Madonna: I'd rather be naked for popcorn
At the diabetes expert clinic of the Municipal Maternal and Child Health Center, there are at least a dozen patients a day. A 30-year-old Ms. Li caught the attention of reporters. She is already pregnant for the third time. In the past few years, the couple was busy with work and decided not to have children for the time being. But when she wanted to have children, she somehow miscarried twice naturally. Because she was afraid of miscarriage again, Ms. Li has been protecting her pregnancy at home. She was originally fat. In addition, she was well nourished and inactive after pregnancy. By the sixth month of pregnancy, her weight had increased by nearly 15 kilograms compared with before pregnancy. Yang Liu suggested that she have diabetes screening, and the result was diagnosed with "gestational diabetes." Ms. Li and her family couldn't understand very much."I was very healthy before pregnancy and I didn't feel uncomfortable after pregnancy. How could I get diabetes?"
Yang Liu said that there are too many pregnant women like Ms. Li. Pregnant women are at high risk of diabetes. They have been increasing in recent years, with the north higher than the south. Now one in 5-7 people is diagnosed with diabetes during pregnancy. In addition to genetic factors, the high incidence of gestational diabetes is directly related to pregnant women's eating too much high-sugar food and a significant reduction in exercise during pregnancy.
Yang Liu said that once they develop diabetes and pregnant women do not participate in screening, they still blindly supplement nutrition during pregnancy, gain too much weight, and persistent high blood sugar will cause harm to maternal and infant health. Such pregnant women are prone to elevated blood pressure, increased amniotic fluid, urinary system infections, and severe diabetic ketoacidosis that threatens the pregnant woman's life. At the same time, pregnant women's high blood sugar environment stimulates fetal overdevelopment and easily produces huge fetuses weighing more than eight kilograms, increasing the cesarean section rate and dystocia rate. Moreover, such children have poor physical fitness after birth, are prone to illness, and have physical and intellectual problems. Many children are obese from birth and develop type 2 diabetes at a young age.
Therefore, experts emphasize that pregnant women must undergo diabetes screening during pregnancy and must not judge whether they have diabetes by their perceived symptoms. Once diagnosed with gestational diabetes, diet and exercise should be adjusted under the guidance of a doctor. If blood sugar control is unsatisfactory, insulin treatment should also be provided in a timely manner. Insulin itself does not pass through the placenta and is safe for both mother and child. (Internship Editor: Wu Weiqi)