As many already know, Glucose is the most important indicator of normal carbohydrate metabolism, which, as you understand, can change somewhat during pregnancy. Glucose, first of all, is important precisely because it is perhaps the most basic and even universal source of energy received by the body, and even the most important nutrient for the body. Then numerous cells of the body feed on the energy they need, since they are able to break down the resulting glucose. The glucose growing in the mother's fetus will also be able to provide the energy it needs.
Glucose, as you know, is found in all sweets familiar to us, and it is also able to enter our body with simple carbohydrates - this is, first of all, sugar, honey, and starch. Physiologically, the normal concentration of glucose is always maintained at a constant, strictly defined level, and this happens only due to the actions of the most complex hormonal processes taking place in the human body. Hormones are able to "regulate" how much glucose will be in the blood, and what concentration it will be there. The main hormone responsible for such actions is insulin. Literally any of the "interruptions" in the operation of this most complex mechanism can be dangerous for the state of human health. So, both an increase and quite the opposite, a slight decrease in the level of glucose in a person’s blood may indicate the occurrence of certain rather complex diseases.
As a rule, immediately after eating any sugary food, the level of glucose may rise slightly. And this, in turn, can lead to the release of such a substance as insulin, which actually promotes the absorption of the same glucose by various cells of the body and, accordingly, a decrease in its concentration directly in the blood. In addition, insulin is able to help the human body, as they say, “stock up” with glucose for the future.
As a rule, the concentration of glucose in human blood can be determined precisely through biochemical and also with the help of specialized glucose meters - or as they are called glucometers. Usually, blood sampling for such an analysis should be carried out in the morning, and strictly on an empty stomach - or at least eight hours after your last meal. It must be remembered that both venous (blood collected directly from a vein) and capillary blood (taken from a finger) are suitable for such tests.
It is also quite possible to determine the level of glucose in the urine. Moreover, it is in pregnant women that a certain increase in its concentration in the urine is allowed, namely up to 6 mmol / l. Moreover, this is usually associated with a relative lack of insulin in a woman's body and some hyperglycemia (more precisely, with an increase in blood glucose levels) during pregnancy.
Actually, normal level blood glucose during pregnancy is considered to be a level of 3.3-6.6 mmol / l. A pregnant woman will need to try very carefully to monitor possible fluctuations in the level of glucose in her blood, since it is indeed the period of carrying a baby under the heart that, unfortunately, may well provoke the development of such a disease as diabetes mellitus. And this happens during pregnancy, primarily because at that time the levels of essential amino acids in the blood are somewhat reduced in a woman, but the levels ketone bodies- can rise sharply.
It is considered an absolute norm if the level of glucose in the blood of pregnant women is somewhat lowered in the morning - directly on an empty stomach. And then it is approximately 0.8 maximum 1.1 mmol / l (which is about 15.20 mg%). Moreover, if a woman is quite hungry long time, then its plasma glucose level drops even to 2.2 or 2.5 mmol / l (this is 40.45 mg%).
It must be remembered that immediately at the 28th week of the current pregnancy, all pregnant women are strongly recommended to undergo a special oral test that takes an hour of your time for tolerance to glucose itself (using 50 grams of glucose). And if one hour after taking fifty grams of glucose, the plasma glucose level exceeds 7.8 mmol / l, then the woman will most likely be assigned a three-hour oral test again for glucose tolerance (moreover, now with 100 grams of glucose ).
In the same cases when, after a repeated analysis for tolerance, the level of glucose in the blood plasma of a pregnant woman will be more than 10.5 mmol / l (or 190 mg%) immediately one hour after taking required amount glucose, or if after two hours it exceeds 9.2 mmol / l (or 165 mg%), and say after three hours - 8 mmol / l (and this is 145 mg%), then the pregnant woman will be diagnosed with diabetes. This means that her body had impaired tolerance to such a component as glucose.
