Should pregnant women with diabetes give birth early? Should pregnant women with diabetes be hospitalized?

Diabetes is a very common disease nowadays. Many pregnant women are at risk of developing diabetes during pregnancy. Once they develop diabetes, it is very dangerous for themselves and their babies. So should pregnant women with diabetes give birth early? Do pregnant women with diabetes need to be hospitalized?

Whether to give birth early depends on the blood sugar level. If the diabetic patient does not need insulin treatment and has no maternal and fetal complications, then you can wait until the due date before considering termination of pregnancy. If the diabetic patient needs insulin treatment and has good blood sugar control, the pregnancy can be terminated at 38-39 weeks under close monitoring. If blood sugar control is not good, you should be hospitalized for treatment in time. If blood sugar control is not satisfactory, there are vascular lesions, or even severe preeclampsia, severe infection, fetal growth restriction, and fetal distress, the pregnancy should be terminated in time under close monitoring. If the blood sugar of the diabetic is controlled within a stable period during pregnancy, there is no need to give birth early. Early delivery will be bad for the development of the fetus, but it is necessary to control blood sugar changes. Eating more vegetables can play a role in lowering blood sugar. For the time being, you should control your food intake to prevent serious effects on your body. You need to go to the hospital on time to measure fasting blood sugar.

Whether or not you need to be hospitalized for diabetes during pregnancy depends on the blood sugar level. If it is the early stage of diabetes and the blood sugar is still within the controllable range, you do not need to be hospitalized. If the blood sugar level is high and cannot be well controlled by yourself, you need to be hospitalized for further observation. Women with diabetes during pregnancy should reasonably control their carbohydrate intake, as well as the intake of high-calorie and high-fat foods, eat more light and easy-to-digest foods, and do not eat too many sweets. At the same time, you should also strengthen exercise and exercise. In addition, blood sugar can be adjusted by injecting insulin. Insulin has a blood sugar-lowering effect, but the use of insulin treatment needs to be carried out under the guidance of a doctor to avoid adverse reactions such as hypoglycemia. Women can do a diabetes screening during pregnancy. This screening project can check women's blood sugar and reduce the risk of women developing diabetes. Before the screening, women should pay attention to a light diet and check on an empty stomach.

Diabetes screening is performed at 24-28 weeks of pregnancy. It is necessary to fast for 12 hours before the sugar screening. Generally, blood is drawn three times, namely, fasting blood drawing, dissolving 75g of glucose powder in 200ml of water, drinking it within 5 minutes, and drawing blood once in the first and second hours after drinking to measure blood sugar. It is recommended that you go to a local regular hospital for regular prenatal check-ups, pay attention to rest, avoid fatigue, keep a good mood, and eat more fresh vegetables and fruits. If you want to do a pregnancy glucose tolerance test, generally speaking, bleeding needs to be drawn at least three times. First check fasting blood sugar, and then check once an hour and once every two hours after taking 75 grams of glucose water. It is recommended that fasting is required in the morning for glucose tolerance testing. First check fasting blood sugar, and then take 75 grams of glucose water orally. Drink it within three to five minutes, start timing from the first sip of water, check once an hour, and check blood sugar again after two hours.

Medication is needed for treatment. The drug treatment of this disease can be divided into two categories: 1. Insulin injection. 2. Oral medication, which has been used to treat diabetes, can reduce insulin resistance in those with pre-pregnancy insulin resistance, which is beneficial to the health of pregnant women. However, in China, oral hypoglycemic drugs are cautious because they are also worried about the impact of long-term medication on the fetus. However, over the years, oral hypoglycemic drugs are relatively safe. Most patients can meet the standards through diet. If gestational diabetes does not meet the standards, it is recommended to use insulin to control blood sugar first. At present, the oral hypoglycemic drugs metformin and glibenclamide are safe and effective for the treatment of gestational diabetes. However, there is a lack of relevant research in my country, and neither of the two oral hypoglycemic drugs has obtained the registered indication for the treatment of gestational diabetes in my country. Therefore, for pregnant women who use more insulin or refuse to use insulin.