Gestational diabetes hazards

Written by Tang Zhuo
Endocrinology
Updated on April 30, 2025
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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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Can you eat melon seeds with gestational diabetes?

Patients with gestational diabetes can eat sunflower seeds, but the amount must be controlled and should not be excessive. Each serving should be a small handful, as sunflower seeds contain a high amount of fat. Consuming too much can lead to increased blood sugar and lipids, which is not conducive to controlling blood sugar. When eating sunflower seeds, try to choose plain raw or roasted sunflower seeds, and avoid those with sweet flavors or other heavy flavorings added. Patients with gestational diabetes can also eat nuts in moderation, but the amount should be controlled to about the equivalent of two large walnuts per day, and it is best to consume them between meals.

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Written by Chen Xie
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Steps for Gestational Diabetes Testing

The screening steps for gestational diabetes involve, for most women, the recommendation to undergo a 75-gram glucose tolerance test at the hospital between 24 to 28 weeks of pregnancy. The method includes fasting blood draw, consuming 75 grams of glucose, and monitoring blood sugar levels one hour and two hours after glucose intake, to determine the presence of gestational diabetes. However, for pregnant women at high risk for diabetes, it is recommended to complete the 75-gram glucose tolerance test early in pregnancy to detect gestational diabetes early and initiate treatment promptly to reduce the risks to both the fetus and the mother.

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Written by Li Lang Bo
Endocrinology
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What should people with gestational diabetes eat?

For patients with various types of diabetes, the general principle of dietary control is low salt, low fat, and a diabetes-specific diet. This means that fats and calories must be controlled. However, pregnancy is a special period that requires an adequate intake of nutrients to meet the needs of the fetus. Therefore, gestational diabetes should be managed based on one's nutritional status, and, after evaluating one's condition, sufficient high-quality protein should be supplemented. It is advisable not to consume fats, such as chicken, duck, fish, and meat, but cooking methods should be chosen carefully. Fish can be consumed steamed, and meat can be steamed or stewed, as these meats are sources of protein. However, soup should not be consumed as it is particularly high in fat. Additionally, foods like pig's feet or animal organs, which have high cholesterol levels, should be consumed in moderation. The overall principle is the same as for diabetes, but it is essential to ensure the pregnant woman's nutritional needs are met and that the fetal weight gradually increases as the pregnancy progresses. Of course, if insulin intervention is needed to some extent, insulin must be used to keep blood sugar levels within the required range.

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Written by Liang Yin
Endocrinology
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How is gestational diabetes treated?

The treatment of gestational diabetes includes dietary therapy, exercise therapy, and insulin therapy. For dietary therapy, we mainly control the total calorie intake and supplement with elements such as calcium, iron, folic acid, and various vitamins; in exercise therapy, we aim to control the speed of weight gain, improve the peripheral tissues' utilization of glucose, and improve the lipid profile. For patients whose blood glucose levels do not meet the standards after two weeks of diet and exercise therapy, we initiate insulin therapy. The goal of insulin therapy is to control fasting blood glucose below 5.3 and postprandial blood glucose below 6.7. The methods of insulin therapy include twice daily injections, multiple daily injections, or the use of an insulin pump.

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Standards for Blood Sugar Control in Gestational Diabetes

The control of blood sugar in gestational diabetes mainly involves monitoring fasting blood glucose, postprandial blood glucose, and ketone bodies in urine. Patients can monitor their fasting and postprandial blood glucose 4-6 times daily. The target for blood sugar control is to maintain fasting blood glucose, pre-meal, or pre-sleep blood glucose levels between 3.3 to 5.3 mmol/L, postprandial blood glucose after one hour should be less than or equal to 7.8 mmol/L, and postprandial blood glucose after two hours should be less than or equal to 6.7 mmol/L. Ketone bodies should be negative, and glycated hemoglobin should be controlled below 6%. Only by meeting these standards can the control of blood sugar in gestational diabetes be considered adequate, which can reduce risk factors for both the mother and the fetus.