You need to know that the most important cause of glucose intolerance is the so-called peripheral insulin resistance induced by secreted hormones. It is worth noting that in most cases, a pregnant woman diagnosed with diabetes will have to be prescribed a strict and fairly specific diet. Moreover, such a diet is formed based on the weight of a woman, a specialist usually must calculate the required caloric content of the food consumed. And, as a rule, from 50 to 60% daily diet a pregnant woman in such cases will have to make up the right carbohydrates, and only from 12 to 20% - protein, and about 25% - normal fats. In addition, a sick woman will literally have to independently determine the level of glucose in her blood every day, and it is on an empty stomach and also two hours after eating.
In those cases when the level of glucose in the blood plasma on an empty stomach, or vice versa, immediately after the next meal will remain elevated, even insulin therapy can be prescribed to a pregnant woman. The standard indication for prescribing such therapy is a state when the glucose level obtained on an empty stomach will exceed 5.5, and 6.6 after two hours after a meal, respectively.
Diabetes mellitus occurs in pregnant women most often at the end of the second or even at the beginning of the third trimester of pregnancy and is extremely rare when it can lead to any serious malformations in the fetus. Most often, immediately after the birth of a healthy baby, the usual carbohydrate metabolism in the woman herself is completely normal. Although, it is impossible not to admit that, unfortunately, more than 30% of all women during pregnancy with an officially diagnosed diabetes mellitus can develop a persistent disease literally within five years - this is still the same diabetes mellitus.
Collapse
During the bearing of a child, significant hormonal and metabolic changes occur in the body. The work of many systems and some indicators (hemoglobin, activity immune system) begin to differ from those that were characteristic before the start of the expectation of the child. In the body, glucose during pregnancy can both increase and decrease, depending on the health of the expectant mother. That is why analysis is needed.
Hyperglycemia: symptoms
High sugar during pregnancy has all the same characteristic manifestations as in other people. The most typical symptoms are:
- For the most early stages high blood sugar is manifested in increased thirst, especially at night. There is constant dryness in the mouth;
- High blood sugar also manifests itself as frequent and more abundant urination. Sometimes it is difficult for pregnant women to track this indicator. But normally, the amount of urine should not increase, and the number of urination should increase several times. Therefore, if such symptoms are detected, it can be suspected that glucose during pregnancy is increased;
- Itching occurs when blood glucose during pregnancy has been elevated for some time. It can occur in various places, but the genitals are usually most susceptible to it;
- General fatigue is another sign that glucose has increased during pregnancy. Sometimes the feeling of fatigue may seem natural to women “in position”, however, with severe lethargy, drowsiness, depression, it is recommended to measure the glucose content.
When pregnancy occurs healthy women, sometimes their sugar rises, and therefore it is necessary to be attentive to their health and sometimes do a sugar test (for example, using a home fasting finger glucometer). For pregnant women - diabetics, the rules are even stricter. Many factors affect sugar in pregnant women, so you need to measure it more often than usual, before and after meals.
Hyperglycemia: indicators and norms
Blood sugar norms range from 3.3 to 6.6 mmol per liter. It is necessary to maintain the sugar level while expecting a child within these limits, otherwise a special type of diabetes may develop - gestational. It is he who goes into type 2 diabetes after childbirth (this does not always happen, but often enough).
The norm of sugar in pregnant women undergoes significant changes due to the fact that the number of ketone bodies increases, while the number of amino acids decreases. But in the second - third trimester (with normal course gestation) insulin secretion increases. These are the reasons why blood sugar levels are stable.
-FOOTNOTE-
At week 28, doctors prescribe a blood sugar test with a load. The exercise test involves taking 50 ml of glucose on an empty stomach. Sugar is measured after one hour. The norm of blood sugar in pregnant women in this study is 7.8. If it is higher, we can say that sugar is elevated during pregnancy and diabetes develops.
Why is hyperglycemia dangerous?
