational diabetes can be controlled in a relatively satisfactory range after reasonable diet control and moderate exercise. However, if the blood glucose control is not ideal, it can be supplemented by medication under the guidance of the doctor. Some people may worry about the safety of medication during pregnancy and drag it out of medicine. In fact, it is not necessary to worry too much about the effect that these insulin treatments will affect the fetus in the abdomen. Insulin is a large molecular protein. In general, it is difficult to reach the fetus through the placental barrier, so that a proper dose of medication under the guidance of a doctor. It's relatively safe in relative terms.
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