Pregnancy. Amazing, wonderful and one of the most exciting periods of life of a woman who promises very important changes - the birth of a child. Of course, all moms want the best for their baby - first of all, so that he is healthy. The guarantee of the health of the baby is, first of all, his mother's health. But, unfortunately, it often happens that at the stage of pregnancy planning, or in early pregnancy, the gynecologist talks about the need to visit the endocrinologist, as it has been revealed to the level of blood sugar.

At the first visit to the gynecologist, all pregnant women explore glycemia (blood sugar - gr. Glykys Sweet + Haima Blood) On an empty stomach. At the same time, the future mother can hear: "You have blood sugar 5.1 mmol / l, it is higher than the norm." How so? It seems that the indicator is "low." But the fact is that the targets of glycemia in pregnant women and not pregnant women are different.

The normal level of sugar of venous plasma of blood in a pregnant on an empty stomach is strictly below 5.1 mmol / l.(It should be noted that only non-carbonated water can be drunk before passing an analysis. Tea, coffee, etc. - under the ban).

If the sugar level of venous blood plasma ≥ 5.1 mmol / l, but below 7.0 mmol / l - put a diagnosis gestational diabetes. In some cases, an oral glucose-bearing test (OGTT) is carried out to confirm the diagnosis, but this is not a mandatory .

Criteria for diagnosing gestational diabetes and its cause

• Gestational diabetes - When the blood sugar is equal to either more than 5.1 mmol / l and less than 7.0 mmol / l, 1 hour after OGTT (oral glucose-beaded test) is either more than 10.0 mmol / l, 2 hours after OGTT is equal or more than 8.5 mmol / l and less than 11.1 mmol / l.
• If the blood sugar level is higher than or equal to 7.0 mmol / l, the blood is re-elevated from veins of an empty stomach and 2 hours after eating with the definition of glycemia. If blood sugar is re-7.0 mmol / l and above, and two hours after eating 11.1 mmol / l and higher, the diagnosis is made. manifelic diabetes.

All research should be carried out on the venous blood plasma. When evaluating indicators blood sugar - Data not informative!

So why healthy womanWhich previous blood sugar was always normal, it arises to rise?

In fact, the increase in blood sugar (hyperglycemia) during pregnancy is currently a frequent situation. According to statistics, about 14-17% of all pregnancies occur in hyperglycemia. Pregnancy is a state of physiological (with knitted with the physiology of the body, with its livelihood)insulin resistance (decrease in tissue sensitivity to insulin).

We will analyze this term to be clear. Glucose is a source of energy for the cells of our body. But from the blood of glucose it can not be in the cells (the exception is the cells of the vessels and the brain). And here she comes to the rescue. Without this hormone, the cage "will not recognize" the useful and glucose needs. In simple language, insulin "opens the doors" cells to pass glucose into it. The cell receives its energy, and the blood sugar level is reduced. Thus, insulin ensures that the normal level of glycemia is maintained. Insulin resistance is a condition in which the cells partially "do not recognize" insulin. As a result, the cells will lack their energy, and the level of sugar in the blood will grow.

"To blame" in physiological insulin resistance of hormones, which produces a new organ of a pregnant woman - a placenta. In view of this action of hormones on cells, the production of insulin in the blood increases for "overcoming" insulin resistance. In the norm, this is sufficient, and when glucose enters the cells - the blood sugar level is reduced. But some pregnant women, despite the increased synthesis of insulin, overcoming insulin resistance does not occur, sugar in the blood remains elevated.

Manifesia Sugar Diabetes - This is the first identified diabetes mellitus during pregnancy, and its occurrence is not associated with physiological insulin resistance. This is the same diabetes mellitus, which occurs outside the pregnancy - diabetes mellitus 2 or type 1.

With the increase in blood sugar level, the mother increases the glycemia and the level of insulin in the fetus. As a result, it worsens the course of pregnancy and harms the child's health.

What is dangerous gestational diabetes

Hyperglycemia during pregnancy significantly increases the risk:

• Preeclampsia (late toxicosis form - an increase in blood pressure above 140/90 mm. The proteinuria (the appearance of a protein in the urine), swelling).
• Premature birth.
• Multi-way.
• Urogenital infections.
• Development of placental insufficiency.
• High frequency of operational delivery.
• Thromboembolic violations.
• Perinatal diseases of newborn, perinatal mortality.
• Diabetic fetopathy of the newborn.
• Ischemic changes in the brain of the newborn.
• The defeat of the central nervous system of the newborn.
• Pneumonia newborns.
• Macros and fruit (large fruit) - the main cause of generic injuries.

Who needs to be examined at the pregnancy planning stage:

• Women having obesity.
• Women with violation of ovarian function, infertility.
• Women with burdened obstetric history, non-abstraction of pregnancy.
• Women who had gestational diabetes in previous pregnancy and newly planning pregnancy.

So, the diagnosis of gestational diabetes is exhibited. Of course, an individual approach to treating any disease is needed, there are no exceptions. An individual treatment regimen may be selected only an endocrinologist or a gynecologist-endocrinologist at the reception. One patient an endocrinologist will appoint only a special diet for the entire period of tolerance, the other will need additionally drug therapy. But the basis is one for all. This is a special rational nutrition and the correct glycemia self-control.

How to properly spend the glycemia self-control

Self-controlling of glycemia is carried out independently with the help of a glucometter. The pharmacy has the opportunity to purchase a glucometer as the easiest and more complex, which saves the measurement values, can construct a glycemic curve.

But whatever the glucometer is best to start conducting the diary of the glycemia self-control diary and the food diary. This is the usual notebook in which all the measurements of blood sugar are written on the same page with the dates and measurement time (before meals, an hour after meals, before bedtime).

On another page, the daily diet is written with the time of drinking time (breakfast lunch, dinner or snack) and the amount of product (required) + calorie content, protein, fats and carbohydrates (desirable).

With gestational diabetes mellitus at the stage of selection and assessment of the adequacy of treatment, the measurement of glycemia should be from 4 to 7 times a day. These are indicators of an empty stomach in front of breakfast, before dinner, before dinner and at night (required) + 1-1.5 hours after breakfast, after lunch (additionally).

What are the goals of treating gestational diabetes

• Automobile glycemia - strictly less than 5.1 mmol / l
• Glycemia 1-1.5 hours after meals - less than 7 mmol / l.

