{"id":86008,"date":"2020-04-21T18:12:10","date_gmt":"2020-04-21T09:12:10","guid":{"rendered":"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/"},"modified":"2025-10-15T15:09:42","modified_gmt":"2025-10-15T06:09:42","slug":"gestational-diabetes","status":"publish","type":"post","link":"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en","title":{"rendered":"What is gestational diabetes? What to be careful of if it is detected during a health check [Doctor-supervised]"},"content":{"rendered":"\n<div class=\"toc\">\n\t<ul>\n\t\t<li><a href=\"#c1\">Introduction<\/a><\/li>\n\t\t<li><a href=\"#c2\">What is gestational diabetes<\/a><\/li>\n\t\t<li><a href=\"#c3\">What causes gestational diabetes? <\/a><\/li>\n\t\t<li><a href=\"#c4\">Factors who are more likely to develop gestational diabetes<\/a><\/li>\n\t\t<li><a href=\"#c5\">How to test for gestational diabetes? <\/a>\n\t\t\t<ul>\n\t\t\t\t<li><a href=\"#c5-1\">Casual blood sugar<\/a><\/li>\n\t\t\t\t<li><a href=\"#c5-2\">Fasting blood sugar<\/a><\/li>\n\t\t\t\t<li><a href=\"#c5-3\">Glucose tolerance test<\/a><\/li>\n\t\t\t<\/ul>\n\t\t<\/li>\n\t\t<li><a href=\"#c6\">Guideline for test values \u200b\u200bfor gestational diabetes<\/a><\/li>\n\t\t<li><a href=\"#c7\">What are the symptoms of gestational diabetes? <\/a>\n\t\t\t<ul>\n\t\t\t\t<li><a href=\"#c7-1\">\u6bcd\u4f53<\/a><\/li>\n\t\t\t\t<li><a href=\"#c7-2\">\u80ce\u5150<\/a><\/li>\n\t\t\t<\/ul>\n\t\t<\/li>\n\t\t<li><a href=\"#c8\">What is the treatment for gestational diabetes? <\/a>\n\t\t\t<ul>\n\t\t\t\t<li><a href=\"#c8-1\">What is diabetic ketoacidosis<\/a><\/li>\n\t\t\t<\/ul>\n\t\t<\/li>\n\t\t<li><a href=\"#c9\">Diet and prevention of gestational diabetes<\/a>\n\t\t\t<ul>\n\t\t\t\t<li><a href=\"#c9-1\">Food precautions<\/a><\/li>\n\t\t\t\t<li><a href=\"#c9-2\">Appropriate daily energy distribution<\/a><\/li>\n\t\t\t<\/ul>\n\t\t<\/li>\n\t\t<li><a href=\"#c10\">What should I be careful about after giving birth with gestational diabetes? <\/a><\/li>\n\t\t<li><a href=\"#c11\">Conclusion<\/a><\/li>\n\t<\/ul>\n  <button class=\"toc_more\">Open table of contents<\/button>\n<\/div>\n\n\n<p style=\"width:100%;max-width:300px;margin:0 auto;\"><a href=\"\/nipt\/\" class=\"content-bnr about\"><img decoding=\"async\" src=\"\/nipt\/wp-content\/themes\/hiro_nipt\/img\/banner\/nipt04pc.png\" alt=\"\u80ce\u5150\u306e\u6027\u5225\u306f10\u9031\u76ee\u3067\u308f\u304b\u308b\"><\/a> <\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_84 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u76ee\u6b21<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Introduction\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#What_is_Gestational_Diabetes\" >What is Gestational Diabetes?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#What_causes_gestational_diabetes\" >What causes gestational diabetes?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Factors_that_may_lead_to_gestational_diabetes\" >Factors that may lead to gestational diabetes<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#How_to_test_for_gestational_diabetes\" >How to test for gestational diabetes?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Random_blood_glucose\" >Random blood glucose<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#fasting_blood_sugar\" >fasting blood sugar<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Glucose_tolerance_test\" >Glucose tolerance test<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Gestational_diabetes_test_results\" >Gestational diabetes test results<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#What_are_the_symptoms_of_gestational_diabetes\" >What are the symptoms of gestational diabetes?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Maternal\" >Maternal<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Fetus\" >Fetus<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#What_is_the_treatment_for_gestational_diabetes\" >What is the treatment for gestational diabetes?