What is abnormal glucose tolerance in pregnant women?

Glucose tolerance is the tolerance of human body to glucose.

At the 28th week of pregnancy, the blood sugar level of pregnant women was measured after 50g glucose was dissolved in 200ml water 1 hour on an empty stomach. If the blood sugar level

If the blood sugar level of pregnant women is greater than or equal to 7.78 mmol/L one hour after taking sugar, it is suspicious. Need to further check the fasting blood sugar, then take 100g glucose +200 ~ 300 ml water, and check the blood sugar every 1, 2, 3 hours after taking sugar. In the four blood sugar tests, two or more abnormal results can be diagnosed as gestational diabetes, and further diet control or drug treatment is needed.

If the blood glucose 2 hours after meals exceeds the normal 7.8mmol/L, but the abnormal glucose tolerance still does not meet the diagnostic criteria of diabetes11.1mmol/L (or the elevated fasting blood glucose does not meet the diagnostic criteria of diabetes, that is, the fasting blood glucose is between 6.2 and 7.0), it is called abnormal glucose tolerance.

Although the indexes of pregnant women with abnormal glucose tolerance do not meet the diagnostic criteria of diabetes, diabetes may occur with the increase of gestational age. Therefore, expectant mothers should pay special attention to avoid gestational diabetes.

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What should pregnant women with abnormal glucose tolerance pay attention to when eating: calculate calories according to weight.

For pregnant women with abnormal glucose tolerance, it is a very important dietary principle to calculate daily calories according to their weight. If possible, nutritionists can make recipes. Obese pregnant women should not lose weight during pregnancy, so as to avoid the increase of maternal ketone bodies and adverse effects on the fetus, but the total calorie intake should not be too much to ensure normal weight gain. Pregnant women with light weight or weak constitution should provide enough calories and adjust their diet at any time according to blood sugar and urine sugar.

The standard weight of women is: height (cm)-105= standard weight (kg). 30kal/(kg d) for those who weigh 80%~ 120% of the standard weight, 24kal/(kg d) for those who weigh 80% ~ 120%~ 150% of the standard weight, and > 150% are

Among them, the heat distribution: breakfast 10% heat, lunch 30% heat, dinner 30% heat and ordinary meal 30% heat. For example, the daily staple food (rice and noodles) is about 300g-350g, protein is about 75g- 100g, and the fat is about 50g. The main ingredients are soybean oil, corn oil, vegetable oil and sesame oil, and animal fats, especially lard and cattle and sheep oil, are rarely eaten.

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What should pregnant women with abnormal glucose tolerance pay attention to when eating: keep a small amount of meals.

In order to keep the blood sugar level stable and avoid ketoacidosis, it is very important for pregnant women to eat together.

It is suggested that it is best to divide it into three big meals and three small meals every day, especially to avoid the long time between dinner and breakfast the next day. It is appropriate to supplement some snacks before going to bed.

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