Pregnant women's fasting blood sugar is high and normal after meals

In clinical medicine, some pregnant women may experience high blood sugar levels during pregnancy. If there is a condition of high blood sugar, it also needs to be addressed immediately. If it cannot be controlled, it may have a certain impact on the fetus, and the fetus may suffer from symptoms such as underdevelopment or deformity. Therefore, timely treatment is needed to prevent serious complications. Pregnant women have high fasting blood sugar and normal postprandial blood sugar. What does this indicate?

For some pregnant women, their postprandial blood sugar levels do not meet the standard for gestational diabetes, but their fasting blood sugar levels exceed 5.1mmol/L, meeting the standard for gestational diabetes. Generally speaking, this phenomenon can be considered as an increase in fasting blood sugar caused by increased glycogen output and increased gluconeogenesis.

Fasting blood sugar is the blood sugar level after not eating for more than eight to ten hours and staying overnight, which is actually not affected by diet. In this case, if fasting blood sugar still rises, it is considered to be caused by increased glycogen output in the body.

Adjustments can be made to the increase in fasting blood sugar caused by increased glycogen output. For example, try not to eat or drink milk before going to bed the night before, which can reduce the risk of increased fasting blood sugar the next day. If you have not eaten or had breakfast the night before, but your fasting blood sugar still rises, you can do some moderate exercise and walk after dinner the night before, which can also control the rise in blood sugar the next day.

How to control high blood sugar during pregnancy?

If a glucose tolerance test during pregnancy confirms that the fasting blood sugar is greater than 5.1mmol/L, the blood sugar level is greater than 1b250mol/L one hour after the glucose tolerance test after drinking sugar water, or the blood sugar level is greater than 8.5mmol/L two hours after the glucose tolerance test, this condition is called gestational diabetes.

In this case, it means that the blood sugar level has risen and is slightly higher than that of ordinary pregnant women. If the total blood sugar level is still below 1b250mol/L, blood sugar control can be carried out through the separate dining system. The separate dining system is to let pregnant women divide the staple food diet into several small meals, which can ensure that the blood sugar level after the meal will not reach a significantly low value. This is the separate dining treatment.

Of course, after the separate dining system, controls can also be made in various areas such as diet and exercise. If the blood sugar level of pregnant women still cannot reach the target after meals, they can also use drugs to control blood sugar levels during pregnancy, such as insulin glargine and other drugs. But more importantly, it must be carried out under the specific guidance of a specialist.