Patient's question:
I am 7.5 months pregnant and have been diagnosed with gestational diabetes. My fasting blood sugar is around 6.5, and my post-meal blood sugar after two hours is around 7.3. I don't know how to treat it. Currently, I am following the dietary plan provided by the Nutrition Department of Shanghai First People's Hospital, but it doesn't seem to make much difference! I'm so worried. I don't know if I really need insulin treatment! How much impact does gestational diabetes that appears in the late stage of pregnancy have on the baby! All other tests so far have been normal, including amniotic fluid, baby size, urinalysis, blood tests, eye exams, etc. All related tests are normal! It's just the high blood sugar!!Doctor's answer:
Patient, 7 months pregnant, with fasting blood glucose around 6.5 and post-meal blood glucose around 7.3 after two hours.If a pregnant woman has two or more fasting blood glucose readings of ≥5.8mmol/L, she can be diagnosed with diabetes.
Guidance:
Hello! Your current diagnosis is gestational diabetes. What you need to do is focus on adjusting your mindset, controlling your diet. If dietary control is not effective, you can use insulin. Insulin is a large protein molecule and does not cross the placenta, so it has no impact on the fetus. Moreover, insulin is a biological preparation, and it is also something that is naturally needed, so you don’t need to worry too much about its side effects!! However, given the impact of diabetes on both the mother and child, it is essential to closely monitor blood glucose levels! Control your blood glucose, and pay attention to eye and kidney function checks!! Wishing you and your baby a safe and healthy pregnancy—give birth to a beautiful little one!
Doctor’s questions: