Hello, I am very happy to answer your question, if the first child is gestational diabetes, the risk of gestational diabetes in the second child is a little higher than normal pregnant mothers, so it is necessary to strengthen the prevention before pregnancy.

Prevention of gestational diabetes, first remember to check your blood sugar before pregnancy, even if your blood sugar is normal, but also to do dietary adjustments and control, some food that should not be eaten, must be prohibited, such as coffee, chocolate, milk tea, cake, these foods are very high in sugar, if often eaten during pregnancy, easy to lead to weight gain, and not to eat fatty drinks, but also to control the glucose, fructose, and Carbohydrate intake, these foods are high in sugar content, eating too much can easily lead to increased blood sugar. Thus causing gestational diabetes.

The diet of the mother-to-be should ensure protein intake, because if the pregnant woman's blood sugar is too high, the protein breakdown index increases. If you want to prevent gestational diabetes, you need to do regular labor and delivery checkups, and you also need to strengthen the exercise, do not sit or lie down for a long time. Stick to some proper exercise every day, you can do yoga or walk slowly after meals, these can prevent gestational diabetes.

I hope my answer will help you!

For those who have gestational diabetes in their first child, a lot of concerns surely arise when they plan to have another second child.

Especially those patients who applied insulin therapy during gestational diabetes are surely haunted by their experience during pregnancy.

We have always been strict about gestational diabetes because high blood glucose during pregnancy may affect the health of both the mother and the fetus, not only during pregnancy, but for a considerable period of time afterwards, even for life.

So for patients whose blood glucose is not well controlled by diet and exercise during pregnancy, insulin therapy should be used and blood glucose testing should be performed. For patients with complex treatment programs such as 4 times of subcutaneous injection of insulin, 7 times of blood glucose profiles per day are needed so that patients need to be zapped 11 times per day, which does require a lot of perseverance and adherence.

I admire these great mothers so much and ask myself, if it happened to me, would I really be able to be as good as they are?

But seeing the happy faces of those newborns and their mothers in the delivery room makes you think that it's really worth it.

The first child was able to do daily medication and blood glucose monitoring, so of course early prevention is even more necessary for the healthy development of the second child.

Gestational diabetes in the first child is significantly more likely to be present in the second child. If an immediate family member is diabetic, then there may already be an underlying insulin secretion defect that does not manifest clinically. Because the development of diabetes is lengthy, some patients may take 7-10 years to develop clinical diabetes. Many cases of gestational diabetes also have a pre-existing state of abnormal glucose tolerance or pre-diabetes without being aware of it, and the diabetes is detected during pregnancy due to the high number of tests.

In this process, if you can follow a healthy lifestyle to pay attention to diet, adhere to exercise, weight loss, regular blood glucose checkups, it is best to conduct a glucose tolerance test to observe their glucose tolerance, timely and early treatment.

This is Dr. Sun, follow Dr. Sun on Sugar for continued quality health knowledge, please leave a comment below if you have any questions, and I will reply!

Hello, I'm happy to answer your question, and I hope my answers below are helpful.

For women with gestational diabetes mellitus (GDM) in their first pregnancy, the probability of developing GDM in their second pregnancy can range from 33% to 69%, and the probability of developing type 2 diabetes mellitus (T2DM) in the long term ranges from 17% to 63%, which are all seemingly very high.Needless to say, GDM affects both mother and baby, and T2DM is also very common in older people, which you may be aware of. I'm sure you're aware of this disease at one time or another. It is important to take precautions against this potential disease!

Currently for the prevention of recurrence of GDM, theAt present, what can be done is mostly behavioral interventions: avoiding pregnancy at an advanced age, diet and exercise for weight control, and regular physical examination; the effect of drug prevention is not clear, and drug interventions are not yet recommended.Most of these preventive measures are related to the high risk factors for GDM. You may think that River is going to start talking about "keep your mouth shut and your legs open" again. However, many people know the truth, but still can't live a good life.

The occurrence of GDM or T2DM is initially a problem with the body's handling of sugar metabolism, also called abnormal glucose metabolism. Obesity, especially abdominal obesity, can affect glucose metabolism, and abnormal glucose metabolism in GDM is also related to the physiology of pregnancy. Studies have found that about 50% of women with a history of GDM who develop abnormal glucose tolerance after delivery have a body mass index BMI that exceeds the standard. Adopting a sensible diet and exercise to maintain a normal BMI as much as possible can effectively reduce the incidence of abnormal glucose metabolism after delivery in women with GDM.

In addition, there is a clear genetic predisposition to diabetes, and studies have shown that women with a family history of diabetes are about 1.5 times more likely to develop GDM than those without a family history. Therefore, there are also some women with good weight control who suffer from GDM or T2DM again due to family history.To cope with diabetes, in addition to diet and exercise, regular medical checkups are also recommended for early detection, early intervention and early treatment. The American Diabetes Association recommends that women with GDM undergo a glucose screening test (OGTT) at 6 to 8 weeks postpartum and every 3 years thereafter.

So, according to your situation: you should avoid getting pregnant after 35 years old if you are ready to have a second child, and it is better to change your life habits properly before and during pregnancy, don't eat too many fruits in a short period of time, and adjust your diet properly, eat less and more often (you can learn about diabetic diet). And appropriate exercise, weight control, can develop a waistline that would be better.

Don't forget, after giving birth to a baby, in addition to regular review of OGTT, you should also adopt healthy habits in the future life, which can effectively reduce the occurrence of T2DM!。

I am a mom of a second child and my situation is similar to yours. Let me tell you about my experience, I hope it will help you.