A high level of sugar (glucose) in the blood during pregnancy is more dangerous than in cases where there is no gestation. If sugar is constantly elevated, then there is a risk of developing serious complications due to the negative effects of glucose and insulin accumulated in the body. When the level is elevated, the following complications are possible:
- Angiopathy - damage to the walls of blood vessels, as a result of which blood cannot fully circulate in the body, including and flow to the fetus;
- Nephropathy - kidney damage that occurs with a constant increase in blood sugar levels and can lead to the development of kidney failure;
- Sometimes (rarely), liver failure develops in a similar way;
- Retinopathy - damage to the retina, characteristic of those who have a significantly and permanently elevated sugar level in diabetes, can lead to blindness;
- Neuropathy - damage to nerve endings in those who have glucose levels during pregnancy for a long time is at a dangerously high level, and is characterized by a loss of sensation in parts of the body (in particular, the lower extremities, sometimes to the point of losing the ability to move independently).
The consequences of high blood sugar during pregnancy for the mother and child may not be so serious. However negative impact(albeit to a lesser extent) will still have. It is necessary to control the level of glucose during pregnancy and consult a doctor immediately, because the sooner treatment begins, the more unpleasant consequences can be avoided.
Decreased glucose levels
High blood sugar during pregnancy is equally dangerous for both the mother and the baby. Therefore, control over its level should be very careful (especially for diabetics). Sugar analysis should be carried out regularly and if the slightest deviations from the norm are found, you should immediately consult a doctor.
It is very dangerous to self-medicate during this period. Sometimes, if a pregnant woman has diabetes, then even taking the usual, previously prescribed by a doctor, drugs can harm the child, and the doctor is looking for a safer alternative. However, when blood sugar is elevated during pregnancy, several general recommendations, following which will not harm either the mother or the child:
- Glucose during pregnancy will decrease when following a diet - the exclusion of easily digestible simple carbohydrates;
- Glucose in pregnant women may also decrease as a result of moderate physical exertion, since in this case it is actively converted into energy and does not have time to exert its destructive effect;
- Often glucose is increased in those who have a lot of adipose tissue, so you need to carefully monitor your weight.
If blood sugar is elevated during pregnancy in type 1 diabetics, then it is necessary to recalculate the dosage of insulin. This should be done together with the doctor, because in patients "in position" this process may have some features.
Hypoglycemia: symptoms
Hypoglycemia is a condition in which glucose is greatly reduced during pregnancy due to increased insulin production, increased physical activity, or for other reasons associated with changes in metabolism. Low glucose is no less dangerous than high. With its excessive fall, hypoglycemic coma can even occur.
The main symptom of a significant drop in sugar during pregnancy is weakness and drowsiness. On the early stages when the rate of glucose in pregnant women has decreased slightly, this manifests itself as drowsiness. As the indicator decreases more and more, lethargy appears, fatigue, constant dizziness. Possibly condition chronic fatigue. After it, if a person’s sugar level drops further, there comes a feeling general depression. These symptoms may or may not be accompanied by irritability.
Hypoglycemia: indicators and norms
The norm of blood sugar during pregnancy is 3.3 - 6.6 mmol per liter. A deviation from these indicators indicates that diabetes is developing. The lower blood sugar rate during pregnancy of 3.3 can be achieved in the study on an empty stomach or after insulin administration. If, with such a measurement, blood sugar in pregnant women in the readings of a home glucometer is below normal, you should consult a doctor.
Low blood sugar "in position" is not very common. More often during pregnancy, the norm is exceeded. However, under the condition of increased secretion of insulin, low blood sugar is possible.
Why is hypoglycemia dangerous?
The main danger that the norm is not respected, and low glucose levels are constantly present, is a hypoglycemic coma. It develops when the cells do not receive enough glucose. It is associated with respiratory and metabolic disorders and is a mortal danger for both mother and child.
The blood sugar level may be slightly reduced. This will not lead to a coma, but will adversely affect general condition. Fatigue, moodiness, depression and drowsiness lead to a deterioration in the quality of life. In addition, if the blood sugar norm is not maintained and the indicators are reduced, then the metabolism is disturbed and the fetus does not receive all the necessary beneficial compounds.
Increase in glucose levels
Many "in position" women suffering from hypoglycemia are wondering what foods increase blood sugar in pregnant women and what to eat in order for blood glucose to return to normal. Per high sugar during pregnancy, the consumption of carbohydrates is responsible. It is they who increase the performance and therefore are contraindicated for diabetics who have high sugar during pregnancy.