Features of the diet with gestational diabetes:

• Unacceptable starvation, big breaks between meals.
• The last meal is an hour before Sleep (snack) - it is a protein (meat, fish, egg, cottage cheese) + complex carbohydrates (not strained cereals, pasta, black, whole grain bread, vegetables, legumes). If there is obesity - the last snack before bed - protein + vegetables.
• Minimize or refuse completely from sweets (honey, sugar, sweet pastries, ice cream, chocolate, jam), sweet drinks (juices, fruit, soda), strawed crumbs / pasta, potato mashed potatoes, white bread, white rice.
• Multiplicity of food intake - at least 6 times a day! (3 main + 3 snacks)
• It is impossible to allow carbohydrate starvation, you need carbohydrates, but the correct! These are not unrelied cereals, pasta, potatoes, black and whole grain bread, vegetables, legumes, liquid unsweetened milk and dairy products. It is recommended to use carbohydrates in a small amount every 3-4 hours.
• Implemented exercise - a walk in the morning and in the evening for 30 minutes.
• Increase fiber intake is vegetables (except potatoes, avocado). In obesity, the fiber is included in each main meal.
• Low-calorie diets are not allowed. During the day to use at least 1600 kcal. (Taking into account the actual mass of the body, the endocrinologist will select an individual norm).
• Fats at normal body weight should be about 45% of the daily diet, with obesity - 25-30%.
• Obligatory skin Food - At least 70 gr protein per day.
• Fruits drink with a low glycemic index in small quantities (grapes, cherry, cherry, watermelon, melon, fig, persimmon, bananas) are not recommended. It is better to combine with protein food (for example, with cottage cheese, cottage cheese casserole with fruit).
• Dried fruits are no more than 20 grams of dried fruits for 1 reception in the main meals. If it is a snack - combine with protein (for example, with cottage cheese). Not more than 2 times a day.
• Chocolate is only bitter, no more than 3 poles (15 grams) for 1 reception, no more than 2 times a day. In the main meal or combined with protein (for example, with cottage cheese).

It is recommended to comply with the "Targe Rule". This rule is that in each main meal, food is needed to use products rich in tissue (vegetables), proteins, fats and carbohydrates. At the same time, most of the plate (1/2) must occupy vegetables.

Recommendations are generalized. If, when using a product, blood sugar becomes higher than the target values, it is recommended to limit its consumption or reduce the amount of product. All questions on the preparation of an individual power scheme must be addressed at the reception at the endocrinologist.

Need to know during pregnancy it is prohibited to receive tableted sugar drugsSince their safety during pregnancy has not been proven.

If, when compliance with the diet, it is not possible to achieve the glycemia targets, the doctor prescribes insulin. It should not be frightened. No harm to my mother, nor the fetal insulin does not affect. The people existing in the people of insulin - no more than myths. After the delivery in 99% of cases, insulin is canceled. Do not forget that the main thing in the treatment of gestational diabetes is to achieve stable glycemia targets.

Gestational diabetes:postpartum and lactation

As noted earlier, most often after the birth of blood sugar come back to normal. But sometimes there are exceptions. In the first three days after delivery, a survey is necessary, which is carried out in order to identify possible preservation of impaired carbohydrate metabolism - is carried out control of the glycemia of an empty stomach.

Lactation, breastfeeding is the prevention of diabetes for women who have undergone gestational diabetes. If a woman persists an increase in glycemia, and against the background of blood sugar diet therapy do not come to normal, the endocrinologist prescribes insulin therapy for the entire period of breastfeeding. The reception of tableted saccharincing drugs during lactation is prohibited.

Let's summarize

• Gestational diabetes is characterized by a systematic increase in glycemia in the absence of treatment.
• Even the smallest increase in glycemia in a pregnant woman in the end leads to adverse consequences.
• With the increase in blood sugar, the mother increases the glycemia and the level of insulin in the baby in the kid, which ultimately leads to serious complications described above.
• During pregnancy, it is better to once again come to the endocrinologist if it worries, or another question than not to come.
• Basics of treating gestational diabetes: correct self-control + diet and therapy + medication therapy (if an endocrinologist has been prescribed). Objectives - stable glycemia targets.

Dear moms, take care of yourself. Treat seriously to your baby health and health. Easy pregnancy and healthy kids!

Endocrinologist Akmaeva Galina Aleksandrovna

Increasing the level of glucose in the blood is quite common and anxious sign, which often indicates the presence of such a fairly serious pathology as a sugar diabetes. In medical practice there are cases when there is an excess of the blood sugar rate after childbirth, as well as during pregnancy. This deviation from the norm was called gestational diabetes mellitus. Normally sugar in blood after childbirth should not exceed the mark. Therefore, with such changes, it is necessary to immediately seek advice on the doctor.

What can lead to the development of such a state

The development of such a state in pregnant women and has just giving birth to women may contribute to a number of reasons. Sometimes a whole range of reasons leads to it.

So, the increase in blood sugar rate after childbirth and during pregnancy, the following reasons contribute to:

• The production of hormones of a certain type of compound, which, in turn, block insulin synthesis;
• Lowering the level of sensitivity of the body of a pregnant woman to insulin as a result of a hormonal failure caused by tooling the fetus;
• Failures in the work of the kidneys, which results in a noticeable decrease in insulin synthesis. Such an imbalance is most often the reason for increasing the sugar rate after delivery. In some cases, on the contrary, there is a noticeable decrease in serum sugar levels;
• The risk of developing this disease is significantly increasing with each subsequent pregnancy.

From the above list of reasons it becomes clear that the main reason for the development of gestational diabetes is most often the various provoking factors of hormonal nature. This is not surprising. During pregnancy, the body of the woman undergoes quite serious restructuring in the endocrine system, the need for which is due to normal toaling the fetus.

Important: Gestational diabetes is always developing during pregnancy. The emergence of this disease is already excluded in the light of lactation.

For the presence of what symptomatics should pay attention to first

Most often in future mothers, this pathology is revealed at the stage of pregnancy, since it is precisely during this period a large number of different analyzes and research is carried out, therefore the level of sugar levels in the blood is unlikely to remain without due attention. The symptoms characteristic of this disease may be completely absent. She can manifest themselves immediately after the giving birth.

So, the young mother can disturb the following signs of her pathology:

• Increased dryness of the mucous membrane of the oral cavity, as a result of which the constant thirst torments;
• Frequent urinary calls without any signs of inflammatory processes;
• Constant feeling of fatigue;
• Increased tendency to the emergence of viral and fungal diseases, most often - to candidiasis;
• A sharp decrease in visual acuity;
• Frequent feeling of hunger;
• Increased sweating of the skin;
• Anxiety and irritability;
• Pallitude of the skin;
• Rare odes;
• Funnyness and pre-corporate state are possible.

