Symptoms of Gestational Diabetes

Written by Tang Zhuo
Endocrinology
Updated on January 10, 2025
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Gestational diabetes refers to the onset of different levels of hyperglycemia during pregnancy, or first diagnosed during pregnancy, including previously unrecognized glucose intolerance and diabetes before pregnancy. Typical clinical manifestations of gestational diabetes include symptoms such as polyuria, polydipsia, and polyphagia, or recurrent Candida infections of the vulva and vagina. If a pregnant woman weighs more than 90 kilograms, presents with polyhydramnios, or has a macrosomic fetus during this pregnancy, there should be a high degree of vigilance for the possibility of gestational diabetes. Its dangers lie in severe cases or poorly controlled blood sugar in gestational diabetes, which not only tends to lead to miscarriage and preterm birth but also can cause infections, and in severe cases, may lead to ketoacidosis. Therefore, dietary control and medication are very important for managing gestational diabetes.

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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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Does gestational diabetes require hospitalization?

Patients with gestational diabetes who initially have adequate blood sugar control do not need to be hospitalized; however, those with poor blood sugar control require further hospitalization for observation and treatment. In addition to diet and exercise, medication control such as insulin therapy is currently recommended for managing blood sugar in gestational diabetes. Insulin therapy must be used under strict medical supervision to avoid hypoglycemia. Since both high and low blood sugar levels can have a dual impact on pregnant women and fetuses, the need for hospitalization for patients with gestational diabetes mainly depends on their blood sugar levels.

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Can pregnant women with gestational diabetes eat pumpkin?

The general principle for dietary control in patients with gestational diabetes is to manage total calorie intake and to eat smaller, more frequent meals. Eating five to six meals a day can not only help control blood sugar levels but also reduce the occurrence of hypoglycemia. Additionally, it is important for patients with gestational diabetes to eat less of foods that can rapidly increase blood sugar levels, as well as those high in sugar, starch, and fat content since these can easily convert into glucose, causing a rise in blood sugar. Pumpkin, for example, is a food high in carbohydrates and should be consumed in limited quantities. However, this does not mean it cannot be eaten at all. For patients with gestational diabetes, if pumpkin is consumed, it is necessary to reduce the intake of staple foods and rice, treating the pumpkin as a staple food substitute to maintain a balance of total calories and to prevent significant fluctuations in blood sugar, thus keeping it stable.

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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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How to reduce blood sugar in gestational diabetes

Gestational diabetes cannot be treated with oral medications, as they can affect the fetus. Currently, the main treatment for gestational diabetes in China is insulin, with options for short-acting or rapid-acting insulin. If fasting blood glucose is high, long-acting insulin can be used to control fasting blood glucose levels. If post-meal blood glucose is high, short-acting or rapid-acting insulin can be used to control post-meal blood glucose levels. The blood glucose control standards for gestational diabetes are fasting blood glucose between 4.0 and 5.3, and two hours post-meal blood glucose between 4.4 and 6.7.