Carbohydrates are found in any food, but in varying amounts. Therefore, some foods affect performance significantly, while others less. The simplest and fast way normalize low sugar - sit down simple carbohydrates, which are easily digested and have a significant impact on blood glucose levels. These are carbohydrates found directly in sweets. But if the rate of sugar during pregnancy from a vein or a finger is constantly lowered, then you need to consult a doctor for a treatment.
Rules for expecting a baby
Many expectant mothers are wondering what is the normal blood sugar level and what changes in sugar levels after eating should cause concern? Table of norms for non-pregnant women, in pregnant women is not applicable. The one below shows what is the glucose norm in women when expecting a child.
Glucose levels while expecting a baby
The test shows how much insulin has bound to the receptors and how much glucose has been delivered to the cells. If, after such an analysis for sugar, the norm given in the table is exceeded, then we can say that the patient has diabetes and you should immediately consult a doctor.
Study
In a pregnant woman, all the same studies can be carried out as in a non-pregnant woman. But the interpretation of the result may differ, because the norm of blood glucose in women "in position" is different.
- The simplest and most popular blood test from a finger gives accurate results using a quality glucometer. It is made independently at home and used for current health monitoring;
- A blood test from a vein is carried out in a medical facility. It is done on an empty stomach by a laboratory assistant. In this case, the indicators may be lower than when blood was taken for sugar from a finger;
- The glucose tolerance test is another type of test that is done more for diagnostic than control purposes. First you need to find out what level of sugar the patient has on an empty stomach. Then he is given to drink glucose diluted in water. Conduct control measurements after half an hour, after 1 hour, after one and a half and after two;
- Also, sugar during pregnancy is measured in the urine. It can also serve as a reliable diagnostic sign.
If you measure the level an hour after eating, then the indicators will be quite informative, but in some cases they will still differ from the norm. Therefore, if the level of glucose in the blood is in doubt, then the first thing to do is to consult a doctor to prescribe studies for the level of glucose in the blood.
Video
←Previous article Next article →In a happy period of waiting for a baby, a woman should be especially careful about her health. Blood sugar is one of the indicators that you need to check especially often.
It is especially important to monitor the state of blood sugar during pregnancy, since this is a period when previously hidden diseases, including those of a chronic nature, come out.
Some women have an increased risk of developing diabetes during pregnancy. It can be ladies over 30 years old who have excess weight or genetically predisposed to the disease.
How to donate blood for sugar during pregnancy
In order for the results of the analysis to be more accurate, it is necessary follow a number of simple rules:
- do not eat before donating blood;
- drink only water, refuse mineral or carbonated water (before analysis);
- do not chew gum before analysis;
- don't brush your teeth.
A blood test is taken from a finger or a vein at a clinic or other medical institution. However, if you do not want to go to the hospital during pregnancy, you can purchase a special sugar test - a glucometer - and take a sugar test at home. The principle of operation is this - you need to prick your finger with a special sterile needle, and then drop a drop onto the test strip. The meter then processes the data and returns the result.
Norms and deviations of blood sugar in pregnant women
What level of sugar (glucose) in the blood should be normal in pregnant women? Sugar level at intake from a finger at 3.5-5.8 mmol / l for a pregnant woman on an empty stomach is normal. The norm of sugar during pregnancy from a vein - 4.0 to 6.1 mmol / l. After eating, the norm of sugar in pregnant women rises to 6.5-7.8 mmol / l - this is considered normal.
Table of normal blood sugar in pregnant women
If the sugar level in the body of a pregnant woman deviates from normal, this indicates having problems:
- Low sugar during pregnancy. Occurs due to the occurrence of ketone bodies in the body of a woman, negatively affecting their toxicity.
- Elevated sugar levels during pregnancy. In this case, we can talk about the appearance. In some types, the symptoms of diabetes disappear with the birth of a child, then they talk about the so-called "temporary diabetes" inherent in pregnant women. However, there is a possibility of developing true diabetes.
False result of blood sugar level in pregnant women and retake of the analysis
If the result of the analysis is bad, you should not panic in advance, since it may be false. The reasons:
- Stressful state. Pregnant women are often subject to mood swings, emotional outbursts, which greatly affect the quality and result of the analysis.
