Impact of gestational diabetes on the fetus and pregnant women

Written by Chen Xie
Endocrinology
Updated on September 21, 2024
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The effects of gestational diabetes on the mother mainly include an increased risk of miscarriage, concurrent conditions such as gestational hypertension and preeclampsia, as well as the potential for diabetic ketoacidosis. The presence of a large fetus can lead to difficult labor, damage to the birth canal, prolonged surgical delivery, and an increased likelihood of postpartum hemorrhage. Additionally, women with gestational diabetes have an increased risk of developing the condition again in future pregnancies. In terms of long-term effects, the risk of developing type 2 diabetes significantly increases after experiencing gestational diabetes. For the fetus, the impacts of gestational diabetes primarily manifest as an increased risk of spontaneous miscarriage, congenital anomalies, and abnormal development. There is also a heightened risk of hyperinsulinemia, which can even affect the proper development and maturity of the fetal lungs, leading to delays. After birth, conditions such as hypoglycemia and neonatal respiratory distress syndrome are more likely to occur. In the long term, offspring of women with gestational diabetes are at higher risk for glucose intolerance, diabetes, obesity, and metabolic syndrome. These conditions significantly increase the risks to the cardiovascular system and can affect neuromotor development.

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Written by Chen Xie
Endocrinology
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Exercise for Gestational Diabetes

Exercise can increase insulin sensitivity and can lower blood sugar independently of insulin. Therefore, patients with gestational diabetes can also exercise appropriately, which is beneficial for the utilization of blood sugar and helps lower it. The exercise for gestational diabetes generally involves regular, rhythmic aerobic exercises, which can include upper body exercises, gymnastics, and previously mentioned activities. The duration of exercise should generally be around 20-30 minutes, and it is advisable to exercise about one hour after meals. The frequency of exercise should be three to five times per week. During exercise, the heart rate should not exceed 120 beats per minute to avoid intense physical activity.

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Written by Liu Wen Li
Obstetrics
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How to treat gestational diabetes?

The treatment principle for gestational diabetes is to control blood sugar and then ensure the normal development of the child. There are many methods to control blood sugar. First, it involves diet management guided by a doctor, adjusting the diet's structure and quantity, followed by post-meal exercise. If after a week of adjusted diet and post-meal exercise, blood sugar levels still do not meet the standards, insulin injections can be used to keep the pregnant woman's blood sugar within the prescribed range. This can help reduce the impact of diabetes on the fetus and the pregnant woman.

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Written by Luo Han Ying
Endocrinology
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Can you drink yogurt if you have gestational diabetes?

Regarding yogurt, there are two scenarios. Currently, you can make yogurt at home with a yogurt maker. If it's homemade yogurt and you haven't added sugar, it is okay to eat because it contains probiotics and nutritious ingredients, which are actually beneficial for pregnant women. However, the yogurt sold in stores contains very high sugar levels because anyone who has made yogurt would know that unsweetened yogurt is very sour. The kind sold in stores tastes that way because a large amount of sugar is added, not to mention various additives. This is very unfavorable for blood sugar control in patients with gestational diabetes. Therefore, we recommend that pregnant women should drink less or even avoid commercial yogurt. In fact, we can obtain these nutrients by drinking regular milk, like pure milk.

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Written by Chen Kai
Endocrinology
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Gestational diabetes blood glucose monitoring

Gestational diabetes refers to individuals who were not diabetic before pregnancy but develop high blood sugar levels due to increased insulin resistance caused by elevated hormone secretion during pregnancy. These patients also need to monitor their blood sugar, typically checking fasting blood sugar, post-meal blood sugar, and bedtime blood sugar to maintain it within a target range, such as keeping fasting levels at 5.60 and post-meal levels below 7.8 to avoid hyperglycemia or hypoglycemia and minimize the risk of low blood sugar. If the blood sugar level exceeds 10 or even higher, such patients may require medication treatment. If the increase is mild, through diet and exercise interventions, blood sugar can generally be controlled within the normal range.

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Written by Zhang Hui
Obstetrics and Gynecology
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Should pregnant women with gestational diabetes drink whole milk or skim milk?

If a pregnant woman has been diagnosed with gestational diabetes, she needs to be very careful about her diet. Whether to drink full-fat or skim milk during pregnancy depends on the individual's caloric needs. Considering the different amounts of calories produced by fats and proteins, skim milk generally has lower calories. Therefore, a pregnant woman with gestational diabetes can drink skim milk, but she should also be cautious about the total amount of milk consumed. She should not drink too much at once or consume milk excessively, because both full-fat and skim milk can lead to a significant increase in blood sugar levels.