Understand the real cause of hyperglycemia during pregnancy: master your own problems! ! !
With the changes of domestic environment and diet structure, this will happen to some women. They were healthy before pregnancy, but their blood sugar increased after pregnancy. The reasons for this phenomenon may be related to many factors, such as the increase of pregnant mothers' food intake, lack of attention to moderation, or the endocrine disorder of pregnant mothers. At present, the number of pregnant women with gestational diabetes is increasing year by year, from less than 1 in the past to 30% now, and 1 in every five pregnant women is diabetic, so every pregnant mother should accumulate it to prevent the occurrence of this disease.
Understand the precursors of hyperglycemia during pregnancy
Expectant mothers should have certain pathological knowledge, usually read more books to understand some symptoms of pregnancy diseases. If you urinate frequently, and there is a lot of urine foam every time, and the urine stains are sticky and white, you should pay more attention to yourself and see if your blood sugar has risen. Due to the loss of blood sugar from urine, expectant mothers are prone to feel thirsty, drink more water than usual, and have symptoms such as increased food intake in their diet. It is best for expectant mothers to seek medical treatment in time after self-assessment so as to find early treatment and reduce the risk of pregnancy. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
Understand the inducement of hyperglycemia during pregnancy;
● Overweight is the cause of gestational diabetes 1.
Obesity during pregnancy is easy to induce hyperglycemia. Of course, eating habits during pregnancy is also a big problem. Bad eating habits are also an important factor leading to high blood sugar. After pregnancy, you must pay attention to a light diet. Some women make up after pregnancy and eat various nutrients. Blood sugar will naturally be high. Of course, we can't ignore the pregnancy at an advanced age, which is also an important factor leading to the increase of blood sugar. Obesity may lead to pregnancy-induced hypertension, insulin resistance and dyslipidemia, especially gestational diabetes and its complications.
First, how is obesity caused during pregnancy?
The American publication "Where does overall health come from" mentioned that sugar will make you gain weight and accumulate more fat during pregnancy. These sugars will bypass your natural hormone system, make you not know that you are full, and induce you to overeat. He deceives your brain that you are still hungry and need to eat more, which leads to obesity, diabetes and so on. (Sugar is monosaccharide, polysaccharide, added sugar and fructose. Monosaccharide foods include white bread, sugar, rice and fructose; Polysaccharides, including sucrose, maltose, starch, pectin and cellulose, mainly exist in cereals and potatoes. How to do with high blood sugar during pregnancy? What fruit can pregnant women eat with high blood sugar? )
2. In 2000, in the European Union (annual sugar consumption-18.8 million t), gestational hyperglycemia ranked second in the world. Europeans have been looking for ways to block the body's absorption of sugar after food intake. How much sugar will you eat during pregnancy?
The American Heart Association gives the same answer to different diet plans: women should not consume more than 6 teaspoons of added sugar every day during pregnancy. You know: a bottle of 550 ml soda water contains nearly 20 teaspoons of sugar. 20 13 American scholar Robert published How much sugar you eat, you will be shocked. Polysaccharide, monosaccharide and fructose are everywhere in our life. Without HICIBI to slow down the digestion process, sugar will suddenly flood into the blood and your body will react after being absorbed by the human body.
Help sugar to be absorbed and stored in the body as energy. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
In Europe, non-drug HICIBI is used to block the extraction of excess sugar in food when controlling pregnancy weight and assisting in lowering blood sugar. This natural sugar differentiation enzyme peels off the excess sugar in food, excretes it through the gastrointestinal tract, does not enter the blood circulation system, does not act on the central axis of the brain, and does not inhibit appetite while lowering blood sugar. This is very important for pregnant women with high blood sugar. After food is blocked by excessive sugar, nutrients are transported to various tissues and cells for anabolism and differentiation metabolism. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
Third, we must control our weight within a reasonable range during pregnancy. If the blood sugar rises slightly during pregnancy, expectant mothers should first give priority to diet conditioning, eat more miscellaneous grains and avoid the intake of polysaccharide foods. It's best to eat less and more meals, and don't eat too much at once. Prepare some sugar-free snacks and eat a little when you are hungry to avoid overeating.