- Recent infectious diseases.
- Failure to comply with the rules when passing the analysis. Deciding to eat one "tiny" candy, be prepared for the fact that the test results may be distorted.
In such cases, you should not be upset for nothing. The doctor will prescribe you glucose tolerance test in pregnancy. This analysis is mandatory in the third trimester. And after it, you may have to go for a consultation with an endocrinologist.
How to lower blood sugar during pregnancy
If the result of the research shows increased blood sugar in a pregnant woman, she must pull herself together to normalize the condition:
- Food. Should be healthy, including meat, fish, cottage cheese, eggs, fruits and vegetables. We exclude instant soups, hamburgers, sweet soda, chocolate bars. We pay attention to cereals - rice, buckwheat, oats.
- Reduce your portions. Eating more often, but little by little, will be better than heaping huge plates on yourself.
- insulin therapy. If, after several tests, the sugar level is still high, resort to this type of treatment. These are injections.
- Physical training. There are special sparing techniques, which are worth resorting to.
If the presence of diabetes mellitus in a pregnant woman is confirmed, then this serious problem, threatening (miscarriage) on early dates, increased likelihood of stillbirth, severe pregnancy. In this case, it is necessary to be hospitalized in order to undergo treatment and control the pregnancy throughout its entire period.
On first contact with a specialist high level blood sugar levels during pregnancy are hospitalized, during which a complete examination is done and the necessary doses of insulin are prescribed. The second time a woman is admitted to the hospital after 12-16 weeks. Insulin correction continues. Then inpatient treatment is prescribed during pregnancy.
Most best method prevention- This is a frequent control of the state of sugar in the blood. Also to preventive measures relate physical exercise and .
Glucose is available as an isotonic and hypertonic solution. The medicine is used to solve completely different medical problems. First of all, during pregnancy, glucose is intravenously administered to patients with beriberi and a decrease in tone.
The main "partner" of glucose for pregnant women
In medicine, very often glucose is combined with ascorbic acid. There are pharmacological forms where these two elements are combined in tablet form at the same time.
Such a medicine is convenient to take and no less effective than the administration of drugs by intravenous route. However, infusion therapy has a faster effect on the human body, which is extremely necessary in some situations.
An isotonic solution is administered subcutaneously. It can also be administered by intravenous drip. Depending on the concentration of the solution, the drug delivery rate will be calculated. For example, five percent glucose is recommended to be administered at 6 ml per minute.
pharmachologic effect
Glucose with ascorbic acid is a vitamin remedy used for pregnant women, children of various age groups and patients with serious illnesses. The tool has the following effect:
- General metabolic effect;
- Regulation of redox processes at the cellular level;
- Correction of carbohydrate metabolism;
- Improvement of rheological qualities;
- Acceleration of regeneration processes of all tissues;
- Acceleration of the process of synthesizing steroid hormones;
- Strengthening the immune defense and the body's resistance to various infections;
- Reduced capillary resistance.
Ascorbic acid in combination with glucose is absorbed by the tissues of the human body rather unevenly. Most of the drug is concentrated in the adrenal glands and other glands endocrine system.
A smaller "portion" receives the brain, liver, heart muscles. About 95% of the pharmacological composition is utilized in the renal structures, excreted in the urine in the form of oxalates. A partial exit in free form is also possible.
About glucose metabolism
Glucose, which enters the body of a pregnant woman along with vitamin C, is quite easily absorbed. Metabolic processes proceed in two directions:
- glycolysis;
- Aerobic oxidation.
As for oxidation processes, this is how carbon dioxide and water are formed. There is also a natural release of ATP and a number of other macroergic compounds.
Indications
Ascorbic acid in combination with glucose is used during pregnancy in any of the trimesters as a tonic and tonic. In addition, the list of main indications for the administration of the drug includes the following patient conditions:
- Hypovitaminosis;
- Avitaminosis;
- A period of intensive growth (in this case we are talking about the harmonious formation of the unborn child);
- During lactation;
- At the moment when a person is forced to endure prolonged physical exertion.
