Patient's question:
Detailed medical condition and consultation purpose: I am 27 weeks pregnant. Today, I had an oral glucose tolerance test (OQTT). The first fasting measurement was 4.3. After drinking 75ml of glucose solution, the measurement one hour later was 5.3. Then, one hour later, the fasting measurement was 6.4. The person performing the test said the third measurement should be lower than the second, and advised me to see a doctor. However, I had already had a prenatal checkup yesterday. Later, when I was taking the car home, I vomited sweet liquid immediately after getting off. What could be the reason for this? Do I need any treatment? Thank you!Doctor's answer:
Hello, do you have a history of diabetes? What level can your fasting blood sugar reach? After a woman becomes pregnant, the secretion of sex hormones increases, and they have an insulin-resistant effect in the periphery of human tissues. As the gestational age increases, the continuously increasing estrogen and progesterone promote the body to secrete more insulin to maintain normal glucose metabolism. For those with less compensation ability, it may manifest as abnormal glucose metabolism or insufficient insulin sensitivity. The foundation is to adjust and control the diet. The principle of dietary therapy is: pregnant women should not lose weight; adjust the proportion of food structure and calories according to body type; eat small meals frequently, preferably divided into 3 main meals and 3 small meals; eat less high-sugar fruits; consume 400-500 grams of vegetables daily, with at least 50% being colorful vegetables.