Corn, sweet potato and pumpkin are all good healthy foods with low sugar content and good nutrition. It can be eaten as a snack or made into a delicious snack, which is delicious and healthy. For pregnant mothers who are overweight before pregnancy, they should eat reasonably during pregnancy, control the weight gain less than that of ordinary pregnant mothers, and avoid the occurrence of gestational diabetes. High weight can easily lead to a baby being too big.
Having gestational diabetes will not only increase the negative period of pregnant mothers, but also increase the probability of intrauterine distress and cesarean section. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
Causes the baby's fetal lung maturity to decrease. Fetuses are prone to hyaline membrane disease and premature delivery. Newborn babies are prone to hypoglycemia, which is manifested as dysphagia, pallor, trembling, dyspnea, restlessness, organ deformity and other symptoms. Even the fetus will "die in the palace"
201165438+1On the night of October 4th, people who had worked all day were already asleep, but the maternity ward of Shanghai First People's Hospital was brightly lit. /kloc-a pregnant beard was delivered 0/20 minutes ago. I saw her breathing briskly, her face flushed, and she touched her stomach anxiously and said, "Doctor, I don't think the baby has moved much for two days."
The doctor on duty immediately did a bedside B-ultrasound, only to find that the baby had no heartbeat. When the blood sugar was measured, it was as high as 22 mmol/L. Only by asking the medical history carefully did I know that Hu had type I diabetes for many years. In the early pregnancy, he used insulin pump to regulate blood sugar in Shanghai First People's Hospital. Later, when he felt no pain, he never came for a checkup.
Although I have seen many critically ill patients, in the face of such a parturient, the director still can't help but feel sad: "Why are you so irresponsible?" ! "A 34-week-old baby died of hypoxia due to long-term hyperglycemia. The confused mother was admitted to the ICU ward because of hyperglycemia complicated with ketoacidosis. Such a huge blow to a small family could have been avoided.
During the operation and maintenance, the blood sugar is high, so it won't hurt, so many treasure moms can't pay attention to it, which will lead to the tragic result in the article! (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
In fact, regarding the problem of hyperglycemia during pregnancy, European Union researchers observed 1 4,582 pregnant women in Europe and Asia in 2006,438+00-2065,438+00. The results showed that Asian women mainly paid attention to replenishing and nourishing during pregnancy, and European and French highly educated women were thinking about this problem when they learned that1day began to be pregnant. Excess calories and fat were not found by these three maternal hormones, and they began to consume more than 26 grams of HICIBI balanced nutrition group every day (blocking the accumulation of excess calories, fat, sugar, starch and other carbohydrates after delivery; Directly block the absorption of sugar in food on the same day, control the amount of sugar from the source, break the cycle of tricarboxylic acid in human body and consume excess sugar accumulated in human body, and control blood sugar during pregnancy from two aspects, especially in French pregnant women, which can better control blood sugar health within 280 days of pregnancy!
● The rise of the three levels of oxytocin is the inducement of the second brother.
During pregnancy, progesterone increased by about 100 times, estrogen level increased linearly by 15 times and fat capacity increased by 30 times. Our progesterone, especially progesterone, slows down intestinal movement, relaxes stomach muscles and delays the passage of food and gastric acid from the stomach, so food and gastric acid stay in the stomach for much longer than before pregnancy.
Moreover, in the second and third trimester of pregnancy, expectant mothers will secrete some hormones such as placental prolactin and insulinase. Will reduce the body's metabolism. At first, the body was working hard.
Because of these restlessness, the diligent body becomes lazy, which leads to the increase of blood sugar. This explains why expectant mothers with normal blood sugar in the first trimester of pregnancy will have higher blood sugar in the second and third trimesters of pregnancy.
