Why should pregnant women take insulin?

For the treatment of gestational diabetes, first of all, the nutritional needs of pregnant women must be met in terms of diet, and care must be taken to avoid eating high-sugar and high-fat foods in the diet, as such foods are not conducive to the control of the disease. Pregnant women need to use medications under the guidance of a doctor, because many drugs will have an impact on the growth of the fetus, so treatment needs to be cautious.

Currently, the first treatment for gestational diabetes is exercise and diet therapy. The diet only needs to meet the nutritional needs of pregnant women, avoid excessive high-sugar and high-fat diets, and at the same time do appropriate physical exercise according to your physical fitness. When the above treatments cannot bring blood sugar levels up to standard, pregnant women should use medication under the guidance of a doctor; since oral hypoglycemic drugs can pass through the placenta into the fetus and have adverse effects on fetal nutritional metabolism and growth and development, they are not recommended for use by pregnant women. Insulin is a large molecular protein and will not pass through the placenta into the fetus. Injection of insulin will not cause adverse reactions or side effects to pregnant women and fetuses. At the same time, pregnant women do not become dependent on insulin, and doctors can make changes based on changes in the pregnant woman's condition, so insulin injections can be used for treatment.

The insulin currently available for pregnant women mainly includes short-acting human insulin, intermediate-acting human insulin, and premixed insulin made by mixing the two in a certain proportion. At the same time, because short-acting insulin takes effect quickly, it can effectively control postprandial blood sugar and reduce the occurrence of severe hypoglycemia, so it is widely used in gestational diabetes.

In addition, some pregnant women worry that injecting insulin into the abdominal wall may prick the fetus. In fact, such worries are unnecessary. Nowadays, the needles for insulin injections are relatively short and can only penetrate the subcutaneous tissue of the abdominal wall. They will not enter the abdominal cavity or injure the uterus, and naturally will not injure the fetus. In addition to abdominal injections, pregnant women can also choose to inject in the outer thighs and outer upper arms.

What are pregnancy diseases?

There are approximately six million pregnancies in the United States each year. Dystocia is the most serious consequence of pregnancy, but more women are affected by pregnancy-related diseases, such as heavy bleeding, tubal pregnancy, pregnancy-induced high blood pressure, infection, and depression. Diseases that may be caused by pregnancy: Prepartum cardiomyopathy Prepartum cardiomyopathy, also known as peripartum heart disease, is a congestive myocardial disease of unknown cause that occurs before and after delivery.

It is more common in multiparous women, and women with pregnancy-induced hypertension and multiple pregnancies are more likely to suffer from this disease; nutritional deficiency and infection are also related to the onset of the disease. The main lesions are in the myocardium, manifested as cellular edema, degeneration and necrosis, which often occur between 36 weeks of gestation and 12 weeks after delivery. The body temperature is mostly between 37.5 and 38.5℃ and can last for 3 to 7 days, manifested as congestive total heart failure, with symptoms such as shortness of breath, dyspnea, palpitations, shortness of breath, edema, cyanosis, etc. Physical examination shows: increased blood pressure, decreased pulse pressure, enlarged heart, grade I to II blowing systolic murmur heard in the apex area, moist rales at the base of the lungs, and electrocardiogram indicating myocardial damage with T wave changes as the main feature.

After discovery, you should go to the hospital for systematic treatment as soon as possible. The main focus should be on controlling heart failure, which responds well to diuretics and digitalis preparations and can be used for a short period of time. At the same time, vitamin B1, vitamin C and energy mixture can be given to protect the myocardium, and corticosteroids and sedatives can be used as appropriate. After myocardial disease is completely cured, those without children can become pregnant again under close supervision. Those who already have children or have suffered from heart failure during pregnancy should use contraception or sterilization.

Postpartum depression Postpartum depression is a type of depression that women experience due to physiological and psychological factors after giving birth. Symptoms include tension, doubt, guilt, fear, etc. In very rare severe cases, there may be thoughts and actions of despair, running away from home, harming the child, or suicide. Research shows that 50-75% of women will experience a dark emotional period with the birth of their children. For most women, the signs are not obvious or are fleeting, and they experience a period of emotional instability in their personalities, such as unexplained crying or a bad mood.