If you observe such symptoms at home, it is advised to immediately contact the endocrinologist. At the same time, blood tests should be regularly to monitor glucose levels. Such an analysis should always be handed over to an empty stomach.

Methods of diagnosis of pathology

As already noted, most often this pathology is detected in women when entering pregnancy. The diagnosis is based on the data of certain laboratory studies.

So, to establish the presence or lack of this pathology, you will need a doctor for the following analyzes:

• Blood for glucose content;
• In the future, the level of sugar can be monitored independently with the help of specialized technical apparatus called glucometters.

Nowadays, it is no longer necessary to control the level of sugar in the blood in the nearest clinic to pass the appropriate analysis. For our convenience, glucose meters were specifically designed and released, with which it is possible to measure blood sugar levels at home. Such a device can be easily purchased to yourself in any pharmacy.

What consequences may entail this pathology

It is worth noting that it is not necessary to worry too much when identifying this disease should not. Most often, the normal synthesis of insulin over time is restored independently without the use of specialized therapy. An unpleasant moment is associated with the fact that with the next pregnancy, the risk of recurrence of this disease increases significantly. That is why women who have moved gestational diabetes are advised to plan a re-pregnancy only after two or three years after the first.

In case the insulin synthesis for a long time never comes back to normal, then the transition of this disease in the diabetes of the second type is likely. The probability of the development of this disease of the first type is significantly lower, but still it is. These reasons are explained by the importance of monitoring blood sugar during pregnancy and after its end.

Conclusion

The special course of therapy of this state is not required due to the fact that some time after childbirth, the blood sugar level should come to the norm quite independently. The diagnosis of this pathology is usually carried out after approximately six weeks after delivery.

Momchka should necessarily take the analysis of blood sugar, which should be handed over to a completely hungry stomach. In addition, a specialized study is carried out on the identification of glucose tolerance. If the last analysis is positive, then the annual observation in the endocrinologist will be required for the timely detection of chronic illness. If negative, then it is advised to be observed at least once every three years. At the same time, it is advised to comply with a special diet, which must be compiled by a nutrient physician.

One of the frequently asked questions to the doctor an endocrinologist, from pregnant women with diabetes mellitus 1 and 2, or C: Can we breastfeed and how to affect our health and health baby?

As long-term practice shows, breastfeeding improves glycemic control, and with type 1 diabetes, a decrease in the dose of inserted insulin during breastfeeding period is observed. The reason for the need for a smaller dose of insulin is high energy costs for milk production.

Good insulin level control is essential when breastfeeding. You may have to make some additional observations and be in close contact with your doctor during the first weeks, while your hormones and milk production are stabilized.

Mothers who are susceptible to the increased risk of premature births, due to diabetes, and their children can develop a long-lasting levels of blood sugar shortly after birth.

In children born from mothers with diabetes, there may be jumps of sugar immediately after delivery. Since before delivery, the blood sugar level at the embryo is similar to the level of the mother. And if it is elevated, the growing body needs to compensate for its development of more insulin. After childbirth, the child ceases to receive elevated sugar from the mother, but his body has a habit of habit more insulin than it is necessary. Such babies needed frequent sugar measurements and frequent breastfeeding.

Negative factors

Of all sorts of stress directly affect the hormone oxytocin, which plays a major role in breastfeeding. It performs the transport function moving milk from reactogenic sections of the breast to the near-slip circles from where the baby is directly sucking milk. Mothers who are in a state of anxiety or feel pain, decreases the secretion of the hormone, and with it and the production of milk.

Dairy mixture and risk of diabetes and obesity

According to American Medical Academy, the use of mixtures for feeding, and the actual cow's protein itself can cause a type of type 1 in the child in the future. The researchers argue that breastfeeding reduces the risk of obesity and type 2 diabetes in the future by 40%.

findings

The above data is shown: it is necessary to encourage mothers to feed the breasts, helping them in every way and maintain them in this. After all, as proven by long-term studies, breastfeeding significantly reduces the risk of developing diabetes of both types of both the child and the child.

The name "blood test for sugar" has historical meaningWhen medieval doctors, having heard the patient complaints about constant thirst, frequent urination and mineral infections, believed that in this state, an increased amount of blood sugar is guilty. Only then, according to the results of the studies, it became clear that in the metabolism, the main role belongs to glucose, to which all complex carbohydrates are also split and split; In this, the cycles of chemical reactions turn simple sugars.

Why do you need glucose?

As already mentioned, glucose is the main energy material for cells and tissues, especially for the brain. When glucose in the blood for some reason is not enough for maintaining the functioning of organs, fats are beginning to be spent. As a result of their decay, ketone bodies are formed, which are very dangerous to the body and primarily for the brain.

Explicit proof of this is children: often weakness, drowsiness, vomiting and convulsions for any acute diseases have a basis - acetional state. This happens when children's organism, I strongly need energy to combat the disease and not getting enough carbohydrates, takes it out of fats.

Glucose enters the body of food. Part of it performs the main work, the largest part is postponed in the liver in the form of a complex carbohydrate - glycogen. When the body needs glycogen, there is a launch of special hormones, and they include chemical reactions Transforming glycogen in glucose.

What is regulated by the blood glucose level?

Insulin is a major hormone that reduces blood sugar performance. It is produced in the pancreas, in its beta cells. Increases glucose levels many hormones:

• glucagon is synthesized in other pancreatic cells, reacts to a decrease in glucose below the norm;
• adrenaline and norepinephrine - hormones formed in adrenal glands;
• glucocorticoids (cortisol, corticosterone), which are synthesized in the other layer of adrenal glands;
• indirectly raise sugar hormones of the thyroid gland;
• "Command" hormones - are formed in the hypothalamus and hypophysies (brain departments), affect glucocorticoids, and on the production of adrenaline and norepinephrine;
• there are also hormone substances that also increase blood glucose levels.

As we see, it increases the level of sugar many hormones, but reduces only one - insulin. Stimulation of certain hormonal processes depends on the vegetative nervous system. Thus, the parasympathetic department of the nervous system reduces the level of glucose, sympathetic - on the contrary, increases.

Are there daily glucose rhythms? Yes there is. The lowest tests of blood sugar are observed at about three o'clock at night to six in the morning.