In this way, the body's ability to accumulate calories and fat after pregnancy is so strong that it is no wonder that our bodies and brains have to be completely transformed. What bothers mothers is that the desire for food is getting stronger and stronger.
This is very similar to the above point of view. Because of the rising levels of the three major labor hormones-craving for food, food with a lot of fat and calories and indigestion-the weight rises too high and too fast.
Therefore, as long as the risk of overweight is solved, that is, the cause of gestational diabetes mellitus 1, the blood sugar problem caused by disorder of excitement level can be stabilized. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
How to eat fruit with hyperglycemia during pregnancy?
If the expectant mother is diagnosed with gestational diabetes, don't be overly anxious. With the help of a doctor, as long as you control your blood sugar, it is not much different from normal pregnant women. Remember not to take it for granted that since my blood sugar is high, I will eat less and my blood sugar will drop. Of course, the blood sugar has dropped, but the baby's nutrition is gone.
Therefore, when hyperglycemia is found during pregnancy, we should follow the following dietary guidelines:
1. The principle of dietotherapy is to eat less and eat more meals, which can not only satisfy the baby's growth and development, but also control the blood sugar at a reasonable level. You can eat more foods rich in vitamins and cellulose to keep the balance of calories, fat, protein and carbohydrates.
2. Eat more dietary fiber. Within the acceptable weight range, eat more foods with high dietary fiber, such as replacing white rice with brown rice or whole grain rice, increasing the intake of vegetables, eating more fresh fruits and not drinking drinks. But don't eat fruit indefinitely. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar?
3. Is it okay to eat only low-calorie and low-fat foods?
No way! On the one hand, traditionally, pregnant women eat low-calorie, low-fat and high-starch foods to control weight gain during pregnancy. However, due to the low-calorie, low-fat and high-starch food, if there is no food with slow digestion and sufficient food in protein, it is easy to feel hungry. At the same time, because the blood sugar of refined white starch food fluctuates greatly, pregnant women are prone to hypoglycemia after controlling their diet, which is not only unfavorable to fetal development, but also a hidden danger to mother and baby.
Our kidneys are made up of millions of nephrons, and each nephron has a part called glomerulus, which is responsible for filtering glucose, protein and other substances in raw urine. When blood sugar is too high, it will increase the filtration pressure of glomerulus, and even forcibly destroy the filtration function of glomerulus, resulting in the destruction of nephron. HICIBI can block the excess sugar in the pregnant mother's daily diet and peel it off, thus bypassing the blood circulation and directly entering the intestine for excretion.
On the other hand, it is often difficult for doctors to give dietary advice to women with hyperglycemia during pregnancy to control carbohydrates. In the case of serious carbohydrate deficiency, ketosis is very easy to occur. The increase of ketone body level in blood easily affects the development of fetal cranial nerve system. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
4. Based on the concern of C, we can only ensure the health of mother and fetus by reducing the blood sugar load and reducing the postprandial blood sugar fluctuation of food.
During pregnancy, expectant mothers store a lot of fat and babies, and the energy consumption required for new tissue generation is higher than that during non-pregnancy. Therefore, expectant mothers' demand for calories increases after pregnancy, and it will continue to increase with the continuation of pregnancy (getting fatter).
In order to reduce the blood sugar load and reduce the postprandial blood sugar fluctuation of food, the main dietary regulation principles are:
1, choose one of the two dietary measures for hypoglycemia:
A, completely avoid eating the staple food made of white rice and white flour, and partially change to the staple food made of whole grains and starchy beans.
B, still for the baby's health, don't refuse the staple food, afraid of seeing sugar! You can eat a normal amount of staple food and fruit made of white rice and white flour. It is more beneficial to control blood sugar fluctuation to combine HICIBI sugar differentiation enzyme with fruit before meals than to eat it immediately. This is mainly to control blood sugar by using the glucose metabolism chain of human body, so that it can not only maintain the normal calories needed for the whole day, but also improve the fear of malnutrition and keep blood sugar stable. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar?
