Symptoms of diabetes in pregnant women

summary

Patients with diabetes mellitus before pregnancy are called diabetes complicated with pregnancy; The other is gestational diabetes mellitus (GDM) due to normal glucose metabolism or potential impaired glucose tolerance before pregnancy. More than 80% of pregnant women with diabetes mellitus were GDM, and less than 20% of pregnant women with diabetes mellitus were GDM. The glucose metabolism of GDM patients can return to normal after delivery, but the chance of suffering from type 2 diabetes will increase in the future. The clinical course of pregnant women with diabetes mellitus is complicated. It has great harm to mother and infant, so we must pay attention to it. Tell us about the symptoms of diabetes in pregnant women.

Symptoms of diabetes in pregnant women

1. Gestational diabetes includes gestational diabetes mellitus and gestational diabetes mellitus. The most obvious symptom of gestational diabetes mellitus is "three more and less", that is: eat more, drink more, urinate more, but lose weight, accompanied by vomiting.

2. Do not confuse the symptoms of gestational diabetes mellitus with general pregnancy reaction. Vomiting of gestational diabetes mellitus can become hyperemesis, that is, severe nausea and vomiting aggravate, and even cause dehydration and electrolyte disorder. Hunger is an early symptom of gestational diabetes, as well as pruritus, which is easily ignored.

3. Pregnant women are the mouth of one person and the appetite of two people. So it's easy to be hungry. Itchy skin is a symptom that is particularly easy to ignore. In winter, dry skin itches. Mosquito bites also itch in summer. Once you have diabetes, it's very dangerous, especially for mothers to be, because they have a child, they have to be more careful.

matters needing attention

(1) The fasting blood glucose was controlled at 3.3-5.6 mmol / L; 30 minutes before meal: 3.3-5.8 mmo1 / L; 2 hours after meal: 4.4-6.7 mmol / L; 7 mmol / L at night（ 2) Diet therapy diet control is very important. Ideal diet control goal: not only can guarantee and provide the heat and nutrition needs during pregnancy, but also can avoid postprandial hyperglycemia or ketosis, and ensure the normal growth and development of fetus（ 3) Insulin is the main drug for the treatment of diabetes which cannot be controlled by diet（ 4) In the treatment of ketoacidosis in gestational diabetes mellitus, we should monitor blood gas, blood glucose, electrolytes and give corresponding treatment. At the same time, we should use low-dose regular insulin o.1u / (kg · h) intravenous drip. Blood glucose was monitored every 1-2 hours. When the blood glucose is more than 13.9mmol/l, insulin should be added to 0.9% sodium chloride injection for intravenous drip. When the blood glucose is less than 13.9mmol/l, insulin should be added to 5% glucose sodium chloride injection for intravenous drip. After the ketone body turns negative, it can be changed to subcutaneous injection.