The consequence of the second-born gestational diabetes mellitus (GDM) in the elderly is only an embarrassing encounter between diabetes and pregnancy. Diabetic pregnant women can't monitor blood sugar changes through urine sugar. Let's take a look at the consequences of gestational diabetes in the second child of the elderly.
Consequences of gestational diabetes mellitus in the elderly second child 1 the harm of hyperglycemia in pregnant women to high cold;
First of all, a woman is an old woman when she is over 35. After pregnancy, the incidence of their own diseases and the probability of fetal congenital diseases will be significantly higher than that of school-age women. Children born to elderly women will have abnormal chromosomes and the probability of congenital malformation will increase greatly. Similarly, the probability of hyperglycemia during pregnancy in elderly women is much higher than that in school-age women.
Secondly, elderly women have important diseases during pregnancy, which are also common diseases during pregnancy, which will cause serious consequences of fetal death and neonatal death. But also endanger women's health and life.
Most of the elderly women with high blood sugar are overweight. After they are overweight, the insulin hypoglycemic activity of pregnant women will be seriously reduced. The same diet will require more insulin than normal-weight pregnant women to maintain blood sugar balance, and during pregnancy, the placenta will secrete hormones to resist insulin secretion. Therefore, overweight elderly women can induce gestational diabetes.
Women with gestational diabetes will induce many diseases throughout pregnancy, and elderly women with gestational diabetes will induce many diseases throughout pregnancy, including pregnancy-induced hypertension syndrome. Before, the high incidence of polyhydramnios and urinary system infections will increase the probability of dystocia, so we should actively control blood sugar throughout pregnancy and do various prenatal examinations regularly to ensure our own health and fetal development and smooth delivery.
The consequences of gestational diabetes in the second child of the elderly 2 gestational diabetes, code-named GDM, is simply an embarrassing encounter between diabetes and pregnancy.
Patients can be roughly divided into two types: one is that diabetic patients are pregnant, which is called "pregnancy complicated with diabetes" in academic language. Such people need to strictly follow the doctor's advice to ensure the safety of mother and baby.
There is gestational diabetes. Such people do not have diabetes before pregnancy, but abnormal glucose metabolism is caused by pregnancy. Gestational diabetes mellitus is special, which is the focus of our discussion today.
How did a good pregnant woman get involved in this gestational diabetes?
After the fertilized egg is formed in the mother's body, it begins to divide and will be implanted in the uterus within two weeks.
Then, he established a good connection with the outside world with umbilical cord.
After that, the baby began to live a leisurely life: lying on the rickety waterbed, asking his mother for all the equipment.
The mother constantly delivers oxygen and sugar to the baby through the umbilical cord, which is the life supply line of the baby.
After the starchy food eaten by my mother is converted into glucose, it is successfully delivered to her body cells through insulin, and then the metabolism is completed.
But then the baby will say, "mom, look, I want to gain 6 or 7 pounds in 40 weeks." Is it easy for me? " Give me more food quickly. "
Therefore, the baby uses his own little magic to make the placenta secrete a lot of progesterone, estrogen and prolactin.
These hormones can disrupt the work of insulin all day and prevent sugar from entering the maternal cells normally.
As a result, a lot of sugar stays in the mother's blood and flows into the placenta through the umbilical cord, so that the baby has the raw materials for growth.
We call this phenomenon that other hormones inhibit insulin action "antagonism".
To put it bluntly, this gestational diabetes is actually a "misunderstanding" created by the baby to grab the nutrition of the mother.
As the baby grows bigger and needs more nutrition, the secretion of these destructive hormones will be more vigorous.
Therefore, with the increase of gestational age, it will be more difficult for pregnant women to control blood sugar.
So is it true that after the baby is born, there is no need to compete with his mother for nutrition, and gestational diabetes will be fine?
Of course not.
After the baby is born, another function of the mother's body is automatically turned on-secreting milk.
The pituitary gland increases the secretion of prolactin, which will interfere with the work of insulin to ensure that the mother's milk contains more sugar.
After the mother weans the baby, the hormone secretion in the body gradually tends to be balanced, the sugar metabolism returns to normal, and the diabetes problems that appear during pregnancy will naturally disappear.
Consequences of gestational diabetes in the second child of the elderly 3 Does diabetes really affect fertility?
First of all, we should know that the main symptom of diabetes is disorder of glucose metabolism. If the blood sugar in the body is not effectively controlled, it will cause insufficient oxygen supply to the fetus from the placenta of pregnant women and intrauterine hypoxia, which will affect the normal development of the fetus, and even cause fetal malformation, abortion, miscarriage and stillbirth in severe cases. Moreover, hyperglycemia in pregnant women is easy to be accompanied by hyperinsulinemia.
Generally speaking, diabetic women will have pregnancy complications after pregnancy, and the probability of polyhydramnios will be 20 times higher than that of normal women, reaching the level of 10%-30%, and the incidence of pregnancy poisoning will also increase significantly, about 5 times that of normal women. Fetal diabetes can lead to macrosomia, malformation, neonatal hypoglycemia and respiratory distress syndrome. And the incidence of birth injury, caesarean section, postpartum hemorrhage and postpartum infection will also increase relatively.
In addition, after women suffer from diabetes, it will lead to the decrease of renal sugar threshold, and urine sugar will be positive when blood sugar is not high or not, so diabetic pregnant women can not monitor blood sugar changes through urine sugar, but can only observe it through blood sugar measurement.
After talking about the influence of diabetes on women, it's time to talk about men. You know, diabetes affects the fertility of men, regardless of gender:
Diabetes will affect men's sperm quality and further cause male dysfunction. According to statistics, the probability of erectile dysfunction in male diabetic patients is about 22% ~ 55%. Some men can restore normal function by controlling blood sugar, but some men will have lifelong obstacles.
Therefore, for diabetic patients, it is not recommended to get pregnant after being ill for more than ten years, but if diabetic patients can control their blood sugar well, they can also try to get pregnant or help them get pregnant through test tubes.
Many people say that diabetes is a wealth disease, which is not completely unreasonable. Perhaps some diabetics are unfortunately sick because of heredity, but it also has a lot to do with the high obesity rate in today's society. Therefore, it is very important for obese couples to control their weight through a reasonable diet if they really want to get ready for pregnancy and have a good baby. I wish you all a happy pregnancy and a happy life.