Main contraindications
Ascorbic acid and glucose should not be administered if the patient has hypersensitivity to the ingredients of the drug or has a history of thrombophlebitis (as well as a tendency to thrombosis). Patients with diabetes mellitus and glucose-6-phosphate dehydrogenase deficiency may receive some of the drug, but only under strict medical supervision.
The dose is carefully calculated in each case. A large number of the drug is not recommended to be administered to patients who have pathologies such as hemochromatosis, sideroblastic anemia, thalassemia and hyperoxaluria.
About side effects
Despite the apparent simplicity of this popular "cocktail", the drug is still capable of provoking the development of a number of side effects. Most often, these are local allergic reactions. Less often, slight irritation of the gastrointestinal mucosa can be observed. In severe cases, patients may experience nausea, vomiting, liquid stool, severe spasms of the gastrointestinal tract.
If the drug is abused for a long time, patients may experience hyperoxaluria or oxalate-type nephrocalcinosis. In laboratory parameters, the phenomena of erythropenia, hypokalemia, neutrophilic leukocytosis can be clearly seen.
Precautionary measures
Given the sensitivity of the kidneys to the combination of glucose and vitamin C, it is important to carefully monitor the condition of the urinary system. Partial inhibition of the insular apparatus may also be observed. In order to avoid all sorts of complications, pregnant patients are advised to regularly measure their blood glucose levels.
For all pregnant and lactating women, any dose of a therapeutic "cocktail" is prescribed strictly by the attending physician. It is forbidden to administer the drug intravenously on its own or use its tablet analogues.
On the last lines of pregnancy daily requirement in vitamin C is about 100 mg. It also takes into account what drugs the patient is taking in this moment how balanced nutrition is, as well as a number of other features.
About the features of the therapy of pregnant women
Vitamin in combination with glucose stimulates the production of collagen. This substance significantly affects the quality of the dermal web. The optimal amount of "youth protein" will allow expectant mother prevent the formation of stretch marks, as well as stop the development of varicose veins of the lower extremities.
Ascorbic acid with glucose has a positive effect on the muscular frame, reduces the likelihood of bleeding, which is very important for patients during the period of bearing a child. Most of all nutrients designed for complete harmonious development fetus.
Cycloferon (injections): the main nuances of the instructions for use
Glucose is an important component of metabolism, reflecting the state of carbohydrate metabolism in the body. This substance is responsible for the nutrition and energy supply of the cells of our body. A change in glucose (sugar) indicators is a common picture during pregnancy, because now not only mom needs “sweet”, but also little man she has inside. At the slightest deviation of the parameters of the substance from the standard, such a patient becomes the object of increased attention of the doctor. Intravenous drip with glucose during pregnancy - reliable way regulate carbohydrate metabolism in the body of the expectant mother. Let's see in what cases such treatment is appropriate.
By nature, glucose is a simple sugar that is broken down by the body for energy. Thanks to glucose, body cells are also supplied with easily digestible carbohydrates. Let's talk about why glucose is additionally prescribed during pregnancy. In some cases, the patient is recommended to undergo a course of treatment using the drug in tablets, however intramuscular injections or drips are the more common treatment.
When is glucose needed during pregnancy?
The concentration of sugar in the blood of the expectant mother often changes and this is normal, because female body adapts to the realities of his delicate situation. Many pregnant patients come to the doctor with hyperglycemia (when the sugar level is very high), but the development of carbohydrate metabolism in reverse direction also happens. An abnormally low concentration of glucose in the blood is called hypoglycemia. The condition gives the expectant mother a lot of trouble.
Signs of hypoglycemic syndrome:
- sensation constant fatigue(even after a night's sleep);
- constant desire to eat something;
- trembling in the upper limbs;
- excessive sweating;
- dizziness;
- anxiety;
- headache;
- pale skin;
- high blood pressure;
- rapid pulse;
- arrhythmia;
- fainting and the development of cardiovascular insufficiency (in advanced cases).
The consequences of hypoglycemia during pregnancy are:
- premature birth;
- congenital diseases of the child;
- the development of diabetes in the mother and all the prerequisites for its development in the baby;
- disturbances in the work of the endocrine system in a pregnant woman and fetus;
- dysfunction and development of diseases of the pancreas.