The rate of blood sugar in men and women

Blood analysis on sugar is carried out on an empty stomach, that is, before surrender, nothing can be used for 8-10 hours. Do not even drink water or tea. In addition, before analyzing, you need to sleep well. The accuracy of the result may affect the sharp infection, Therefore, during the disease, blood for sugar is usually not verified, and if they check, then this fact takes into account.

It is important to know that the blood sugar rate in men and women is the same, in other words this indicator does not depend on sexuality.

Blood from the finger (capillary) empty stomach must contain 3.3-5.5 mmol / liter of glucose. According to other units of the measurement of this unit / dL (in order to translate into the usual Milimoli doctors per liter, you need to divide the large number by 18). Cars from Vienna has a slightly different result: 4.0-6.1 mmol / liter. If the empty stomach was discovered 5.6-6.6 mmol / liter results, this may indicate a violation of glucose tolerance. What it is? This is not yet diabetes, but a violation of sensitivity to insulin, which you need to detect and treat, while the condition has not become diabetes. To confirm the diagnosis, you must pass the test for glucose tolerance with the reception of it in the form of tablets.

What is the blood sugar rate in a healthy person

The level of sugar on an empty stomach above 6.7 mmol / liter almost always speaks about the presence of diabetes. In this case, to confirm the diagnosis, you must pass three more analysis:

• reused - blood to the level of glucose;
• blood for glucose tolerance;
• the level of glycosylated hemoglobin: it is this indicator that is the most accurate in the formulation of diagnosis "Sugar diabetes".

If earlier it was necessary to go to the clinic, stand in the queue to pass the blood on sugar (besides, sometimes before the clinic have to get, and this is exercise stress, which reduces the accuracy of the results), now the problem is solved easier. There is a device a glucometer that allows you to get an accurate result without leaving home.

How to use a glucometer?

1. First of all, you should carefully read the instructions for the device.
2. Analysis is made on an empty stomach.
3. It is necessary to wash your hands with warm water, it is good to stretch medium or ring finger.
4. Then you need to wipe my finger with alcohol.
5. We make a puncture as a scarifier, which is attached to the glucometrov, not in the center of the finger, and on the side.
6. The first drop of blood wipe dry wool.
7. We drip the second drop on the test strip, which is then placed in the glucometer and read the result.

Blood sugar rate after meals

After eating, the level of sugar should not be higher than 7.8 mmol / liter. If it is below 4 mmol / liter, it is also an alarm signal that requires further research.

Glucose tolerance analysis

Before spending directly the test itself, the blood is taken on an empty stomach (8-10 hours after the last meal). Then you need to drink 75 grams of glucose dissolved in warm water (it is necessary for grams, you can add some lemon so that it is not so unpleasant).

After 2 hours, after the man sat in the corridor of the clinic (so as not to distort the result at this time, it is forbidden to smoke, walk, there is also a.), Blood from the finger is taken again. Disruption of tolerance is considered to be the result when 2 hours of glucose 7.8-11.1 mmol / liter, diabetes - when the result is above 11.1 mmol / l.

Blood sugar rate during pregnancy

During the gestation of the mother's fabrics, they have a higher than normal, tissue sensitivity to insulin. This mode is necessary to ensure the energy of not only the mother, but also the child.

During pregnancy, the level of glucose levels can be slightly higher: the numbers of 3.8-5.8 mmol / liter are considered normal. The numbers above 6.1 mmol / liter require additional testing of the tolerance to glucose.

Pregnant women are possible the development of gestational diabetes, when the fabrics of the mother are resistant to the insulin produced by its own pancreas. Such a condition is usually developed by a pregnancy nangel. It can go through itself after childbirth, but can go to diabetes mellitus.

Therefore, it is impossible to refuse analyzes, especially if a pregnant woman suffers to obesity, or someone from her relatives ached with diabetes.

Blood sugar in children

In children, until the year, the level of glucose is: 2.8-4.4 mmol / liter, up to five years - 3.3-5.0 mmol / l, from older children are the same as in adults.

If a child has a quantity of sugar 6.1 mmol / l or higher, it requires a test for glucose tolerance, and sometimes the level of glycosylated hemoglobin.

When are diagnosed with sugar diabetes?

Only on the results of three tests:

1. blood sugar level on an empty stomach - more than 6.1 mmol / l;
2. sugar level after 2 hours from the receipt of 75 grams of glucose greater than 11.1 mmol / l;
3. glicated hemoglobin above 5.7%.

Blood sugar rate in pregnant

During pregnancy, women have a complete restructuring of the body. At this time, he mobilizes all the forces to wear the fetus and subsequent birth. Many states that are considered to be pathological in the absence of pregnancy, during the expectation of a new life, smoothly go into the category of physiological changes associated with pregnancy. For example, swelling, heartburn, back pain, dyspnea are present in many future mothers. All these states are associated with the fact that the fruit presses and the internal organs. Although relying on the fact that all of the states described above or the presence of other not described is the norm. Pregnant women about the presence of such complaints should report Akuster-gynecologist, because the line between physiology and pathology is very subtle and only a doctor can understand it. Of course, in many cases, he will rely on tests. Blood analysis on sugar to future mommies is prescribed in obligatory. But what is the norm of sugar in blood in a pregnant woman let us understand.

Preparation for Sugar Analysis

As soon as the woman is taking into account the women's advice on pregnancy, she immediately gives a lot of directions on various tests. Among these will be the blood test on sugar. In order for the result to be as close as possible to the real picture you need blood for this study to hand out true. How to do it? Easy. Come to the laboratory in the morning on an empty stomach. If someone does not know what an empty stomach is, we will explain. This means that there is nothing in the morning. It is also impossible to drink anything other than non-geashed and not sweet water. In addition, the day before the analysis, avoid greasy and too sweet food. You must also take care of your body from stress and heavy physical exertion. (This item of rules for the analysis of the analysis, a woman must adhere to the entire pregnancy).

Blood is taken in the laboratory of the finger. The result, thanks to modern devices will be known immediately. In addition, such research can be carried out at home if there is a portable glucometer. However, in this case it is important to know the following:

• making a study of the house, you also need to adhere to the rules for preparing for analysis;
• carefully make sure that the test strips are stored correctly, namely in hermetically closed capacity and had no overdue shelf life;
• the blood sugar rate needs to be read in the instructions attached to this instrument. Sometimes different manufacturer indicate several other boundaries of the norm.