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#What_is_diabetic_ketoacidosis\" >What is diabetic ketoacidosis?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Diet_and_prevention_of_gestational_diabetes\" >Diet and prevention of gestational diabetes<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Dietary_precautions\" >Dietary precautions<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Proper_daily_energy_allocation\" >Proper daily energy allocation<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#What_to_be_careful_of_after_giving_birth_if_you_have_gestational_diabetes\" >What to be careful of after giving birth if you have gestational diabetes?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\/#Conclusion\" >Conclusion<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"c1\"><span class=\"ez-toc-section\" id=\"Introduction\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>In recent years, gestational diabetes has been increasing due to the trend of later marriage and later childbirth. When combining pregnant women who already have diabetes and those who develop gestational diabetes,&nbsp;<strong>approximately 15% of all pregnant women are dealing with diabetes during pregnancy.<\/strong><\/p>\n\n\n\n<p>If blood sugar levels in gestational diabetes can be properly controlled, there will be no complications, and the baby will be able to give birth normally, and it is said that blood sugar levels will return to normal after birth. However, if control is not successful, various problems can occur.<\/p>\n\n\n\n<p>When a pregnant woman finds out she is pregnant, she undergoes various tests during her prenatal checkups. Many women wonder if it is okay to have so much blood drawn. One of the tests performed during prenatal checkups is a blood sugar test. This is where the gestational diabetes screening test is performed.<\/p>\n\n\n\n<p>Optional tests&nbsp;include&nbsp;<strong>maternal serum marker testing<\/strong>&nbsp;and&nbsp;<strong><a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/\">NIPT (non-invasive prenatal testing) .<\/a><\/strong><\/p>\n\n\n\n<p>*&nbsp;<a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/nipt\/\">NIPT (non-invasive prenatal testing)<\/a>&nbsp;is a test that involves taking a blood sample from the mother and testing it to check for chromosomal abnormalities in the fetus.<\/p>\n\n\n\n<p>Today&nbsp;we will be talking about&nbsp;<strong>gestational diabetes .<\/strong><\/p>\n\n\n\n    <a href=\"\/nipt\/nipt\/nipt\/\" class=\"blog-card\">\n      <div class=\"blog-card-content\">\n          <div class=\"blog-card-title\">\u77e5\u7684\u969c\u304c\u3044\u304c\u308f\u304b\u308bNIPT\u3068\u306f\uff08NIPT\u306e\u57fa\u672c\uff09 <\/div>\n          <div class=\"blog-card-excerpt\">\u30d2\u30ed\u30af\u30ea\u30cb\u30c3\u30af\u3067\u884c\u3063\u3066\u3044\u308bNIPT\u306e\u307e\u3068\u3081\u3067\u3059\u3002\u30d2\u30ed\u30af\u30ea\u30cb\u30c3\u30af\u306eNIPT\u3067\u306f\u77e5\u7684\u969c\u5bb3\u30fb\u767a\u9054\u969c\u5bb3\u3092\u4f34\u3046\u591a\u6570\u306e\u75be\u60a3\u3092\u51fa\u751f\u524d\u306b\u691c\u51fa\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067...<\/div>\n      <\/div>\n    <\/a>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"c2\"><span class=\"ez-toc-section\" id=\"What_is_Gestational_Diabetes\"><\/span>What is Gestational Diabetes?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Gestational diabetes is a sugar metabolism disorder that is first detected and developed during pregnancy. Even if there were no abnormalities before pregnancy, blood sugar levels may rise due to changes in hormone secretion after pregnancy.