Nowadays, although many women are old, they still insist on having a second child. After all, most women want to have both children. It seems that life will be more complete, but a second child is no better than a child. The risk of elderly women is not higher than that of young women, so special attention is needed, especially gestational diabetes.

1, prevention of diabetes by pregnant mothers with second child

Ms. Wang, 40, is pregnant with a second child. It is said that eating more fruits is good for the baby's skin, so she eats a lot of fruits every day. As a result, she got gestational diabetes complicated with ketosis.

"Eating too much fruit during pregnancy will increase the incidence of obesity and diabetes in pregnant women." Gan Dingyun, a hematologist at the Third Hospital of Wuhan, said that gestational diabetes and hyperglycemia will damage the blood vessels and nerves of pregnant mothers, and damage organs such as heart, brain, kidney and eyes, leading to macrosomia, and the risk of congenital malformation of the baby in the abdomen will also increase.

"If the examination is abnormal, we must pay attention to controlling blood sugar." Gan Dingyun said that if the blood sugar can't reach the standard after diet control and moderate exercise, or hunger ketosis occurs after diet control, and the blood sugar exceeds the standard after increasing calories, insulin treatment must be started as soon as possible and continue until delivery.

Gan Dingyun suggested that pregnant women with diabetes can eat low-sugar fruits such as strawberries, cherries, grapefruit, green apples and kiwis in moderation; Eat less or no high-sugar fruits and desserts such as bananas, lychees, longan and grapes.

2. Causes of gestational diabetes mellitus

1. Older pregnancy

Women over the age of 30 are more likely to have complications such as diabetes during pregnancy. School-age pregnancy is not only affordable for the body, but also of high fetal quality.

2. Obesity

Obesity is not developed in a day, and it is related to long-term living habits and eating habits. Obese people have large fat cells and low sensitivity to insulin, which increases the workload of islets. Over time, the islets will be exhausted, and blood sugar naturally cannot be effectively controlled. Women who eat too well after pregnancy and can't control their weight are prone to diabetes, especially obese women.

3. Genetic causes

Race, region and family history also have some influence on whether the parturient has diabetes. According to statistics, the proportion of pregnant women suffering from gestational diabetes is different in every continent, race and country. If the population is subdivided, this data may be more representative. Similarly, pregnant women with family history are more likely to get sick, and factors such as economy, environment and education level may have an impact on this result.

4. Endocrine causes

After pregnancy, the endocrine system of mother's constitution will change greatly, and the secretion level of hormones will become very high. Placental prolactin, thyroid hormone, steroid hormone, etc. It is beneficial to the fetus, but it has antagonistic effect on insulin. If the mother has endocrine disorders, she may be at risk of developing diabetes.