Diabetic patients actively control blood sugar during pregnancy. For the baby in the belly, she not only pays attention to diet, exercise and insulin treatment, but also monitors blood sugar seven times a day to ensure that the blood sugar value is controlled within a safe range. The baby finally landed as scheduled. However, the patient thought it was all right after delivery, but a few years later, the blood sugar level unconsciously returned to the level of diabetes; Doctors call on gestational diabetes patients to regularly track blood sugar changes even after delivery. Dr. Cai Shize, CEO of Diabetes Care Foundation, said that hormones produced by placenta during pregnancy will affect the function of insulin, leading to the decrease of insulin sensitivity or antagonism. Most pregnant women's bodies can respond through compensatory insulin secretion, but some people's constitutions can't fully respond, so they suffer from gestational diabetes. Usually in the 24th to 28th week of pregnancy, the doctor will arrange for the pregnant woman to have a blood sugar test. Pregnant women with a past history of diabetes without diabetes mellitus are diagnosed as gestational diabetes if they fail to pass the two-stage screening. If gestational diabetes mellitus is not properly controlled, it will have adverse effects on mother and fetus, including polyhydramnios, macrosomia, stillbirth, hypoglycemia or neonatal death. In addition to diet control and moderate exercise, patients with gestational diabetes should also monitor and record their blood sugar and make regular follow-up visits. Some doctors will check the value of fructosamine, observe the short-term (2-3 weeks) blood sugar change trend, and compare it with glycosylated hemoglobin (A 1C), so as to adjust the treatment strategy and help control blood sugar during pregnancy. For patients who have to take medicine, Cai Shize pointed out that insulin therapy is currently advocated, because insulin will not pass through the placenta, so the fetus will not be affected. Last September, the Ministry of Health, Labor and Welfare approved pregnant women to use a new type of insulin prepared by genetic engineering, which is more stable in human absorption. Cai Shize explained that long-acting insulin mimics the basic insulin secretion of the human body, so that postprandial blood sugar will rise from a lower base, so postprandial blood sugar, which is crucial for the prognosis of gestational diabetes, can be reduced to a safer range, because "the water comes out"; Relatively speaking, the effect of quick-acting insulin belongs to "cutting peaks and removing valleys", and long-acting insulin with alkali before meals is helpful to control the sharp rise and fall of blood sugar. Cai Shize said that pregnancy can be regarded as a test of glucose tolerance. If you have gestational diabetes, you might as well think from another angle, as a kind reminder or warning from God that pregnant women may have diabetes in the future, so you should pay more attention to the postpartum blood sugar changes. According to the blood sugar control guideline issued by American Diabetes Association (ADA)20 14, patients with gestational diabetes should go back to the Department of Metabolism within 6 ~ 12 weeks after delivery, and then follow up every three years. Dr. Cai especially appealed to all patients with gestational diabetes to follow up regularly and not to miss the opportunity of early detection of diabetes. Subscribe to the health Aloha audio-visual channel, read health knowledge more easily, and pay attention to your health every day! Line @ ID: @:/supply/article/13973/Pregnant diabetes should be cured after delivery. Key words: gestational diabetes mellitus, blood sugar, caring foundation, Cai Shize, insulin, H.