Many sugar moms think that everything will be fine after giving birth, and blood sugar can be ignored. In fact, this idea is all wet, especially for sugar moms who plan to have a second child. Below, we will answer many questions raised by sugar moms in clinical work.
Sugar Mom 1: I got gestational diabetes when I was pregnant with my first baby. Will you get sick again when you are pregnant next time?
A: Not necessarily, but the recurrence rate of the second pregnancy is as high as 33%-69%, and the risk of diabetes increases in the long run.
Sugar mom 2: Will sugar mom get diabetes after giving birth to the baby?
A: Not necessarily, but the incidence will be as high as 60%. Early pregnancy, high fasting blood glucose and the need for insulin therapy are the high risk factors of postpartum diabetes. Studies have shown that pregnant women with family history of diabetes, high body mass index, hyperlipidemia, gestational diabetes complicated with pregnancy-induced hypertension, polyhydramnios and macrosomia have an increased chance of developing diabetes after delivery. Therefore, early gestational age, family history of diabetes, using insulin to control blood sugar during pregnancy, high body mass index and hyperlipidemia are all influencing factors for the recovery of postpartum glucose metabolism, which should be paid special attention to.
Sugar mom 3: If sugar mom's postpartum blood sugar monitoring is normal, can it be ignored?
A: No, for those with normal postpartum blood sugar, if the blood sugar monitoring is normal for 6-8 weeks, as a high-risk group of diabetes, diabetic pregnant women still can't sit back and relax. According to the guidelines, it is necessary to conduct another blood sugar test after 3 years to check whether the blood sugar is abnormal. However, in order to detect diabetes as soon as possible, it is recommended that pregnant women strengthen the frequency of blood sugar testing, such as once a year.
Sugar Mom 4: How to standardize the postpartum review of sugar mom?
A: It is recommended to do glucose tolerance test (OGTT) at 6- 12 weeks after delivery. Normal screening: high-risk factor sugar mom 1 OGTT/ 1 year, fasting blood glucose can be detected between OGTT screening, and there is no high-risk factor sugar mom 1 OGTT/3 years. If the fasting blood glucose is 6. 1-7.0mmol/L, and the blood glucose is 7.8-11.1mmol/L 2 hours after meals, the patients will be followed up to the endocrinology department1time every 3 months. If the fasting blood glucose is 7.0mmol/L and the blood glucose is 2 hours after meals11.1mmol/L, then go to the endocrinology department. Check cholesterol, lipoprotein, blood pressure and body mass index, and give health education such as diet and exercise guidance at each follow-up.
With the opening of two children, many sugar moms plan to have two treasures. Therefore, sugar mom should not be taken lightly after giving birth. (Mohammadjavad Estilaf)