Late (30 minutes before going to bed): 220 grams of milk and one boiled egg (50 grams).
2. Recipe 2 suitable for gestational diabetes patients
Breakfast: 30 grams of flower rolls.
Noon: tomato150g.
Later: 220 grams of milk and one boiled egg (50 grams).
3. Recipe 3 suitable for gestational diabetes patients
Later: 220 grams of milk.
4, suitable for gestational diabetes patients.
Breakfast: 220g of milk, 50g of steamed egg soup and 50g of miscellaneous grains steamed bread.
Breakfast: Sliced salted bread.
Noon: cucumber150g.
Dinner: 50 grams of braised tofu, 0/00 grams of steamed fish/kloc, 200 grams of vegetable dumplings.
Later: tomato150g.
How to deal with the patient during childbirth?
1, patients should be tested for blood sugar during delivery, etc.
Closely observe the changes of blood sugar, urine sugar and ketone body, adjust insulin dosage in time, and strengthen fetal monitoring.
2. Suggest vaginal delivery for patients.
Vaginal delivery, emotional tension and pain during labor can make blood sugar fluctuate. It is difficult to master the dosage of insulin, so it is very important for both mother and fetus to strictly control the blood sugar level during delivery. Diabetes diet is still used after labor. In general, subcutaneous injection of regular insulin should be stopped during labor, and intravenous infusion of 0.9% sodium chloride injection plus regular insulin should be adjusted according to the blood sugar value measured during labor. The delivery should be finished within 12 hours, and the prolonged labor process increases the risk of ketoacidosis, fetal hypoxia and infection.
3. Suggest cesarean section for patients.
Cesarean section, stop using refined protein zinc insulin before dinner on the day before operation, stop subcutaneous injection of insulin on the day of operation, and generally monitor blood sugar, urine sugar and urine ketone body in the morning. According to the fasting blood glucose level and daily insulin dosage, it was changed to continuous intravenous drip of low-dose insulin. Blood sugar was measured every 2 ~ 4 hours after operation until the diet recovered.
4. Postpartum treatment of patients
After the placenta is discharged in the puerperium, the anti-insulin substances in the body decrease rapidly. Most GDM patients no longer need insulin after delivery, and only a few patients still need insulin treatment.
Dietary attention of diabetic patients
1, what should diabetics not eat?
1. 1, patients should not eat food that is easy to raise blood sugar.
1.3, patients should not drink alcohol.
A few patients who take sulfonylurea hypoglycemic drugs are prone to palpitation, shortness of breath, red cheeks and other reactions after drinking. Note that patients who use insulin can easily cause hypoglycemia by drinking on an empty stomach, so it is better not to drink alcohol for the safety of patients.
2. What should patients eat?
This kind of food is rich in protein, inorganic salts and vitamins, and there are more unsaturated fatty acids in soybean oil, which can not only lower blood cholesterol, but also lower blood triglyceride, and the contained sitosterol also has lipid-lowering effect.
2.2, patients are suitable to eat coarse grains.