Prevention of Gestational Diabetes

Written by Lin Xiang Dong
Endocrinology
Updated on September 28, 2024
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The prevention of gestational diabetes mainly focuses on diet and exercise. First, weigh yourself every morning to monitor weight changes during pregnancy, as excessive weight gain can increase the risk of gestational diabetes. Second, maintain a healthy and balanced diet that is low in fat and calories, and high in fiber and protein, avoiding excessive consumption of high-sugar foods. Third, regularly engage in exercises suitable for pregnancy. Fourth, keep a regular routine. Finally, closely monitor the fetus.

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Written by Lin Xiang Dong
Endocrinology
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How to reduce sugar in a diabetic diet?

Dietary control is the most important method of treatment for diabetes. If dietary control is improper, all hypoglycemic drugs, including insulin, will not be very effective, and the focus of dietary management in diabetes is to control the intake of carbohydrates. Our Chinese diet is primarily based on carbohydrates like rice. Mainly, we control the amount of rice consumed, with each meal (lunch and dinner) consisting of about 100 to 200 grams of rice. This is complemented by plenty of vegetables and a certain amount of lean meat to enhance satiety. By controlling the intake of carbohydrates in our daily lives, blood sugar levels can drop significantly.

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Written by Li Hui Zhi
Endocrinology
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How to reduce swelling in diabetic foot

How to reduce swelling in diabetic foot depends on the condition of the swelling. If the swelling is due to a wound on the diabetic foot causing localized redness and swelling, this condition needs anti-infective treatment. It is recommended to culture the wound secretion and choose a sensitive antibiotic; if the swelling is diffuse in the foot, it is also recommended to perform an ultrasound of the lower limb vessels, including arteries and veins. If this indicates poor venous return in the lower limbs or venous thrombosis, treatment to prevent thrombosis and improve venous return should also be added.

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Written by Li Hui Zhi
Endocrinology
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Type 2 diabetes daily diet

Type II diabetes requires careful daily dietary considerations. First, meals should be regular and moderate in portion; overeating is to be avoided. Second, ideally consume only three meals a day and avoid late-night snacks, which is a habit that many people have but is inadvisable. Third, the amount of carbohydrates per meal should be controlled; about 100 grams of staple food per meal is sufficient for those who perform moderate physical labor and do not engage in heavy physical activities. Fourth, sweet foods like pastries and cakes, which are high in sugar, should be completely avoided. Fifth, foods like porridge and glutinous rice, which have a high glycemic index, are not recommended. Lastly, very sweet fruits such as lychees, longans, durians, grapes, and bananas are too sugary and not suitable for consumption.

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Written by Chen Li Ping
Endocrinology
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What is gestational diabetes like?

Gestational diabetes refers to diabetes that appears during pregnancy, or is detected during pregnancy, or is an abnormal glucose tolerance of any degree. Gestational diabetes affects both the pregnant mother and the fetus. Although the mortality rate of pregnant women with gestational diabetes has significantly decreased, complications are still quite common. It may increase the rate of spontaneous miscarriages and preterm births for fetuses. Secondly, it can cause fetal or neonatal death, and intrauterine growth retardation. Thirdly, it leads to excessive amniotic fluid and macrosomia, and may result in neonatal polycythemia, fetal malformations, neonatal respiratory distress syndrome, neonatal hypoglycemia, as well as neonatal hypocalcemia and hypomagnesemia. For the mother, it can lead to pregnancy-induced hypertension syndrome, infections during pregnancy or childbirth, and in severe cases, diabetic ketoacidosis.

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Written by Li Hui Zhi
Endocrinology
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Diabetic foot prevention care

First of all, it's important to keep blood sugar under control. It's recommended that people with diabetes check their glycated hemoglobin every three months to see if their blood sugar levels meet the standards. Second, many patients suffer from diabetic foot due to severe diabetic peripheral neuropathy. Injuries such as stepping on a nail or accidental bumps may lead to infections. Therefore, it's suggested that patients with diabetes check their feet daily for any small wounds or ulcers, and if found, they should seek timely treatment from an endocrinology specialist. Third, using warm water for foot baths and treatments like local infrared lamp therapy are advised. It's important to ensure that the temperature is not too high, generally around 40 degrees Celsius, to avoid burning the skin.