Gestational diabetes screening time

Written by Chen Xie
Endocrinology
Updated on September 23, 2024
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The screening time for gestational diabetes refers to all pregnant women undergoing a 75-gram glucose tolerance test between 24 to 28 weeks of pregnancy to measure blood sugar levels and determine the presence of gestational diabetes. However, for pregnant women at high risk, including those with a history of gestational diabetes, delivery of a large fetus, obesity, polycystic ovary syndrome, a family history of diabetes, positive urinary glucose in early pregnancy, or unexplained recurrent miscarriages, fetal malformations, stillbirths, or even a history of childbirth with neonatal respiratory distress syndrome, blood sugar should be monitored as early as possible to understand the situation.

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Written by Li Lang Bo
Endocrinology
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How to self-test for gestational diabetes

Gestational diabetes refers to conditions where there was no diabetes before pregnancy, and during the course of the pregnancy, specifically between the 24th to 28th weeks, a standard glucose tolerance test is conducted to screen for glucose metabolism. The specific procedure involves not eating after 8 p.m. the night before, though drinking water is allowed, followed by fasting for more than ten hours. The first blood sample is taken on an empty stomach. Then, 75 grams of anhydrous glucose, as prescribed by the doctor, is dissolved in 250 to 350 milliliters of water and consumed within 3 to 5 minutes. Starting from the first sip of this glucose solution, blood samples are taken again one hour and two hours later. The results from these three blood samples are used to determine the possibility of gestational diabetes.

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Written by Zhang Yin Xing
Obstetrics
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What are the symptoms of gestational diabetes?

Diabetes during pregnancy, compared to diabetes outside of pregnancy, still presents symptoms such as polydipsia, polyphagia, and polyuria, but does not manifest as weight loss. Due to the increase in body weight from the enlarging uterus, fetus, and amniotic fluid during pregnancy, signs of weight loss are not evident. There are generally two types of diabetes in pregnancy. One is when diabetes pre-exists before pregnancy, which is termed diabetes mellitus with pregnancy; the other is when blood sugar levels were normal before pregnancy and diabetes develops during pregnancy, known as gestational diabetes. Over 90% of pregnant women with diabetes have gestational diabetes. Those with gestational diabetes have abnormal glucose metabolism, but most can return to normal after childbirth; however, the risk of developing Type 2 diabetes in the future increases.

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Written by Tang Zhuo
Endocrinology
1min 11sec home-news-image

Gestational diabetes hazards

The hazards of gestational diabetes: So, what is gestational diabetes? It refers to the onset of varying degrees of hyperglycemia during pregnancy, or its first detection, including previously undetected glucose tolerance abnormalities and diabetes before pregnancy. However, pregnancies in diabetic patients are not included in this category, and should be referred to as diabetes complicating pregnancy. The main dangers of gestational diabetes are that it can jeopardize the health of both the fetus and the mother. The effects and hazards to offspring mainly manifest as an increased risk of fetal intrauterine death, congenital anomalies, and complications. There is also an increased risk of macrosomia, and an increased incidence of neonatal hypoglycemia, jaundice, polycythemia, and hypocalcemia. Additionally, the risk of obesity, glucose tolerance abnormalities, and diabetes significantly increases in offspring during adolescence or young adulthood.

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Written by Luo Han Ying
Endocrinology
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How to eat after giving birth for gestational diabetes

Patients with gestational diabetes need to be careful with their diet even after giving birth, during the period known in Chinese tradition as "sitting the month." During this time, it is customary for Chinese women to consume large amounts of animal protein, including soups that are believed to help with milk production. However, patients with gestational diabetes should still control their intake, opting for low-fat and low-salt options. Traditional dishes like pig's trotters stewed with soybeans, which are high in fat, are not recommended for patients, as their effectiveness in promoting milk production is minimal. After childbirth, patients can instead focus on consuming high-quality proteins such as lean meats and milk, which are encouraged.

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Written by Chen Xie
Endocrinology
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Can you eat pumpkin with gestational diabetes?

The overall principle of dietary control for patients with gestational diabetes is to manage total calorie intake and to eat smaller, more frequent meals. Consuming five to six meals a day can help stabilize blood sugar levels and reduce the occurrence of hypoglycemia. Therefore, for patients with gestational diabetes, foods that can rapidly increase blood sugar levels, such as those high in sugar, starch, and fat, should be consumed less frequently, as these foods can easily be converted into glucose, leading to an increase in blood sugar levels. Pumpkin, which is high in carbohydrates, should also be eaten in moderation. However, this does not mean that pumpkin cannot be eaten at all. When consuming pumpkin, it should be treated as a staple food. After eating pumpkin, the amount of other staple foods in that meal should be reduced. This helps in maintaining good blood sugar control. Therefore, patients with gestational diabetes can still eat pumpkin, but it should not be treated as a vegetable. Instead, it should be considered like rice, and the amount of rice should be reduced when pumpkin is consumed.