Indications for analysis

Pregnant, this analysis is prescribed to everyone, but women from risk group deserve special attention. These include pregnant women with patients in the blood of patients suffering from endocrine diseases, in particular diabetes, women whose first pregnancy accounted for higher than 30 years; Women with overweight body.

In addition, such complaints like dry mouth, constant thirst, increase weight, dryness and itching of the skin, abundant and frequent urination is also a caretaker of an experienced physician and he will certainly want to know the amount of blood sugar.

Blood sugar normal in pregnant

When the analysis of the blood sugar rate in the blood is considered from 4 to 5.5 Milimol / liter. However, even after meals, the result should not be higher than 6.7 mmol / l. In pregnant women, starting with the middle of pregnancy, even on an empty stomach, the norm may be slightly higher than 5.5 mmol / l. This is explained by the fact that the pancreas of a woman, in whose womb is the fruit, does not cope with the temporary load. But again, I would like to recall that the norm is or pathology, let us understand competent persons, namely doctors.

Blood sugar is increased in pregnant

For the first time revealed increase in blood sugar or hyperglycemia, pregnant women are called gestational diabetes. Usually, such a phenomenon takes place in itself on day of birth. However, it is precisely such women, as well as for pregnant with diabetes mellitus, constant control is conducted. Increased sugar in the human body adversely affects the child, which feeds through the placenta of it with blood, such a baby can gain overweight in the womb, which will increase the risk of breaks or a delivery by caesarean sections. Also, hyperglycemia provokes the presence of intrauterine hypoxia of the fetus.

Blood sugar is lowered in pregnant

Just a decrease in blood glucose for pregnant women is a fairly common phenomenon. This is explained by the fact that the sugar is needed and the fetus is also. Signs of hypoglycemia are general weakness, increased fatigue that occurs more often on an empty stomach, and after eating pass. And pregnant believes feels a tide. Therefore, pregnant women are recommended, there is 5-6 times a day in small portions and drink 1.5-2 liters of water.

What can affect the result?

Incorrect preparation for analysis can lead to biased numbers. This means if pregnant has passed blood, without adhering to certain rules for the analysis (see above). Also, some medicines can increase or lower glucose. Therefore, inform all medicines that you took a doctor.

Blood sugar during pregnancy

Sugar in the blood of any person is constantly present. More precisely, it is not sugar, but correctly say glucose. It is in such a form that incoming complex carbohydrates turn into the body. Some of them rushes to the performance of their main function - the supply of all cells and body tissues with vital energy. If carbohydrates were admitted with food, the residue is deposited in the liver to the margin, taking the form of glycogen (polysaccharide generated from glucose residues).

There are several hormones capable of increasing blood glucose levels, and only one that reduces it is insulin. Insulin is produced in the pancreas, and during the pregnancy, these processes are activated in connection with increasing energy needs (it is necessary to ensure the development and growth of the fetus). If for some reason, the beta cell producing insulin does not work well, the blood glucose level increases. And this indicator during the launching of the child must be kept under control.

Why check blood sugar during pregnancy?

Deviation of glucose concentration in blood from the norm, as a rule, talks about the development of a serious disease. It is most often that there is an increase in the level of sugar, although their significant decrease is also quite dangerous: it is usually accompanied by the formation of ketone bodies, which are very toxic for the body.

Increased level of sugar in the blood mainly indicates the development of diabetes. And pregnant women, among other things, make up a large group of risk on the development of this disease. More often she is temporary and after childbirth disappears (then they talk about gestational diabetes), but may not be excluded, go to real diabetes mellitus.

In a word, the level of blood sugar in pregnant women must be kept under control. The main risk factors for diabetes during pregnancy are:

• hereditary predisposition (if among close relatives there are patients with diabetes mellitus);
• the age of the future mother of the elder;
• multi-way;
• birth of large children (heavier than 4500 g and is 60 cm longer) and with defects of development;
• diseases, fading (miscarriage) of pregnancies or the birth of dead children in the past;
• the usual non-penalty of pregnancy (2-3 and more miscarriages in history);
• passage of hormonal treatment of infertility;
• overweight, obesity.

Blood sugar during pregnancy: normal

The analysis on the level of glucose is subject to mandatory in the beginning (when registering in 8-12 weeks) and at the end (at 30 week) of pregnancy. Blood take an empty stomach of veins or fingers. Most often in the second way, so below we will talk about it.

Before analyzing, it is impossible to use anything for 8-10 hours, and it is also important to sleep and be in a state of absolute health. If you are experiencing any ailment, then it should be warned.

In each laboratory, blood sugar norms may differ depending on the measurement units used. Usually, the level of glucose is determined in millyol to the liter - mmol / l. When the blood fence from the finger is an empty stomach of the norm, indicators are considered in the range from 3.3 mmol / l to 5.5 mmol / l (during the pregnancy, the norm can be considered up to 5.8 mmol / l), from veins - from 4.0 to 6 , 1 mmol / l.

Also, blood sugar concentration can be determined in mg / dL - in this case, the norm when the blood is taken from the thumb. To bring these units to approximately in mmol / l, the resulting indicator is divided by 18.

See also:

Diabetes compensation for pregnancy

The number of women with diabetes of pregnant women is steadily growing. Another ten years ago, doctors led to a figure of 1-2%, today with similar troubles there are about 3-5% of future mothers. And only half of them consciously went to the conception of a child with a diagnosis of the diagnosed, the rest of the same diabetes already during the toal.

Diabetes of pregnant women and actually the classical disease have several different nature. At the same time, their influence on the formation of all systems of the future kid is equally destructive. For this reason, in fact, in these 9 months it is not so important to find out where the disease came from, but it is extremely important to achieve ideal compensation.

What are the norms of sugar during pregnancy

Under compensation implies the achievement of parameters as close as possible to the indicators of a healthy woman. If someone considered an acceptable sugar increase, for example, up to 12 mmol, now it's time to significantly reduce the upper border of the allowable sugar.

IN different countriesYes, that there, in different polyclinics and specialists, the values \u200b\u200bof the sugar rate in the blood during pregnancy may differ somewhat. Some doctors demand to reduce glucose to standards at any cost, others do not see the tragedy in some fluctuations believing that the larger importance for the well-being forbidding is the calm condition of the nervous system.

However, blood sugar norms exist. During pregnancy, they constitute the following values. An example for solid capillary blood is given (values \u200b\u200bfor plasma and venous material should be increased by 12%)

• 3.3-5.1 - on empty shop
• 5.0-7.5 - two hours after the meal
• No more than 7.8 to any random measurement
• Optimally before bedtime 5.0-7.0
• Night measurement (3-5 hours) - not lower than 3.5 mmol.