<\/p>\n\n\n\n<p>Unlike regular diabetes, gestational diabetes usually returns to normal after delivery. However,&nbsp;<strong>gestational diabetes can affect both the mother and the fetus, so caution is required<\/strong>&nbsp;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"c3\"><span class=\"ez-toc-section\" id=\"What_causes_gestational_diabetes\"><\/span>What causes gestational diabetes?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>During pregnancy, hormones that make insulin less effective are secreted, such as hormones secreted from the placenta (progesterone, prolactin, cortisol). In addition, proteins called cytokines that suppress the action of insulin are secreted from fat tissue. Therefore, during pregnancy, blood sugar levels&nbsp;tend&nbsp;<strong>to be higher than usual and are difficult to stabilize .<\/strong><\/p>\n\n\n\n<p>In many cases, blood sugar levels can be controlled by increasing the production of a hormone called insulin from the pancreas, but blood sugar levels can sometimes become high due to genetics, lifestyle, and constitution.<\/p>\n\n\n\n<p>These hormonal changes occur because the baby receives nutrients through the umbilical cord, so they are good for the baby&#8217;s development, but&nbsp;<strong>if the balance is lost<\/strong>&nbsp;, it can have a negative effect on both the mother and the baby.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"600\" height=\"400\" src=\"\/nipt\/wp-content\/uploads\/2022\/06\/gestational-diabetes01.jpg\" alt=\"\u598a\u5a20\u7cd6\u5c3f\u75c5\u306e\u539f\u56e0\" class=\"wp-image-30789\"\/><\/figure><\/div>\n\n\n<h2 class=\"wp-block-heading\" id=\"c4\"><span class=\"ez-toc-section\" id=\"Factors_that_may_lead_to_gestational_diabetes\"><\/span>Factors that may lead to gestational diabetes<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Have a family member with diabetes<\/li>\n\n\n\n<li>Obesity (BMI 25kg\/m2 or above)<\/li>\n\n\n\n<li>Giving birth at an advanced age (over 35 years old)<\/li>\n\n\n\n<li>Have a history of giving birth to a large baby<\/li>\n\n\n\n<li>Pregnancy-induced hypertension group, with a history<\/li>\n\n\n\n<li>Polyhydramnios<\/li>\n\n\n\n<li>Have a history of unexplained habitual miscarriage or premature birth<\/li>\n\n\n\n<li>Have a history of giving birth to a child with a congenital malformation<\/li>\n\n\n\n<li>Severely positive urine sugar or repeated positive urine sugar two or more times<\/li>\n<\/ol>\n\n\n\n<p>If any of the above applies to you, you may be at increased risk of developing gestational diabetes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"c5\"><span class=\"ez-toc-section\" id=\"How_to_test_for_gestational_diabetes\"><\/span>How to test for gestational diabetes?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>During early prenatal checkups, blood sugar levels will be measured at random (regular blood sugar tests).<\/p>\n\n\n\n<p>If your random blood sugar level is high, a glucose tolerance test is performed.<\/p>\n\n\n\n<p>A glucose tolerance test is&nbsp;<strong>a method of testing your blood sugar level by drinking a test juice that contains sugar (75g of glucose)<\/strong>&nbsp;.<\/p>\n\n\n\n<p>Even if you had no problems in the early stages of pregnancy, your blood sugar may become high in the middle and late stages of pregnancy. For this reason, you will be tested again in the middle of your pregnancy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c5-1\"><span class=\"ez-toc-section\" id=\"Random_blood_glucose\"><\/span>Random blood glucose<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>This is a regular blood glucose test. Your blood glucose will be measured after your usual breakfast and lunch.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c5-2\"><span class=\"ez-toc-section\" id=\"fasting_blood_sugar\"><\/span>fasting blood sugar<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>This is a blood glucose test without eating any food. The test is performed after skipping breakfast and lunch.