Patient's question:
After getting pregnant, my blood sugar level increased. The doctor said it would come down later, but it didn't.Doctor's answer:
Hello, during pregnancy, the levels of insulin-like substances in a pregnant woman's body increase, such as placental lactogen, estrogen, progesterone, cortisol, etc., which reduces the sensitivity of the pregnant woman to insulin. To maintain normal glucose metabolism levels, the demand for insulin must correspondingly increase. For pregnant women with limited insulin secretion, the inability to maintain this physiological compensatory change during pregnancy can lead to elevated blood sugar levels, worsening existing diabetes or causing gestational diabetes.Medical Advice: Most women with gestational diabetes can return to normal glucose metabolism after childbirth, but their risk of developing diabetes in the future increases. Dietary control is crucial for pregnant women with gestational diabetes. While ensuring adequate nutrition for both the mother and fetus, it is important to maintain normal blood sugar levels. For pregnant women whose blood sugar cannot be controlled through diet, oral hypoglycemic drugs are not recommended. Insulin is the primary treatment medication. Thank you.