Accordingly, it is precisely that glycemia in gestational diabetes must strive to these values.

How to achieve compensation for pregnancy

Regardless of the type of diabetes before conception during the excavation period, the sacharosynging tablets do not apply. Target indicators are achieved by combining diet + adequate physical exertion.

• In the absence or deficiency of the effect, insulin is assigned

Fortunately, ordinary insulin syringes during pregnancy almost completely went into the past. Futive mothers who first received a diagnosis make it possible to use modern handle syringe or issue an insulin pump. It is this intelligent device that enjoys great popularity in developed countries, gives a chance to establish sugar in such a required limit of 3.3-7.8 mmol.

Studies confirm that the use of insulin pump makes it possible to significantly reduce the mean glucose value in the blood, which is easily determined by analyzing the glycated hemoglobin. On average, improvements occur from the indicator 7.5 to 5.7. The total daily external insulin decreases by about a third in comparison with the classical method of administering under the skin of an artificial hormone.

When planning conception, against the background of the diagnosis of the diagnosis, it is advisable to put a smart device a few months before the desired event. In this case, the patient will achieve to get used to the new method of insulin therapy, will study its dosages, psychologically tune in to change the glucose control method in the blood.

The ladies with gestational diabetes the state makes it possible to obtain an insulin pump at gratuitous use for all 9 months of to wear. The main feature of pompotherapy is the wide possibilities of the individual adjustment of the gadget, which is especially important for future mothers. After all, their need for insulin will be strongly changed throughout the entire waiting time of the child.

Remember, any methods of therapy in endocrine pathologies can only be applied after agreement with the doctor!

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What is the norm of glucose in the blood after eating during pregnancy?

During pregnancy in the female body, certain changes occur.

And some laboratory tests may have other standards. It concerns this and the level of glycemia.

This indicator needs to closely. Otherwise, there is a risk of harm the embryo and the health of the future mother. What a sugar rate is accepted after eating in pregnant women, how to avoid diabetes - the article will tell about all this.

What level of glycemia is considered normal after meals?

A healthy woman who gives blood to sugar on an empty stomach, the indicator should be from 3.4 to 6.1 mmol / l.

After a couple of hours after breakfast, it is permissible to increase to 7.8 mmol / l. Next, there is a gradual decline to the standard.

As for future mothers, there are several others here. This is explained by those metamorphoses that occur in the hormonal system of pregnant.

It should be noted: in many respects, the values \u200b\u200bdepend on the blood intake method: it is taken from Vienna either from the finger. It is also important to take into account when there was the last meal of food, what was the caloric content of food eaten.

Installed sugar rate 1 hour after eating during pregnancy at 6.7 mmol / l.

And the sugar rate 2 hours after eating in pregnant women should not be higher than the mark of 6 mmol / l. At any time of the day, glucose content is allowed to 11 mmol / l. At a higher value this indicator, It is worth suspecting diabetes.

If gestational or sugar diabetes is developing, it is necessary to try to keep the level of glycemia as close as possible to the regulatory value.

Doctors advise pregnant women with gestation or diabetes achieve such results:

• sugar on an empty stomach not higher than the mark of 5.3 mmol / l;
• glycemia an hour after breakfast - about 7.8 mmol / l;
• two hours - up to 6.7 mmol / l.

What are the deviations from the standard?

A woman who carries the child is obliged to constantly monitor his health, to inform his gynecologist about the slightest changes in well-being.

Since during the pregnancy period, the likelihood of gestational diabetes is significantly increased.

If an empty stomach sugar is higher than after eating during pregnancy, it means that it is better to make an appointment to the doctor-endocrinologist.

With a gestational type of diabetes, the blood glucose indicator is higher than the norm, but lower than in a person who is ill-suffering a second-type diabetes. A similar phenomenon is explained by the fact that the amount of amino acids significantly decreases in the blood and the number of ketone bodies increases.

It is important to know the regulatory indicators of sugar. Since gestational diabetes leads to a number of unpleasant consequences:

• fetal death;
• obesity;
• cardiovascular pathologies;
• hypoxia or asphyxia in childbirth;
• hyperbilirubinemia;
• development of second type diabetes;
• respiratory Distress Syndrome;
• diabetic fetopathy in the kid;
• traumatization of the skeleton and different violations in the work of the central nervous system of the child.

The manifestations of gestational diabetes are usually weakly pronounced: often pregnant women do not even pay attention to the symptoms of the disease. It creates serious problem. To identify the disease is easy through blood analysis in the laboratory. You can spend a test and independently in conditions of the house.

To do this, you will need to buy a special device - a glucometer. Doctors argue that an empty stomach of glycemia in the norm should be ranging from 5 to 7 mmol / l. Tolerance to glucose an hour after breakfast - up to 10 mmol / l, and after two hours - not higher than 8.5 mmol / l. True, it is necessary to take into account the degree of the error of the glucometer.

According to statistics, 10% of women develop a gestational form diabetes. As a rule, it is manifested at the end of the second or third trimester. But in 90% of cases, pathology disappears without treatment after delivery. True, such representatives of weak gender, a certain risk of the development of a second-type diabetes in the future is noted.

Since by the end of the second and third trimesters there is a threat to increasing insulin secretion, gynecologists' doctors on the period of 28 weeks are usually prescribed to pass the hourly oral test to the level of glycemia. The normative indicator is up to 7.8 mmol / l. If, after a woman accepted 50 grams of glucose, the analysis showed a higher result, then the doctor prescribes a three-hour test using 100 grams of glucose.

Pregnant women are diagnosed with diabetes mellitus if the test results show the following:

• After an hour in the blood, the level of glycemia exceeds a value of 10.5 mmol / l.
• After a couple of hours - more than 9.2 mmol / l.
• After three hours, the indicator is above 8 mmol / l.

It is important to regularly check the content of glucose and know blood sugar norms in an hour after eating in pregnant women.

Symptomatics

Women who enter the child, doctors advise periodically check blood for glucose content. If diabetes manifestations are observed, the analysis should be carried out before the scheduled period.

The fact that the level of glycemia is increased, the following signs are indicated:

• severe thirst that does not pass even after a large amount of water drilled;
• increased daily urine volume. At the same time, Urin is completely colorless;
• naked feeling of hunger;
• steadily high indicators of the tonometer;
• weakness and very fast fatigue.

