Are there many people with gestational diabetes?

Written by Luo Han Ying
Endocrinology
Updated on May 03, 2025
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Gestational diabetes is increasingly common now as living standards improve, and there is more attention on pregnant women from their families. Often, out of fear of malnutrition during pregnancy, there is a tendency to over-nourish and overeat, leading to significant weight gain around the 24th to 26th weeks of pregnancy. Upon examination, it is discovered that their blood sugar levels are elevated, indicating gestational diabetes. Although gestational diabetes is becoming more widespread, the blood sugar levels are usually not extremely high. Therefore, such patients can often manage their condition through diet control and encouraging appropriate exercise for pregnant women. Thus, pregnant women diagnosed with gestational diabetes should not be overly stressed psychologically.

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Written by Chen Xie
Endocrinology
1min 9sec home-news-image

Gestational diabetes: what kind of milk to drink?

The overall principle of dietary control for patients with gestational diabetes is to manage the total calorie intake and adopt a pattern of eating smaller, more frequent meals. Ideally, the day should be divided into 5 to 6 meals. This approach helps not only in controlling blood sugar levels but also in reducing the occurrence of hypoglycemia. For patients with gestational diabetes, it is recommended to drink pure milk. However, many of the milk and dairy products available on the market contain a large amount of added sugar or have a very high fat content, which can lead to excessive caloric intake and affect blood sugar control. Therefore, for patients with gestational diabetes, it is advisable to drink low-fat or non-fat pure milk, which has relatively lower calories and will not impact blood sugar levels. It is suggested to have a glass of pure milk either two hours after a meal or before bedtime to help reduce the occurrence of hypoglycemia and prevent it during the night.

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Written by Chen Xie
Endocrinology
1min 4sec home-news-image

Risk of gestational diabetes in second pregnancy

For women with gestational diabetes, the risk of diabetes in a second pregnancy is higher. Therefore, it is recommended that mothers who have had gestational diabetes undergo fasting glycosylated hemoglobin monitoring at a hospital before becoming pregnant, to rule out the possibility of pre-pregnancy diabetes. Additionally, it is advised to maintain a reasonable diet throughout the pregnancy, exercise regularly, and avoid high-calorie, high-sugar foods, as this can help prevent and reduce the occurrence of diabetes. In fact, for mothers expecting their second child, age is also a major risk factor. As age increases, the risks of hyperglycemia during pregnancy and hypertension during pregnancy become higher, thus the risk of gestational diabetes in a second pregnancy is relatively higher compared to the first.

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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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Do you need insulin for gestational diabetes?

Gestational diabetes refers to the elevated blood glucose levels found during pregnancy. For patients diagnosed with gestational diabetes, we first need to control diet and exercise to manage blood sugar levels, maintaining fasting blood glucose between 4.0-5.3 mmol/L and postprandial (two hours after meals) blood glucose between 4.4-6.7 mmol/L. If blood sugar control can be achieved through diet and exercise, insulin treatment is not required. However, if blood sugar levels still do not meet the standards through diet and exercise, exceeding the figures mentioned earlier, insulin treatment is necessary. For patients receiving insulin treatment, it poses no harm to either the fetus or the mother. In fact, when blood sugar is well-controlled, it can actually reduce the risks associated with gestational diabetes.

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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.