Hyperglycemia during pregnancy is very harmful to the health of pregnant women and will also have adverse effects on the fetus. It often causes certain damage to various organs in the pregnant woman's body and may even lead to some functional disorders, causing premature birth of the fetus, seriously affecting the health of the fetus and the mother. When hyperglycemia occurs, pregnant women often experience symptoms such as polydipsia, polyphagia, and polyuria, and are also prone to vaginitis. Symptoms of gestational diabetes 1. Symptoms of polydipsia, polyphagia, and polyuria 2. Recurrent vulvovaginal candidiasis 3. Pregnant women weigh more than 90 kg, or more than 20% of their normal weight 4. This pregnancy is accompanied by polyhydramnios or macrosomia 5. Two fasting morning urine sugar positives Causes of Gestational Diabetes 1. Family history of diabetes and adverse obstetric history. If there is a family history of diabetes, the chances of a pregnant woman developing gestational diabetes will increase. Obstetric factors related to gestational diabetes include high parity, macrosomia, history of stillbirth, important congenital malformations and history of gestational diabetes. Pregnant women with these histories have a higher risk of developing diabetes than normal pregnant women. 2. Limited insulin secretion. In the middle and late stages of pregnancy, the body's anti-insulin-like substances increase, such as placental lactogen, estrogen, progesterone, cortisol, and placental insulinase, which cause the pregnant woman's sensitivity to insulin to decrease as the gestational age increases. In order to maintain normal glucose metabolism, insulin requirements must increase accordingly. For pregnant women with limited insulin secretion, this physiological change cannot be compensated during pregnancy, causing blood sugar to rise, making it easy for them to develop diabetes or worsen existing diabetes. 3. Advanced age pregnancy. Advanced pregnancy age will increase the risk of pregnancy. In addition to affecting the occurrence of gestational diabetes, the older the woman is, the earlier the gestational age at which she is diagnosed with gestational diabetes. 4. Obesity. Many pregnant women consume excessive nutrition during pregnancy, which leads to obesity. In addition to putting greater stress on the body, this is also an important risk factor for impaired glucose tolerance and diabetes, and gestational diabetes is no exception. 5. Race. Similar to the relationship between type 2 diabetes and race in adults, gestational diabetes has obvious regional and racial correlations. Compared with the prevalence of gestational diabetes in white European women, the prevalence in women from the Indian subcontinent, Asia, Arabia, and blacks is 11 times, 8 times, 6 times, and 6 times higher, respectively. In addition to genetic factors, racial factors cannot rule out the role of economic culture, eating habits and other factors. If the pregnant woman is of advanced age, consumes a high-nutrition, high-calorie diet for a long time during pregnancy, or has a family member with a history of diabetes, she should be alert to the occurrence of gestational diabetes. |
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