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c5-3\"><span class=\"ez-toc-section\" id=\"Glucose_tolerance_test\"><\/span>Glucose tolerance test<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>After drinking the sugary juice, blood samples are taken one and two hours later to check your blood sugar levels.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"c6\"><span class=\"ez-toc-section\" id=\"Gestational_diabetes_test_results\"><\/span>Gestational diabetes test results<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>fasting blood sugar<\/td><td>92 mg\/dL or more<\/td><\/tr><tr><td>Random blood glucose level<\/td><td>100\u338e\/dl or more<\/td><\/tr><tr><td>Glucose tolerance test<\/td><td>Blood sugar after 1 hour: 180 mg\/dl or more<\/td><\/tr><tr><td>Blood sugar after 2 hours<\/td><td>153\u338e\/dl or more<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>*A doctor will make a comprehensive assessment of the test results for the above items to determine whether or not you have gestational diabetes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"c7\"><span class=\"ez-toc-section\" id=\"What_are_the_symptoms_of_gestational_diabetes\"><\/span>What are the symptoms of gestational diabetes?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>There are almost no symptoms of gestational diabetes.&nbsp;<strong>Since blood sugar levels can be high without you realizing it, it is important to have regular prenatal checkups<\/strong>&nbsp;.<\/p>\n\n\n\n<p>When a mother&#8217;s blood sugar level becomes high, the baby&#8217;s blood sugar level also becomes high, which can cause various problems such as the following:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c7-1\"><span class=\"ez-toc-section\" id=\"Maternal\"><\/span>Maternal<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Pregnancy-induced hypertension, polyhydramnios, retinopathy, nephropathy, shoulder dystocia (the baby&#8217;s shoulder gets stuck in the birth canal during childbirth)<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c7-2\"><span class=\"ez-toc-section\" id=\"Fetus\"><\/span>Fetus<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Miscarriage, fetal macrosomia, cardiac hypertrophy, hypoglycemia, polycythemia, electrolyte abnormalities, jaundice, fetal death<\/p>\n\n\n\n    <a href=\"\/nipt\/worries\/\" class=\"blog-card\">\n      <div class=\"blog-card-content\">\n          <div class=\"blog-card-title\">\u598a\u5a66\u3055\u3093\u304c\u62b1\u3048\u308b\u4e0d\u5b89\u3068\u30c0\u30a6\u30f3\u75c7\u306b\u3064\u3044\u3066\u3010\u533b\u5e2b\u76e3\u4fee\u3011 <\/div>\n          <div class=\"blog-card-excerpt\">\u5f85\u671b\u306e\u8d64\u3061\u3083\u3093\u3092\u6388\u304b\u308a\u3001\u598a\u5a66\u3055\u3093\u306f\u559c\u3073\u3068\u540c\u6642\u306b\u4e0d\u5b89\u3092\u62b1\u3048\u8fbc\u3080\u65b9\u3082\u591a\u3044\u3053\u3068\u3067\u3057\u3087\u3046\u3002\u598a\u5a20\u4e2d\u306e\u60aa\u963b\u30fb\u6d41\u7523\u306f\u3082\u3061\u308d\u3093\u3001\u7523\u5f8c\u306b\u5206\u304b\u308b\u80ce\u5150\u306e\u75c5\u6c17\u3084\u969c\u5bb3...<\/div>\n      <\/div>\n    <\/a>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"c8\"><span class=\"ez-toc-section\" id=\"What_is_the_treatment_for_gestational_diabetes\"><\/span>What is the treatment for gestational diabetes?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Since active exercise therapy is not possible during pregnancy, dietary therapy is first attempted, and if that does not work, insulin therapy is then used.<\/p>\n\n\n\n<p>The difference between dietary treatments for regular diabetes and gestational diabetes is the target blood sugar range.