Faced with the new crown pneumonia epidemic, how should gestational diabetes patients respond?

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Maternal is a susceptible group of virus infections. It is the susceptible group of 2019-nCoV, which is more prone to complications and even progresses to severe cases.In turn, neocoronavirus pneumonia has a certain impact on pregnancy. Infection and fever during early and middle pregnancy have some adverse effects on the fetus. Therefore, pregnant women need to take appropriate protection to prevent neocorona pneumonia and protect the health of the mother and fetus.Diabetes is also a key group we have always emphasized. In the special period of the new crown virus epidemic, patients with diabetes or pregnancy or gestational diabetes (the first time that impaired glucose tolerance or diabetes is found during pregnancy), what precautions should be taken apart from daily protection??The following aspects are worthy of attention.Dietary arrangements The diet of gestational diabetes patients during pregnancy must not only ensure the energy needs of pregnant women and fetuses, but also maintain blood glucose in a normal range. Combined with the relevant dietary recommendations issued by the Health and Health Committee and the Nutrition Society, give some suggestions to gestational diabetes patients.1. Thickness and thinness: It is recommended to increase the proportion of cereals and mixed beans in staple foods. These relatively low glycemic index ingredients help stabilize blood sugar.2. Fruit and vegetable benefits: increase the intake of vegetables and fruits, try to ensure that there are vegetables in the meal, dark vegetables account for half.Fruits need to control their intake. You can choose more citrus, on the one hand, it helps to supplement vitamin C, and it is also a good source of folic acid.3. Meat, eggs and milk: Supplement high-quality protein foods, high-protein diet has a strong feeling of fullness, which is conducive to controlling appetite and enhancing resistance.Ensure daily intake of meat, eggs and dairy foods, but not excessive.4. Weight control: One of the criteria for measuring the adequacy of nutrition during pregnancy is weight. However, although one person eats two people’s food, it is not advisable to overfeed. It is not good to be overweight or underweight.The weight of early pregnancy should not be significantly increased. After mid-pregnancy, the weight gain should not exceed 1 kg per week. If there is obesity during pregnancy, weight control needs to be more stringent.5. Small meals and multiple meals: In view of the physiological characteristics of pregnant women, it is recommended that small meals and meals be made while ensuring that the total energy throughout the day is appropriate. You can add two additional meals based on three regular meals and make corresponding diet arrangements.Meals in order of vegetables-meat-staples.For meals, you can choose fruits or dairy products, nuts and other foods.For gestational diabetes patients injected with insulin, do not delay eating, do not deliberately diet, and avoid the occurrence of hypoglycemia.6. Moderate amount of water: Drink 7-8 cups of water daily. It is recommended to choose boiled water. It is not advisable to choose sugary drinks and drink less fruit juice.Exercises suggest that pregnant women should take appropriate exercise. Exercises are more important for patients with gestational diabetes and help maintain a stable blood sugar. During the outbreak, there are the following exercise suggestions.1. Persist in exercise: When there is no special requirement (such as a doctor’s request for bed rest, etc.), at least 30 minutes of exercise should be guaranteed every day. It is recommended to take a walk for 20 minutes at home after meals.2. Ensuring exercise volume: Studies have shown that, in terms of the number of exercise steps per day, blood glucose control is better for patients with gestational diabetes who have an exercise volume of 6000 steps or more per day compared with less than 6000 steps.3. Form of exercise: In the epidemic of new crown pneumonia, avoid going to crowded places, so try to exercise at home.For pregnant women, a reasonable form of exercise is also very important. It is not appropriate to choose a type of exercise that requires breathing. Indoor circle walks are recommended. In addition, some soothing upper limb-based gymnastics can also be considered.4. Outdoor activities: Compared with home sports, outdoor sports fields are wider and can also be exposed to sunlight to help supplement vitamin D.Therefore, if conditions permit, outdoor sports can be properly carried out under the premise of good protection and should be carried out in an open and ventilated environment.You can choose to take a walk, etc. It is not suitable to participate in collective projects. It is recommended to take protection when you go to the sports ground. You must wash your hands and change your outerwear in time after returning home after sports.Surveillance matters On the one hand, patients with gestational diabetes should do a good job of monitoring during pregnancy, and on the other hand, do a good job of monitoring blood glucose. Because of the impact of the epidemic, strengthen relevant self-monitoring at home.Monitoring during pregnancy: Pay attention to monitoring changes in body weight and blood pressure, as well as fetal movement, abdominal pain, vaginal bleeding, etc. If abnormal conditions occur, such as dizziness, headaches, blurred vision, shortness of breath, increased blood pressure, vaginal bleeding or bleedingFluid, abnormal abdominal pain, abnormal fetal movement (fetal movement less than 6 times within 2 hours), etc. or other signs of childbirth should seek medical treatment in a timely manner.But it is also necessary to minimize the number of unnecessary visits, do a good job of self-monitoring, and achieve online consultation.Blood glucose monitoring: In special periods, the lifestyle habits of gestational diabetes patients change, and regular diet and exercise are disrupted. Therefore, blood glucose monitoring should be strengthened.Diabetic pregnant women and patients with gestational diabetes need to monitor blood glucose for half an hour before and 2 hours after a meal. If the blood sugar is too high or too low, it is not good. Wash your hands with soap and running water before monitoring blood sugar.It is recommended to monitor the blood glucose level for a week and then conduct an online consultation. If the blood glucose has been adjusted poorly (diet, exercise, etc.), you need to seek medical help in time.Epidemic surveillance: pregnant women should also monitor their body temperature daily for any suspicious symptoms of the new coronavirus pneumonia, such as fever (temperature above 37.3 ℃), cough, sore throat, chest tightness, dyspnea, fatigue, diarrhea, conjunctivitis, musclesSoreness, etc., and I have travel history, residence history or close contact history with suspected and confirmed patients within 14 days of the epidemic-prone area. I need to go to a designated medical institution for medical treatment as soon as possible, and I need to take protective measures.Mental health.
Finally, it should be mentioned that the increased risk of anxiety and depression in pregnant women, and the impact of the new crown epidemic, are more prone to psychological problems. It is recommended that gestational diabetes patients listen to soothing music and ensure adequate sleep, and their families will give them sufficient care, To help them eliminate bad emotions in a timely manner, and if necessary, timely seek help from a relevant professional doctor.The above content is only authorized for exclusive use by, please do not reprint without the authorization of the copyright party.


The author ouyangshaoxia