This can reduce the postprandial blood glucose response while supplying enough carbohydrates. At the same time, this measure can also greatly increase the intake of B vitamins and potassium, and can supplement more dietary fiber, which is helpful to prevent constipation in the third trimester. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? ! )
2. Eat more green leafy vegetables. Green leafy vegetables are not only rich in vitamin B, folic acid, vitamin K, calcium, magnesium and dietary fiber, but also contain a lot of flavonoids.
3. How to eat fruit with high blood sugar during pregnancy?
grape
Grape is rich in iron, phosphorus, calcium, organic acids, lecithin, carotene and vitamin B 1, C and so on. Pregnant women have insufficient blood color, low blood pressure, poor circulation and cold hands and feet in winter. Eating more grapes helps to improve. More specifically, raisins can also prevent miscarriage and help the fetus develop if pregnant women bleed.
cherry
Among all fruits, cherry is rich in iron, so it deserves to be called "Iron Queen". Cherry is almost 20 times that of apples, oranges and pears, so it is very helpful for pregnant women to eat more cherries. Maternal and child experts say that many pregnant women often eat cherries, and their babies have a healthy red grapefruit.
Folic acid is not only very important in early pregnancy, but also essential throughout pregnancy. Grapefruit contains a lot of folic acid and contains natural folic acid. With the rapid growth of fetal body tissue during pregnancy, pregnant women need a lot of folic acid to meet the needs of the fetus.
carambola
Carambola has high nutritional value and contains many ingredients beneficial to mother's health. It can reduce the absorption of fat by expectant mothers, prevent obesity, reduce blood lipid and cholesterol, and prevent cardiovascular diseases such as hypertension and arteriosclerosis.
apple
Maternal and child experts say that apples are the "sacred fruit" of pregnant women. Eating apples is the most beneficial to health. Apple contains a variety of vitamins and minerals, malic acid, tannic acid and fine fiber. Many pregnant women are afraid of being fat. Eating more apples can prevent obesity and help fetal development. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
4. Milk, eggs, fish, bean products, staple food and HICIBI should be eaten together. Protein is good for delaying digestion and improving satiety. Therefore, carbohydrates can save protein in the process of controlling hyperglycemia during pregnancy. The combination of HICIBI and protein food can also ensure that weight gain can be avoided after adequate diet. W- is abundant in Hisibi? Fatty acids can improve the ability of blood sugar control, so that "excess" sugar is not absorbed by the small intestine, and the separated protein food is fully utilized, which is more effective for the growth and development of the fetus.
5. Reduce the amount of cooking oil. Although oil itself does not turn into blood sugar, many studies have found that eating a lot of oil will reduce insulin sensitivity. For expectant mothers with excessive abdominal fat, controlling fat intake is probably as important as controlling starch and sugar.
6. Keep a little chewy when cooking, and don't cook the staple food too soft. No paste, no beating, no juicing, no eating. Processing such as mashing miscellaneous grains, beating vegetables and juicing fruits will make food too easy to digest and absorb, and the glucose produced after digestion will quickly enter the blood, which will inevitably lead to an increase in blood sugar after meals. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
The comprehensive application of the above dietary measures can effectively reduce the postprandial blood sugar load. If we can develop such eating habits, not only during pregnancy, but also in later life, we can effectively reduce the risk of diabetes. At the same time, they are good measures to prevent fertilizers and ensure daily nutrition supply.