<\/p>\n\n\n\n<p>For gestational diabetes,&nbsp;<strong>the target blood sugar level<\/strong>&nbsp;is less than 100 mg\/dl before meals and less than 120 mg\/dl two hours after meals.<\/p>\n\n\n\n<p>During pregnancy, you need to take in the energy and nutrients necessary for your baby, so rather than simply restricting your diet, you need to consume a balanced diet that contains the right nutrients in the right amounts.<\/p>\n\n\n\n<p>Therefore, the amount of food consumed on a gestational diabetes diet is greater than that on a regular diabetic diet. However, the target intake amount varies depending on the state of gestational diabetes and the stage of pregnancy, so you must follow your doctor&#8217;s instructions.<\/p>\n\n\n\n    <a href=\"\/nipt\/early-pregnancy-medicine\/\" class=\"blog-card\">\n      <div class=\"blog-card-content\">\n          <div class=\"blog-card-title\">\u98f2\u3093\u3067\u3082\u3044\u3044\uff1f\u598a\u5a20\u521d\u671f\u306e\u85ac\u3068\u306e\u3064\u304d\u5408\u3044\u65b9\u3010\u533b\u5e2b\u76e3\u4fee\u3011 <\/div>\n          <div class=\"blog-card-excerpt\">\u598a\u5a20\u4e2d\u306e\u85ac\u306e\u670d\u7528\u306b\u3064\u3044\u3066\u3001\u30ca\u30fc\u30d0\u30b9\u306b\u306a\u3063\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u3053\u3068\u3067\u3057\u3087\u3046\u3002\u305d\u3082\u305d\u3082\u3001\u598a\u5a20\u4e2d\u306b\u85ac\u3092\u98f2\u3093\u3067\u3082\u3044\u3044\u306e\u3067\u3057\u3087\u3046\u304b\u3002...<\/div>\n      <\/div>\n    <\/a>\n\n\n\n<p>Another thing that must be kept&nbsp;<strong>in mind when dieting is to ensure that the mother and baby are properly nourished, avoid postprandial hyperglycemia, and avoid increased production of ketone bodies during fasting.<\/strong><\/p>\n\n\n\n<p>When fasting, the sugar in the mother&#8217;s blood is used as the baby&#8217;s energy source. Meanwhile, the mother uses fat as an energy source. When fat is used as energy, a substance called ketone bodies is produced. If too many ketone bodies are produced, it can trigger a disease called&nbsp;<strong>diabetic ketoacidosis<\/strong>&nbsp;, and the risk of this disease increases during pregnancy.<\/p>\n\n\n\n<p><strong>Diabetic ketoacidosis<\/strong>&nbsp;is a life-threatening disease for both mothers and babies. Excessive energy restriction causes excessive production of ketone bodies in the body. In particular, excessive energy restriction in obese pregnant women requires caution.<\/p>\n\n\n\n<p>The standard diet for pregnant women with gestational diabetes is said to be about 30% less than the normal diet for pregnant women, and any further reduction should be avoided.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c8-1\"><span class=\"ez-toc-section\" id=\"What_is_diabetic_ketoacidosis\"><\/span>What is diabetic ketoacidosis?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>The breakdown of fat causes an increase in substances called ketone bodies in the blood, which makes the blood acidic and leads to severe dehydration.&nbsp;<strong>Symptoms include sudden thirst, drinking a lot of water, urinating a lot, and feeling fatigued all over. Stomach pain and nausea may also occur, so if these symptoms occur, caution is advised. In<\/strong>&nbsp;severe cases, the patient may lose consciousness.<\/p>\n\n\n\n<p>If blood sugar control is insufficient even with dietary therapy, insulin therapy will be used. In the case of diabetes, oral hypoglycemic drugs can be taken orally, but in the case of gestational diabetes, these cannot be used, so insulin injections, which are safe for the baby, are used.<\/p>\n\n\n\n<p>In the case of gestational diabetes, strict management of blood sugar levels is very important.&nbsp;<strong>The goal is to keep blood sugar levels below 100 mg\/dl before meals and below 120 mg\/dl two hours after meals.