To put an accurate diagnosis, eliminate hidden diabetes, the doctor guides the patient to pass urine and blood analysis.

Slightly elevated results are optional norm. It is explained by the fact that during the nipping of the embryo, the pancreas is subject to a certain load and is not able to function fully. This causes a slight increase in sugar. The strong deviations from the norm talk about pathology in the work of the endocrine system.

How to bring the level of glycemia to the regulatory value?

From the menu it is required to completely remove all the simple carbohydrates that are characterized by rapid splitting:

• chocolate candies;
• sausages;
• pork fried meat;
• solid either condensed milk;
• tomato paste, mayonnaise, sharp sauces.;
• mashed potatoes;
• sour cream;
• sweet types of fruit;
• carbonated sweet drinks and store juices;
• goose and duck meat;
• ice cream;
• homemade fat.

• buckwheat;
• fresh or stewed vegetables;
• rice;
• grain products of solid varieties;
• baked in the oven potatoes;
• lentils, beans and other bean;
• non-fat meat veal;
• chicken;
• rabbit meat.

There are products that possess antidiabetic properties. This is worth attributed spinach, garlic, a pearl cereal, cereals, Tomatoes, carrots, radishes, soy milk and cabbage. Nutritionists also advise to eat quince, berries lingonberries and gooseberries, degreased cottage cheese, drink kefir and spokes. Lemons are allowed in limited quantities.

Video on the topic

Glucose level specialist in blood during pregnancy:

Thus, in pregnant women, the norm of glycemia differs from the norm that is installed for women who do not wear a child. This is due to certain changes in the body of the future mother. If after breakfast the level of glycemia is higher than 6.7, it is worth suspection of the development of pathology. It should be noted that pregnant women are prone to the development of a gestational type of diabetes. After delivery, all indicators are usually returned to normal. BUT B. some cases There is a diabetes of a second type. Therefore, it is important to periodically monitor the content of glucose and with the slightest deviations from the standard to contact the endocrinologist.

• Eliminates the causes of pressure disorders
• Normalizes the pressure within 10 minutes after the reception

Sugar diabetes of pregnant women: will pass by himself?

One of the possible complications of the second half of pregnancy is gestational diabetes mellitus. What is he dangerous?

Larisa Nikitin

Endocrinologist of the Higher Category, Moscow

Diabetes, including gestational (that is, arising during pregnancy) is associated with a violation of metabolic processes. The body receives three groups of nutrients - proteins, fats and carbohydrates. In the process of digestion, they are converted accordingly in amino acids, fatty acids and glucose -

blood sugar, main energy supplier. In order for glucose to penetrate the cell, the hormone is responsible for the hormone, which is produced by the pancreas. If a person is healthy, then its carbohydrate exchange is in order: insulin regulates the amount of blood sugar, and all organs get enough energy for normal life. In diabetes, the metabolism is disturbed, and the sugar entering the blood cannot get into the cells due to the lack or absence of insulin (type I diabetes), or when insulin loses the ability to "work" in due mode (type II diabetes). Hyperglycemia occurs - an increase in blood glucose levels, fraught with serious troubles for the body.

Who can have gestational diabetes?

Why do one of future mothers arise this disease, and others do it safely by side? First of all, the case is in heredity. If one or more of your closest relatives have diabetes, it means that you may have a genetic predisposition to it. Group high risk Those who, who in past pregnancies there were violations of carbohydrate exchange. Adverse factors also belong to excess weight. Calculate your body mass index (weight should be divided into growth raised to the square), and if the "at the output" turned out to be a number 30 and more, there is a serious reason to regularly check blood sugar levels.

Among the factors of the average risk to the development of this complication are the age of pregnant older than 35 years old, fast weight gain or multi-way during the current pregnancy, the birth of a child weighing more than 4 kg in the past (at the birth of a large baby there is a chance that the previous pregnancy has no gestational diabetes was detected but proceeded in a hidden form).

Unfavorable history of the development of previous pregnancies (habitual misunderstanding, congenital villocks Development in children born earlier) also increases risks.

What is dangerous diabetes of pregnant women?

With a sustainable increase in blood sugar, you may notice that it is faster to get tired or more often to experience thirst, a rapid weight gain may occur or problems with vision will occur, urination will be frequent. However, the cunning of gestational diabetes is that at the initial stages he often does not show itself: you feel fine, and meanwhile your pancreas no longer copes with the load. And the World Health Organization confirms this: gestational diabetes is most often diagnosed during prenatal screening, and not on the basis of complaints of the future mother. Therefore, the only reliable way to find out whether everything is in order with carbohydrate exchange in the body - to pass the blood test on sugar.

The list of risks in gestational diabetes proves that it is impossible to ignore the problem. But it can be solved by normalizing the level of sugar in the blood of the future mother.

Blood test during pregnancy

The study of blood in order to determine the level of sugar is made several times for pregnancy (immediately after registration, in 20 and 30 weeks). In one of the first visits to Akuster-Gynecologist, on a period of 8 to 12 weeks, the doctor will definitely write you the direction for this analysis. Blood should be handed over an empty stomach, otherwise it is not necessary to prepare for him and observe any diet on the eve. If the analysis is above 6.1 mmol / l (for blood from Vienna), then you will have to undergo a special additional examination, including the studies of glycosylated hemoglobin (at the same time the average blood sugar level is determined for 3 months), and if necessary, a special test with load glucose to identify violations of carbohydrate exchange. In compulsory, such a test is carried out with those who relate to the group of high risk to develop diabetes. It is on the basis of this analysis - it is called the Testament Test to Glucose - is set (or not) diagnosis of gestational diabetes mellitus.

Treatment of diabetes in pregnant women

There is no dispute, the diagnosis of gestational diabetes mellitus does not add any positive emotions to the future mother, nor optimism. But every time you are covered by a wave of fear for yourself and a child, think about the fact that many women with the same diagnosis safely gave birth to healthy kids and live a full-fledged life, remembering diabetes only as an episode of pregnancy period. Your diagnosis is not a reason for panic, and the signal to closely keep up with its nutrition, to take tests on time and strictly comply with the recommendations of the doctor. In addition to planned visits to the gynecologist, you now need to consult a weekly with an endocrinologist, which will help balance the carbohydrate exchange in the body and avoid complications.

The strategy of your treatment will depend on the level of blood sugar, which you will now measure the homemade glucometer regularly several times a day: an empty stomach and 2 hours after each meal.