The research conducted by researchers from the University of Sydney in overweight and obese pregnant women shows that under the premise of ensuring the overall nutritional balance, the blood sugar level of pregnant women who use HICIBI decreases 2 hours after meals, and the diet of pregnant women with low glycemic load is beneficial to overweight and obese pregnant women to control their weight more effectively, and the indexes such as triglycerides, blood cholesterol and inflammatory factor C- reactive protein will be better. At the same time, the premature delivery rate decreased, and the head circumference of newborn babies was also larger. It can be seen that a well-nourished diet that controls blood sugar is very beneficial to the health of mother and child. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
In the diet, cereals, starches, beans, potatoes, fruits, milk and other foods all contain carbohydrates. In the relevant research intervention of the University of Sydney, pregnant women are particularly encouraged to control their daily intake of staple food at the level of 65,438+0.80 g, and increase their intake of fruits and milk to help reduce the blood sugar load, ensure adequate intake of carbohydrates and increase their intake of vitamins. The blood sugar load of mixed food decreased to 48~? At the same time, it has a higher fiber intake, which has achieved the effect of reducing the proportion of macrosomia compared with pregnant women without camp guidance. Half of pregnant women who were originally suitable for insulin therapy used HICIBI to control the blood sugar load of food without insulin. (What should I do if my blood sugar is high? What fruit can pregnant women eat with hyperglycemia! )
Some articles summarized the randomized controlled study of blood sugar control in women with hyperglycemia during pregnancy. The analysis results show that HICIBI's diet of controlling the blood sugar load of food and making hypoglycemia reaction can really increase the proportion of expectant mothers using insulin at peak and low levels, but what about a new baby after controlling the blood sugar load of expectant mothers? The risk of becoming a giant is reduced. In contrast, only limiting the total energy intake or reducing carbohydrates has not achieved such good results. In other words, it is more meaningful for expectant mothers to "eat right" than "eat less". Eating three meals with hypoglycemia after HICIBI adjustment can not only ensure the diversification of diet, avoid the mother's hunger, let the fetus get enough nutrition, but also avoid all kinds of unhealthy consequences caused by hyperglycemia during pregnancy.
However, the relevant research results also suggest that it seems too late to conduct glucose screening during pregnancy at 26-28 weeks. It may not be ideal to control blood sugar and weight gain by limiting the blood sugar load of staple food and increasing dietary fiber three months after onset. If the risk of hyperglycemia during pregnancy can be prevented in the first three months of pregnancy (after all, sugar can't be added less in the current food temptation), then it will be more promising to adjust the diet and use HICIBI to control the blood sugar load of food in the early stage of pregnancy.
In addition, there is also a piece of advice, that is, expectant mothers with high blood sugar must pay attention to comfort? When increasing physical activity. Don't sit for half an hour after a meal, you can stand up and do some activities, such as walking, walking at home and doing some light housework, which can consume blood sugar in time and help control the height of blood sugar peak after a meal. The intensity of exercise depends on the physical endurance of expectant mothers, and it is good to reach 60% of the heart rate. If it is impossible, it can reach 40% or 50%. If you can, you can also go to the gym and do some muscle exercises under the guidance of the coach. When muscles are strong, blood sugar will be easier to control. It should be noted that it is ideal to exercise 2 hours after meals, and exercise before meals to guard against hypoglycemia. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
20 18-09- 14 an international cooperative study shows that women with high blood sugar levels during pregnancy will have a significantly increased risk of developing type 2 diabetes after 10 years of pregnancy, and their children are more likely to be obese.
This study was recently published in the Journal of the American Medical Association as part of a large-scale follow-up study on hyperglycemia and ectopic pregnancy outcomes. There are 10 medical institutions in the world with a large sample size, which is very representative. The results showed that the increase of maternal blood sugar level during pregnancy was harmful for 10 years.
Among women with elevated blood sugar levels during pregnancy, nearly 1 1 will suffer from type II diabetes during postpartum 10 to 14, and about 42% will suffer from prediabetes.
In women with normal blood sugar level during pregnancy, these two figures are 2% and 18 respectively. The study also found that children born to mothers with elevated blood sugar levels during pregnancy are more likely to be obese. According to the body mass index (BMI), 19% of the children born to these mothers will be obese, while the proportion of obese children born to mothers with normal blood sugar during pregnancy will be reduced to 4% in the future. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
The researchers said that the increase of blood sugar level during pregnancy will have a negative impact on the health of mothers and their offspring, which will last for more than 10 years and needs to be paid attention to.