<\/strong>&nbsp;As pregnancy progresses, the amount of insulin used increases, which worries many pregnant women, but in most cases, insulin can be discontinued after delivery, so there is no need to worry.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"600\" height=\"400\" src=\"\/nipt\/wp-content\/uploads\/2022\/06\/gestational-diabetes02.jpg\" alt=\"\u8840\u7cd6\u5024\u7ba1\u7406\" class=\"wp-image-30792\"\/><\/figure><\/div>\n\n\n<h2 class=\"wp-block-heading\" id=\"c9\"><span class=\"ez-toc-section\" id=\"Diet_and_prevention_of_gestational_diabetes\"><\/span>Diet and prevention of gestational diabetes<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Although moderate exercise is necessary during pregnancy, it is best to avoid too much intense exercise, so in order to prevent gestational diabetes, we recommend that you first pay attention to your diet.<\/p>\n\n\n\n<p>In dietary therapy for gestational diabetes, it is necessary to avoid taking in a lot of energy at once, which can lead to high blood sugar levels. For this reason,&nbsp;<strong>it is common to reduce the amount of food eaten at one time and eat snacks between meals<\/strong>&nbsp;. By eating a total of six meals a day, blood sugar levels will stabilize.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c9-1\"><span class=\"ez-toc-section\" id=\"Dietary_precautions\"><\/span>Dietary precautions<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Regularly<\/li>\n\n\n\n<li>Well balanced<\/li>\n\n\n\n<li>Choose foods that cause a mild rise in blood sugar<\/li>\n<\/ul>\n\n\n\n<p>Establish a regular rhythm in your life and keep the intervals between meals constant. Skipping meals or eating at irregular times can cause blood sugar levels to become unstable. Working pregnant women in particular tend to skip breakfast, and even if they eat regularly during the week, their meal times tend to become irregular on weekends. Make sure to eat regular meals at the same times every day.<\/p>\n\n\n\n<p><strong>Divide your daily energy intake into 3 to 6 equal parts (breakfast, lunch, dinner, and snacks between meals) and eat accordingly.<\/strong>&nbsp;Eating too much or too little in one sitting will not stabilize your blood sugar. Avoid eating too much at once as this can cause a sudden rise in blood sugar.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c9-2\"><span class=\"ez-toc-section\" id=\"Proper_daily_energy_allocation\"><\/span>Proper daily energy allocation<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Carbohydrates: 50-60%<\/li>\n\n\n\n<li>Protein 15-20%<\/li>\n\n\n\n<li>Fat 20-25%<\/li>\n<\/ul>\n\n\n\n<p>Ideally, a dinner table should have what is commonly referred to as a staple food, main dish, and side dish.<\/p>\n\n\n\n<p><strong>By consuming a balanced amount of carbohydrates, proteins, lipids, vitamins, and minerals, your metabolism will circulate and you will be able to burn energy efficiently.<\/strong><\/p>\n\n\n\n<p>The key to choosing snacks is to be careful not to eat anything that is high in carbohydrates or sugar.<\/p>\n\n\n\n<p>Foods that contain a balanced amount of protein and lipids, such as yogurt (unsweetened), small fish, and almonds, cause a gradual rise in blood sugar.<\/p>\n\n\n\n    <a href=\"\/nipt\/gestational-diabetes-food\/\" class=\"blog-card\">\n      <div class=\"blog-card-content\">\n          <div class=\"blog-card-title\">\u598a\u5a20\u7cd6\u5c3f\u75c5\u306b\u3072\u3063\u304b\u304b\u3089\u306a\u3044\u305f\u3081\u306b\u306f\uff1f\u6b63\u3057\u3044\u98df\u7fd2\u6163\u3092\u89e3\u8aac <\/div>\n          <div class=\"blog-card-excerpt\">\u3053\u306e\u8a18\u4e8b\u3067\u306f\u3001\u598a\u5a20\u7cd6\u5c3f\u75c5\u306e\u5065\u8a3a\u306b\u3072\u3063\u304b\u304b\u3089\u306a\u3044\u305f\u3081\u306e\u4e88\u9632\u6cd5\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u307e\u3059\u3002\u98df\u4e8b\u7ba1\u7406\u3084\u7761\u7720\u306a\u3069\u306e\u751f\u6d3b\u7fd2\u6163\u306b\u52a0\u3048\u3001\u8a3a\u65ad\u3055\u308c\u305f\u5834\u5408\u306e\u98df\u4e8b\u306e\u5de5\u592b...