Patient's question:
All symptoms: 31 weeks pregnant, took a 75g glucose tolerance test result:Fasting blood glucose: 5.7
One-hour blood glucose: 11.2
Two-hour blood glucose: 9.6
Three-hour blood glucose: 6.6
Is this result a diagnosis of gestational diabetes? Does this affect the baby? How should it be treated?
First follow-up question: Just visited the endocrinology department this morning. The doctor said to first control diet—eat a small bowl of staple food per meal, focus on vegetables for dishes, avoid fatty meats, and nuts. Only one type of fruit can be eaten daily, and 250 ml of milk can be consumed daily. Tomatoes and cucumbers can be eaten freely. What else should be paid attention to?
Second follow-up question:
After controlling the diet for a week, I did a one-hour post-meal blood glucose test today. A bowl of rice porridge with vegetables was eaten, and the result was 8.3. The doctor said it was too little and not accurate. Next time, more should be eaten.
I also had an ultrasound today, 32 weeks pregnant. It showed the femur length was only 57 mm, and the biparietal diameter was 83 mm. Is the leg short? How much fresh milk can I consume daily in this condition?
Third follow-up question: Today, the one-hour post-meal blood glucose was 10.7, two-hour was 8.8, and three-hour was 6.5.
Since the Chinese New Year is approaching, I need to go back to my hometown and cannot go to the current hospital for check-ups. However, I have a blood glucose meter at home. What should the post-meal blood glucose be controlled within?
If the blood glucose remains at this level, will it affect a normal delivery?
Doctor's answer:
Hello, this is not diabetes. Pay attention to daily care and maintain a scientific diet. Regular follow-up is recommended. Generally, doctors will advise women with signs of gestational diabetes risk to follow a balanced diet and avoid spicy, stimulating, and cold foods. Additionally, patients should create an environment conducive to emotional stability and stress relief. Wishing the patient a healthy delivery.