Patient's question:
Female, 34 years old, pregnant 26 weeks. GDM (Gestational Diabetes Mellitus). Also a high-risk pregnancy.Doctor's answer:
Throughout the entire pregnancy, close monitoring of the pregnant woman's blood glucose levels and the growth, development, and maturation of the fetus should be conducted. Rapid-acting or intermediate-acting insulin should be used, while oral hypoglycemic agents are to be avoided. Around the 28th week of pregnancy, special attention should be paid to adjusting insulin dosage based on changes in urinary glucose and blood glucose levels. Premature infant mortality is typically higher before the 36th week of pregnancy, and fetal intrapartum mortality increases after the 38th week. Therefore, hospitalization for treatment until delivery is recommended between the 32nd and 36th weeks of pregnancy.After delivery, insulin sensitivity returns, and the insulin requirement decreases sharply. Adjust insulin dosage promptly based on blood glucose levels to avoid hypoglycemia.
It is important to note that gestational diabetes requires significant attention, as it is crucial for the safety of both the mother and the baby and must be treated with insulin. It is recommended that you seek medical treatment promptly.