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Saturday, 14 December 2013

Pregnancy - Gestational Diabetes - Treatments in Conventional Medicine Perspective

Gestational Diabetes is defined as a condition of high blood glucose of a pregnant women who is experience such diseases or symptoms only during pregnancy as a result of hormonal change, but return to normal blood sugar after giving birth. Gestational diabetes is considered as an indication of type II diabetes. It affects approximately 3% of pregnant women.
Treatments
A. In conventional medicine
A.1. Diet
Depending to the diagnosis and meeting with gestation diabetes nutritional specialist or dietitian, you may be given a specific plan to keep your blood glucose within the normal range. Here is some guide line, from the article of "Nutrition Basics For Women with Gestational Diabetes" posted in diabetesmommy online magazine. (Source)
1. Eat and drink at least 4 servings of dairy products and calcium-rich foods a day to help ensure that you are getting 1200 mg. of calcium in your daily diet. Sources of calcium include dairy products, some nuts, green vegetables and foods and beverages fortified with calcium, such as calcium-fortified, unsweetened ready-to-eat cereals.
2. Eat at least three servings of iron-rich foods per day to ensure you are getting 30 mg. of iron in your daily diet. Sources of iron include enriched grain products (rice); lean meat, poultry and fish; eggs and leafy green vegetables.
3. Choose at least one source of Vitamin C every day. Sources of Vitamin C include oranges, grapefruits, strawberries, honeydew, broccoli, cauliflower, brussel sprouts, green peppers, tomatoes and mustard greens.
4. Choose at least one source of folic acid every day. Sources include dark green leafy vegetables, veal, fortified grain products, legumes (lima beans, black beans, black-eyed peas and chickpeas) and fruits.
5. Choose at least one source of Vitamin A every other day. Sources rich in Vitamin A include carrots, pumpkins, sweet potatoes, spinach, water squash, turnip greens, beet greens, apricots and cantaloupe.
6. Avoid alcoholic beverages during pregnancy. Alcohol has been linked to premature delivery and low birth weight babies. If you think you may have a problem with alcohol use, please talk to your health care provider so he or she can help protect you and your baby.
7. Limit caffeine to no more than 300 mg. per day (two 8-ounce cups of coffee, three 8-ounce cups of tea or three 12-ounce glasses of caffeinated soda). Remember, chocolate contains caffeine -- the amount of caffeine in a chocolate bar is equal to 1/4 cup of coffee.
8. DO NOT DIET or try to lose weight during pregnancy -- both you and your baby need the proper nutrients in order to be healthy. Ask your health care provider how much weight you should gain during pregnancy. A woman of average weight before pregnancy can expect to gain 25 to 35 pounds during pregnancy. You may need to gain more or less weight, depending on what your health care provider recommends.
9. Eat a variety of foods to get all the nutrients you need. The Food Guide Pyramid on the next page provides an example of the number of servings you should eat from each food group every day.
10. The use of non-nutritive or artificial sweeteners approved by the Food and Drug Administration is acceptable during pregnancy. These FDA-approved sweeteners include aspartame and acesulfame-K. The use of saccharin is strongly discouraged during pregnancy because it can cross the placenta and may remain in fetal tissues. Talk with your health care provider about how much non-nutritive sweetener is acceptable during pregnancy.
Foods to Choose to Lower Blood Sugar
Breads and Grains
6-11 servings/day
Fruits and Vegetables
2-4 servings/day
Dairy
4 servings/day
1 slice of bread
1/2 bagel or English muffin
1 plain rice cake
6 crackers (such as matzo, bread sticks, rye crisps, saltines)
3 graham crackers
3/4 cup ready-to-eat cereal
1/2 cup pasta or rice
1/2 cup corn
Small plain baked potato
1 small pancake
1 6-inch tortilla
1 piece of fresh fruit
1 melon wedge
1/2 cup chopped, cooked, frozen or unsweetened canned fruits
3-5 or more vegetable servings/day
1/2 cup cooked or canned vegetables
1 cup chopped, uncooked or frozen vegetables
1 cup low-fat milk
1 cup soy milk
1 cup low-fat unsweetened yogurt
1 1/2 ounces of cheese
1/2 cup low-fat cottage cheese
Meat, Fish, Poultry
2-3 servings/day
Fats and Oils
In limited amounts
(approximately 5-8 tsp/day)
Sweets and Snacks
In limited amounts
2 ounces cooked lean meat, fish or poultry
2 ounces of cheese
2 eggs or the equivalent in egg substitutes
1 cup cooked dried beans or peas
2 tbsp peanut butter
1/4 cup tofu (bean curd)
Vegetable oil (olive, canola or peanut oils)
Tub margarine
Fat-free or low-fat salad dressing
Peanut butter and crackers
Cheese and crackers
Vanilla wafers
Plain popcorn, pretzels
"Free" foods
Raw vegetables
Diet soda
Sugar-free gelatin
Sugar-free syrup
Low-sugar jelly
Sugar-free candy and gum
Unsweetened popsicles

At you are following the diet, you will have to record your blood glucose in the morning when you wake, before and after each meal, depending to the recommendation of the dietitian. ( It is frustrate, if you hate blood and needle punctuation)

A.2. Insulin
If diet can not lower the blood glucose after 1 week or 2, insulin injection once or twice daily, with adjustments may be necessary to lower the blood glucose after meal to prevent nay unwanted pregnant complication, depending to the blood diagnosis.


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