Patient's question:
At 27 weeks, gestational diabetes A1 was detected, with 2+ glucose in the urine.Doctor's answer:
Hello, all non-diabetic pregnant women should undergo a glucose screening test around the 24-28th week of pregnancy. The glucose screening test involves dissolving 50g of glucose powder in 200ml of water and consuming it within 5 minutes. A blood glucose level of ≥7.8mmol/L one hour after the test is considered a positive result. A positive fasting blood glucose test can diagnose diabetes (normal fasting blood glucose ≤5.8mmol/L), confirming the diagnosis of diabetes.Medical Advice: Based on your stage, you can be diagnosed with gestational diabetes. If dietary control is ineffective during pregnancy, the best approach is to manage the condition through subcutaneous insulin injections (which are safe during pregnancy and do not affect fetal development) to prevent adverse effects on fetal growth. Regular blood glucose monitoring is essential, and medication doses should be adjusted as needed. Monthly tests of renal function and glycosylated hemoglobin should be conducted, along with ophthalmologic examinations to monitor blood pressure, edema, and proteinuria. Pay attention to fetal development, fetal maturity, and placental function, and seek hospitalization early if necessary.
Candidal vulvovaginitis, also known as candidiasis, is caused by an infection with Candida species. It thrives in the vagina when glycogen levels increase and acidity rises. Once blood glucose control improves, this condition can resolve. Treatment is primarily local. To prevent adverse effects on fetal development, local medications such as nystatin, clotrimazole, and miconazole are used, as they are harmless to both the mother and the fetus. Wishing you and your baby good health!