My first child was born in 2014, with no history of diabetes in my family and being very thin myself, as I was suffering from particularly bad pregnancy sickness, of the mega-vomiting variety, and was hospitalized. I threw up from 40+ days until 5+ months and couldn't eat at all. So before I was 5 months pregnant, my diet was very, very light, and sometimes I just ate a cucumber or tomato for a meal. At the time it was all worrying that the baby would be malnourished, and it was under these circumstances that I failed the glucose tolerance test and said I had gestational diabetes. The test said that I had gestational diabetes, and my perinatal care booklet was stamped with a distinctive red "high-risk pregnancy" label. I was baffled that someone like me could have gestational diabetes, and the doctor told me about all the scary possibilities, and I ended up crying from fear.

Since I found out about diabetes during pregnancy, I really followed what the doctor said about my diet, bought an electronic scale, and ate all my meals by the gram. Because of the strict control of diet, blood sugar has been controlled quite well, right, until the birth, or two or three points above normal. I was also born by cesarean section, the pregnancy and delivery period to no movement, the doctor said that like your high-risk maternal, to the due date to cesarean section out to avoid danger. My daughter was born 6 pounds 1 two, very healthy. My heart was finally relieved.

Having had my second child in 2017, I never paid attention to my blood sugar again after the birth of my first child, and I didn't check my blood sugar before preparing for pregnancy with my second child, and I got pregnant straight away. It was only during pregnancy tests that the doctor would ask about the first child informing the doctor that the first child had gestational diabetes. When it came time for the glucose test, my blood sugar was still a bit high, and the doctor I usually go to wasn't there, so another doctor said you need to take insulin for this. I went back to the doctor who normally tests me and she said that my blood sugar is not particularly high and I don't need to take insulin yet. Just go back to your own diet and control it, you have experience with what you eat with your first child anyway, and it was just passed over by the doctor.

I went home and stayed on a controlled diet, but not as cautious as I was with my first child, eating along with my family, just a little bit of abstinence. I waited until I gave birth, still by c-section, and my son was born at 6 pounds and 2 taels. Both kids weighed basically the same and were healthy!

This is my real experience, but everyone's situation is different, pregnancy is a big deal, can not be neglected, and your family has a family history. It is recommended that you get your blood sugar tested before you get pregnant, and pay attention to your diet in general.

proactive

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Thanks for the invite, about gestational diabetes really bother a lot of moms

Because I'm a mom-to-be of a second child, I had gestational diabetes during my first child. Billion Taiwan when, well, glucose tolerance test one hour is about 10:00 more than two hours, probably more than 9:00, at that time the doctor has said is over the limit, belong to the gestational diabetes, that time is 2016, and we have a family history of that diabetes, that is at that time, the doctor just recommended to say to go back to their own control of blood glucose, and then real-time monitoring, and less to eat some of the food containing sugar is higher, probably like this The baby was born 6.4 pounds, not overweight. After the baby was born, I never paid attention to my blood sugar, just occasionally monitor my fasting blood sugar, not high, and that's it.

This year is 2020, is already pregnant with the second child, and then do sugar test when one hour after meal is more than 10 points, two hours more than 11 points, is still gestational diabetes, and the value is higher than the first child, I actually did not care about this matter, but the hospital doctor resolutely let me into the Department of Nutrition to make adjustments, the Department of Nutrition doctor in accordance with my situation requires me to two hours after meal blood glucose 7 or less, and to control my body weight. I am currently in my 8th month of pregnancy and have gained 28 pounds. She asked me to keep my weight down but not up, and designed a diet plan for me.

To show you the content: not allowed to eat rice, less pasta, to eat mixed grain rice and mixed grain buns, do not eat any fruit can only eat tomatoes, drink skim milk, can not eat fat and high oil and high salt food, can not drink yogurt, drink 1500 ml of water every day, each meal only 9 minutes full, after meals must be more than 20 minutes of exercise can be a walk, plus meals can eat 10 pine nuts, walnuts 2, tomatoes, 2-6. Mixed grain cookies, hard-boiled eggs, etc., eggs can be boiled or scrambled to eat, every day must eat more green vegetables, eat a small piece of lean meat, preferably soy sauce beef, chicken. Not allowed to eat anything with filling, not and broth, can drink vegetable soup, not porridge, noodles can only eat water noodles.

This recipe sounds difficult to implement, but really do it seems not so difficult, I think eating a very rich and healthy, the important thing is that the blood sugar can really control down, the weight did not grow, it is amazing. So if you want to prepare for the second child, the diet can be appropriate to make some adjustments, do not have to be as harsh as I am, but the main staple food to omnivorous food is very effective, I hope that you can get pregnant with a healthy baby, and do not suffer from diabetes during pregnancy.

It needs to be controlled, diabetes in mid to late pregnancy is dangerous for the baby, the fetus is large but other organs are not fully developed and it is easy to deliver prematurely

If you already have gestational diabetes in your first child, you must take care of it early in your second child. Since you don't want to utilize insulin to control it then you must first control your diet and sugar intake. You've already had experience with this I don't think it should be a big problem as long as you stick to the controls. I wish you well!

It pays to prevent it in advance, after all, the older you get too, the more likely you are to get gestational diabetes!

Early control is highly recommended, for the health of the child and the adults. During pregnancy over and over again to tie the finger to measure blood glucose, eat anything to limit, late pregnancy need to early abdominal planing (otherwise the doctor said that the child is likely to die in the fetus,), the child was just born into a large mouth of sugar (afraid of newborns with low blood glucose), pregnant women have to be transfused after delivery of Aunt Guan Yin, but also worry about the child grows up susceptible to diabetes ...... comprehensive all of the above! I'm sure you'll have to be careful with your blood sugar with your second child to avoid it happening again. I wish you all the best for your second child [shy].