<\/div>\n      <\/div>\n    <\/a>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"c10\"><span class=\"ez-toc-section\" id=\"What_to_be_careful_of_after_giving_birth_if_you_have_gestational_diabetes\"><\/span>What to be careful of after giving birth if you have gestational diabetes?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>During your postpartum checkup, you will need to undergo a glucose tolerance test to see if your gestational diabetes has been cured. Even if you have been cured, if you have had gestational diabetes, you are more likely to have gestational diabetes in your next pregnancy, and&nbsp;<strong>are seven times more likely to develop diabetes in the future, so we recommend regular checkups.<\/strong><\/p>\n\n\n\n<p>It is said that breastfeeding reduces the risk of developing diabetes in both mothers and babies in the future, so try to breastfeed your baby.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"c11\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclusion<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Gestational diabetes is one of the diseases to worry about during pregnancy. By having correct knowledge about the disease, you can reduce your worries and make your pregnancy life more comfortable.<\/p>\n\n\n\n<p>Gestational diabetes is also related to future diabetes and metabolic syndrome in the mother and baby, so it is important to be careful about your lifestyle.<\/p>\n\n\n\n<p>\u3010References\u3011<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Japan Society of Obstetrics and Gynecology \u2013&nbsp;<a href=\"http:\/\/www.jsog.or.jp\/modules\/diseases\/index.php?content_id=3\" target=\"_blank\" rel=\"noreferrer noopener\">Gestational diabetes<\/a><\/li>\n\n\n\n<li>Japan Diabetes and Pregnancy Society \u2013&nbsp;<a href=\"https:\/\/dm-net.co.jp\/jsdp\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gestational diabetes<\/a><\/li>\n\n\n\n<li>Japan Endocrine Society \u2013&nbsp;<a href=\"http:\/\/www.j-endo.jp\/modules\/patient\/index.php?content_id=94\" target=\"_blank\" rel=\"noreferrer noopener\">Gestational diabetes<\/a><\/li>\n\n\n\n<li>Medical Notes \u2013&nbsp;<a href=\"https:\/\/medicalnote.jp\/diseases\/%E5%A6%8A%E5%A8%A0%E7%B3%96%E5%B0%BF%E7%97%85\" target=\"_blank\" rel=\"noreferrer noopener\">Gestational Diabetes<\/a><\/li>\n\n\n\n<li>|National Center for Child Health and Development \u2013&nbsp;<a href=\"https:\/\/www.ncchd.go.jp\/hospital\/about\/section\/perinatal\/bosei\/bosei-jsdp.html\" target=\"_blank\" rel=\"noreferrer noopener\">\u200b\u200bPregnancy and gestational diabetes<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"Introduction What is&#8230;\n <a href=\"https:\/\/www.hiro-clinic.or.jp\/nipt\/gestational-diabetes\/?lang=en\">\u7d9a\u304d\u3092\u8aad\u3080<\/a>","protected":false},"author":1,"featured_media":24562,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[97],"tags":[],"class_list":["post-86008","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/posts\/86008","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/comments?post=86008"}],"version-history":[{"count":3,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/posts\/86008\/revisions"}],"predecessor-version":[{"id":118167,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/posts\/86008\/revisions\/118167"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/media\/24562"}],"wp:attachment":[{"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/media?parent=86008"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/categories?post=86008"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hiro-clinic.or.jp\/nipt\/wp-json\/wp\/v2\/tags?post=86008"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}