Diet with gestational diabetes

The doctor will explain to you the principles of nutrition, which must be adhere to childbirth, will help calculate the daily need for calories and distribute it into proteins, fats and carbohydrates. Under the ban will be products with a high glycemic index - sweets, fast food and some fruits (for example, grapes, melons and bananas), as well as products rich in fats of animal origin (mayonnaise, margarine). The indispensable component of your diet will be green vegetables and leaf salad, low-fat beef and cottage cheese, as well as products with a high content of fiber - such as bread made of coarse grinding and porridge from solid grain. It will be necessary to be often, but in small portions, so you will avoid a significant increase in blood sugar after meals. It is recommended to conduct a food diary, scrupulously recording in it all that you eat in each meal, and subsequent glucometer readings.

Medicines for gestational diabetes

But in some cases, only a special diet compensate for diabetes (if the level of glucose after meals rises above 8 mmol / l). Drugs that reduce blood sugar, during pregnancy can not be taken, because they have a negative effect on the fetus, so the endocrinologist together with the gynecologist is selected for each woman individual treatment.

Will gestational diabetes?

Unlike diabetes of other types, gestational passes after childbirth itself. The effect of pregnancy hormones on metabolic processes in the body is terminated, and signs of illness disappear with them. Over the next few days, carbohydrate exchange is completely normalized. After 6 weeks after childbirth, it is necessary to make a blood test analysis to make sure that you have everything in order with the level of sugar, and all the problems and fears will stay behind. There is, however, a spoon of tar in this barrel of honey: According to statistics, if a woman has suffered at least once gestational diabetes, the risk of developing diabetes in the future increases significantly. And therefore, it makes sense to maintain further the principles of nutrition, which you adhered to during pregnancy, and regularly take an analysis to determine blood sugar levels. And do not forget to include an endocrinologist to the list of doctors who need to be visited when planning the next pregnancy.

Sugar consumption in large quantities is harmful not only for nursing mothers, but also for other people. But in small doses, it is even useful. After all, he raises the mood and relieves fatigue, helps with depression and insomnia, improves the overall tone of the body. The main thing, with breastfeeding, do not overeat sweet and not use chemical sugar substitutes.

Sugar benefits for nursing

Normal sugar or sucrose contains a large amount of carbohydrates. This is a valuable nutritional product that satures the body of energy and increases the level of serotonin or, the so-called hormone of happiness.

In addition, it performs the following useful features:

• Gives cheerfulness and energy. Restores forces with physical and emotional overvoltage;
• Increases the mood and helps fight depression;
• Removes fatigue, spasms and pain;
• Normalizes sleep and helps with insomnia;
• Protects the liver from the negative effects of toxins;
• Improves the absorption of vitamin B, iron and calcium;
• Participates in the formation of the brain and stimulates brain activity.

The sugar enters glucose, lactose and fructose. The listed substances are necessary for the full growth and development of infants, as well as for the emergence of mom after childbirth. Sugar cannot be excluded from the diet with breastfeeding, as it gives the necessary energy and baby, and mom.

Many moms after childbirth and in breastfeeding are experiencing strong physical and emotional loads. The lack of rest and sleep, the decline and nervous exhaustion often pursue women. Then sweets come to the rescue. They raise the mood, give cheerfulness and strength. In this case, sugar is not only possible, but also need to be used. But, of course, in limited quantities. And what else will help a nursing mother to cope with depression, read.

Sugar harm for mom and infants

Sugar consumption in small quantities will not harm neither mom or baby. Therefore, with breastfeeding, one or two cups of tea with one teaspoon of sugar per day and even a small piece of chocolate or other sweets can be allowed. Nursing mom is not recommended to eat candies, milk and white chocolate, cakes and other "heavy" flour products. Cannot drink carbonated drinks!

Nursing mom you can use the following sweets:

• White marshmallow;
• Eastern delicacies (Lukeum, Halva, Kozinaki, Fastille);
• Dark natural chocolate;
• Fresh and oatmeal cookies;
• Dried fruits (prunes, dried, raisins, especially useful - dates);
• (bananas, apples and pears are most safe when breastfeeding);
• Natural compotes and juices;
• Homemade jam and jam.

But it is impossible to abuse sugar and sweets with breastfeeding! An excess of this product leads to many negative consequences, among which the violation of the endocrine and the immune system, deterioration of the state of the teeth, the appearance of caries and diathesis, weight gain and the risk of diabetes.

A large quantity of sugar is digested for a long time and is hardly absorbed, which negatively affects the faster digestion of infants. As a result, the baby increases colic and gas formation increases, pain in the stomach appear.

The most common reaction of infants for excess sugar is allergic. On the skin, the child appears rash and redness, itching and swelling. Especially often it arises due to the overeating of confectionery products. Eastern sweets in the overaffect cause gravity and pain in the stomach, bloating and other digestive problems.

Than replace sugar

Many mothers are interested in whether it is possible to replace sugar for lactation. First of all, you need to include a large number of fruits and vegetables in the diet, which includes fructose and glucose. These useful substances perform all the necessary sugar functions.

An excellent alternative will be reed sugar. it useful product With a large number of vitamins and minerals, among which potassium, calcium and magnesium, iron and phosphorus. It contains less heavy carbohydrates than the usual one. It is easily absorbed and does not affect the digestion infants.

Reed sugar are called a harmless source of energy and is used as a sweetener. It increases the volume, improves the consistency and taste of the product.

People suffering from diabetes replace sugar on fructose. Fructose - Natural sugar, which is extracted from fruit. This is a low-calorie product that does not contribute to the appearance. excess weight And does not affect the state of the teeth. Fructose is suitable for active people, nursing mothers and diabetes patients.

Interestingly, fructose is much sweeter than ordinary sugar. Therefore, the consumption of such a product will be less. It quickly saturates and tones the body, does not cause changes in blood sugar levels and strengthens immunity, minimizes the risk of an allergic reaction.

However, per day you can not take more than 30 grams of fructose! The oversupply of this substance causes problems with the heart and vessels.

Fructose is better to get natural way from honey and fruit, and not buy a finished product in the store. In addition, in breastfeeding, modern sugar substitutes that are manufactured by an industrial way cannot be used! This is very harmful productswhich will negatively affect the health of the baby and Mom. They adversely affect the digestion of mom and infants, cause an allergic reaction and strong poisoning.

In case of breastfeeding, it is impossible to use aspartame, sorbitol, saccharin and other chemical sugar substitutes!