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Management and treatment of gestational diabetes experience (45 cases)


25%, fat 2O, please allocate the dietitian. Such as the control diet for 1 to 2 weeks to achieve: 0 points and three meals a day before the blood glucose ≤ 5.6mmol / L, after meals 1h ≤ 7.8mmol / L, 2h ≤ 6.7mmol / L, and no hunger for the pregnant women ideal, or change the medication. Insulin dosage is adjusted according to the amount of glucose needed rehydration 4g sugar per person plus 1 unit of insulin, 3d big picture after meals before examination and determination of ketone bodies, as appropriate, changes in diet or insulin dosage. 1.2.4 obstetric treatment. Amniocentesis before termination of pregnancy line drawn amniotic fluid, a foam shock experiments to understand the situation of fetal lung maturity,[link widoczny dla zalogowanych], while intra-amniotic injection of dexamethasone 10mg, to promote fetal lung maturity. No complications of cervical ripening and induction of labor were to have complications or failure of cervical ripening or induction of labor by the end of cesarean section delivery. GDM women in this group of 45 cases of cesarean section in 32 cases, accounting for 71.11%, 13 cases of vaginal delivery, accounting for 28.89. 11 routine amniocentesis and delivery. 1.3 The children of maternal and perinatal outcomes: 45 cases of GDM women in this group one week after delivery, blood glucose decreased to normal in 38 cases, accounting for decreased blood glucose 84.44,7 cases, but not normal,[link widoczny dla zalogowanych], accounting for 15.56. 45 cases of perinatal children, including fetal death, IUGR, IROS in 2 cases,[link widoczny dla zalogowanych], accounting for 4.44%, 6 cases of neonatal asphyxia, accounting for 13.33, newborn Received :2003 -09-03 low blood sugar 4 cases, accounting for 8.89, 4 cases of hyperbilirubinemia, accounting for 8.89, a huge children 8 cases, accounting for 17.78. 2 discussions diabetes pregnant women, fetuses are often 36 to 38 weeks gestation when the death]. To make the death of the fetus in utero to minimize the incidence is generally believed that in the 37 weeks before and after the termination of pregnancy. First detected during pregnancy or the first time identified the different degrees of impaired glucose tolerance as GDM. Asked the placenta during pregnancy hormones have against the role of insulin, such as adrenal cortex hormone, progesterone, placental lactogen, estrogen, etc., resulting in relatively inadequate insulin secretion occurs GDM. Its incidence is often lighter, mostly I, therefore the control diet for the treatment of choice, by adjusting the diet to control blood sugar goal. This paper uses a simple diet of pregnant women, 77.78 treatment, blood glucose is well controlled. Ineffective treatment for eating alone, could be drug treatment. Because insulin can not pass through the placenta, so the only treatment for the GDM. This article 17.78 plus insulin after pregnant women, pregnant women, rapid control of blood glucose. The termination of blood glucose is well controlled before pregnancy, and the immature fetal lungs in the 24h before termination of pregnancy amniotic injection of dexamethasone to promote fetal lung maturity, so that the treatment achieved good results, no case of maternal mortality and neonatal death. That treatment of GDM,[link widoczny dla zalogowanych], control of blood glucose is the key to timely treatment to promote fetal lung maturity termination of pregnancy, can reduce perinatal mortality in children. The 2 cases of intrauterine fetal death who were not prescribed for pregnant women due to systemic therapy, so pregnant women during pregnancy to strengthen the monitoring, good hygiene education and prenatal care,[link widoczny dla zalogowanych], pregnant women and their families to have sufficient knowledge of the GDM and attention. GDM occurred in the third trimester, in recent years, its incidence is rising, accounting for 1 to 6 pregnant women ', most scholars advocate screening all pregnant women without diabetes, the most appropriate time is 24 to 28 weeks of pregnancy, Berkowitz et al reported 28.8% of cases diagnosed before 24 weeks of gestation, and therefore have high risk factors for early screening is necessary. Early detection, early diagnosis, early treatment is beneficial maternal and infant outcomes.
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