20 1165438+1month1,and finally confirmed that "people with high blood sugar during pregnancy can make their blood sugar normal through HICIBI balanced nutrition group during pregnancy". In the case of 1 10,000 mothers with high blood sugar during pregnancy, the success rate is as high as 87%, and the average blood sugar during pregnancy is restored. Almost every pregnant mother can adjust blood sugar and restore health through HICIBI balanced nutrition group I during pregnancy and delivery.
Babies born to obese pregnant mothers and sugar mothers with gestational diabetes are at higher risk of autism and mental retardation than those born to healthy pregnant mothers. (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
Harm of hyperglycemia during pregnancy to fetus
Pregnant women with diabetes
Beware of the baby's autism.
This study observed 2734 children, including 102 autistic children.
The result is shocking:
Compared with healthy mothers, babies born to obese mothers with diabetes before pregnancy have a lower risk of autism and mental retardation than babies born to healthy pregnant mothers? Four times.
And the number of babies born to obese mothers with gestational diabetes is not low, probably? Three times. ?
Harm to fetus: fetal overweight, fetal dysplasia, increased risk of fetal malformation, etc. ?
Harm to newborns: increase the incidence of neonatal respiratory distress syndrome, neonatal hyperbilirubinemia and hypocalcemia; Newborns are prone to hypoglycemia.
Therefore, pregnant mothers should pay attention to the increase of blood sugar during pregnancy, but mothers at this stage should not worry too much, because as long as they do as mentioned above, blood sugar can be controlled, which is actually the same as ordinary pregnant mothers! (What should I do if my blood sugar is high? What fruit can pregnant women eat with high blood sugar? )
CLR WHO has defined nine standards for HICIBI to repair blood sugar problems during pregnancy.
CLR who (full name of cell lipid-lowering cell lipid-lowering)
1, burning body fat, increasing the rate of dissolving fat in digestive system 18-20.
2. Promote insulin resistance, improve glucose metabolism efficiency and improve insulin impedance 13- 15.
3. Reduce blood sugar and repair the dynamic balance of blood sugar 12- 15
4. Reduce blood lipid, inhibit lipase activity, and restore normal blood lipid content 10- 12.
5. Reduce the GI of 2 1-23.
6, reduce postprandial blood glucose response 17- 19
7. Stimulate AMPK to keep glucose balance and promote energy consumption 12- 15.
8. The contraction of gastrointestinal tissue volume and the recovery of excessive expansion of digestive system 9- 1 1
9. Blocking food calories to avoid the source of fat accumulation 16-22
How to leak urine during pregnancy?
First, the causes of urine leakage during pregnancy:
1, the bearing capacity of pelvic floor muscles decreased.
Pelvic floor muscle is like a hanging net, which wraps the urethra, bladder, vagina, rectum and uterus, supports them and plays their respective roles. Therefore, when the supporting force of pelvic floor muscles decreases, the functions of other organs will also weaken, which will lead to urinary incontinence.
2. Uterine compression
In the third trimester, with the growth of the baby's body shape, the size of the uterus also increases, so the pressure on the bladder is increasing. Compressing the bladder is equivalent to reducing its storage capacity. Therefore, many pregnant mothers will find that when sneezing or laughing, they will accidentally leak urine.
Faced with this situation, pregnant mothers can do some pelvic floor muscle training to improve the support of pelvic floor muscles and reduce the embarrassment of urine leakage.
In fact, during pregnancy, mothers will encounter problems of one kind or another, but all problems will be solved, so pregnant mothers don't have to worry too much, calm down, enjoy the happiness of the baby's daily growth, and happily welcome the healthy baby after 10 months (what if the blood sugar is high during pregnancy? What fruit can pregnant women eat with high blood sugar? Music! )?