How can I deal with gestational diabetes when the fetus is very small?

Patient's question:

Very small, and my stomach is also very small. The doctor said it's developmental delay. I'm also afraid that controlling my diet will make the baby develop even worse. What should I do? Please help me.

Doctor's answer:

Hello, if a gestational diabetic does not control their blood sugar well, the fetus may grow into a macrosomia, or it may experience developmental issues or delays, both of which are undesirable conditions. These are caused by high blood sugar levels in the mother.
Recommendations:
Therefore, it is recommended that you follow your doctor's guidance to control your blood sugar. It is not true that if your fetus is small, lowering your blood sugar will lead to more malnutrition in the fetus. This is a mistaken belief.
You can improve your diet by eating less blood sugar-raising foods and more nutrient-rich, non-blood sugar-raising foods. This will still meet the growth needs of the fetus. It is recommended that your main meals (rice or noodles) should not exceed 2 liang per meal, and you can eat more vegetables, lean meat, and high-quality protein.
Control your blood sugar to be less than 6.0 fasting, but it must be greater than 4.0. Post-meal blood sugar should be less than 7.2 after 2 hours. As long as it stays within this range, eating more will not be harmful.

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