This is an automatically translated article.
The article was professionally consulted by Specialist Doctor II Bui Minh Phuc - Department of Obstetrics and Gynecology - Vinmec Ha Long International Hospital. Doctor has more than 18 years working in the field of obstetrics and gynecology.Gestational diabetes causes many dangerous complications for mother and fetus. Screening for gestational diabetes helps pregnant women to detect the disease early, implement a suitable diet and treatment to have a safe pregnancy.
1. Why is it important to screen for gestational diabetes?
Gestational diabetes (or gestational diabetes) “is a state of glucose intolerance of any degree, onset or first detected during pregnancy”. This condition often has no symptoms, so it is difficult to detect and will disappear after 6 weeks from birth.Those at risk of gestational diabetes:
There is a family member with diabetes. Had gestational diabetes in the past. History of giving birth to a baby larger than 4kg. History of stillbirth (especially in the last 3 months). Having had a previous birth with a birth defect. Having more than 3 miscarriages in a row.
Đái tháo đường thai kỳ gây ra nhiều biến chứng nguy hiểm cho mẹ và thai nhi
2. How do I know I have gestational diabetes?
If you want to know if you have gestational diabetes or not, especially high-risk pregnant women, it is recommended to perform gestational diabetes screening at medical facilities for guidance on appropriate regimens to help prevent. and the best health care.Screening for gestational diabetes is essential to prevent the dreaded complications of gestational diabetes. Here are the milestones for gestational diabetes screening for pregnant women to remember to fully implement:
First prenatal visit: pregnant mothers will be examined by an obstetrician and consulted to assess the risks. muscle. Pregnant women with no risk factors: fasting blood sugar test, if the result is abnormal above 92 mg/dL, it should be screened with a glucose tolerance test from 24 to 28 weeks of gestation. Pregnant women with risk factors: perform screening with a glucose tolerance test during the first prenatal visit or during the first trimester. If the results are normal, the test should also be repeated at 24 to 28 weeks of gestation.
3. Steps to screen for gestational diabetes
Mẹ bầu sẽ thực hiện xét nghiệm 2 lần để được chẩn đoán xác định bệnh tiểu đường thai kỳ
Step 1: Measure fasting blood glucose.
Step 2: Mix 75g of glucose in 200ml of water, drink for 3-5 minutes. Measure blood glucose 1 hour and 2 hours after drinking.
Evaluation of results:
Normal:
Fasting: ≤ 5.1 mmol/L After 1 hour: ≤ 10 mmol/L After 2 hours: ≤ 8.5 mmol/L Abnormal:
If from 2 results Above the upper limit is gestational diabetes. If 1 result exceeds the upper limit, it is a sugar intolerance in pregnancy. At Vinmec hospital, we always deploy a screening package for diabetes and dyslipidemia to help detect pre-diabetes early, the main classification. Identify the type of diabetes, develop a nutritional regimen, monitor to minimize the risks and complications caused by diabetes.
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