Obviously, low blood sugar not only worsens a woman's well-being, but also negatively affects the health of the fetus. The child experiences an acute nutritional deficiency and lags behind in development. Moreover, a sharp drop in blood sugar or a sudden spike blood pressure can kill the baby. Glucose injections during pregnancy help to avoid irreparable complications.
Glucose during pregnancy: a description of the drug
The substance in solid form is represented by sweet-tasting, odorless crystals. Glucose is perfectly soluble in water and is an auxiliary component of therapeutic nutrition when it is necessary to support a weakened body. With the help of a glucose solution, the fluid deficiency is effectively replenished.
Glucose solution is a carbohydrate nutritional preparation intended for the treatment of people suffering from severe intoxication or hypoglycemia. It is also suitable for correcting a disorder consisting in the insufficiency of carbohydrate nutrition. Dextrose, the active substance of a glucose solution, is absorbed by the body and kidneys without residue, therefore, it is not excreted. The presence of glucose in the urine is considered abnormal. Answering the question whether glucose can be taken during pregnancy, doctors assure that the remedy is completely safe for women in position.
Forms of release of glucose
Glucose with dextrose as active ingredient produced in the following dosage forms:
- tablets of 0.5 and 1 g of the active substance;
- solution for injections of 5, 10, 20 and 40% in ampoules and vials.
Sometimes a woman is prescribed to drink glucose tablets during pregnancy, but most often doctors prefer to inject the drug into a vein or into a muscle.
Indications for the use of glucose during pregnancy
The main indication for glucose treatment during pregnancy is blood sugar levels below normal. Also, glucose treatment is prescribed for pregnant women if the fetus is miniature and reluctant to gain weight. The use of "sweet" drugs greatly reduces the risk of spontaneous abortion.
Glucose often acts as aid, which is included in the complex treatment of such conditions:
- disruption of myocardial activity;
- intoxication and intestinal infections;
- a rapid decrease in blood pressure;
- dehydration;
- rehabilitation after severe stress or shock;
- stimulation of the liver.
With the help of a glucose solution, various drugs are also diluted, most often ascorbic acid.
The use of glucose during pregnancy
Glucose in the form of tablets is used when toxicosis annoys the expectant mother. The medicine replenishes energy reserves in the body and increases its resistance to various negative factors. 1 - 2 tablets are recommended to be chewed 1 hour before eating anything. Glucose is taken 3 times a day.
There are several ways to administer isotonic glucose solution 5%:
- under the skin (dosage for each patient is individual);
- with the help of an enema (the volume of glucose is 0.3 - 2 l);
- intravenously with a dropper.
The dosing regimen for intravenous glucose drops during pregnancy is as follows:
- a 5% glucose solution is administered as quickly as possible - about 150 drops per 1 minute (this is 7 ml, and the maximum daily volume of the drug is 2 l);
- glucose solution 10% - 60 drops per 1 minute (maximum dosage per day - 1 l);
- glucose solution 20% - 30 - 40 drops per 1 minute (maximum volume per day - 0.5 l);
- glucose solution 40% - up to 30 drops in 1 minute (maximum daily dose - 0.25 l).
Intravenous jet administration of glucose 5% and 10% is carried out in 10 - 50 ml.
Contraindications to the use of glucose during pregnancy
Glucose is contraindicated in people with the following disorders:
- problems with the absorption of sugar (for example, in diabetes mellitus);
- edema of various origins;
- predisposition to the development of cerebral and pulmonary edema;
- hypersensitivity to glucose.
In addition, during treatment in pregnant patients, in some cases, the following side effects are observed:
- loss of appetite up to its complete absence;
- the development of thrombosis or phlebitis, if the solution was administered incorrectly or aseptic rules were not followed;
- subcutaneous induration or inflammatory reaction at the injection site;
- interruptions in the liver if necessary, the systematic use of glucose preparations;
- disorder of the water-salt balance after the administration of the drug in a large volume.
The use of ascorbic acid with glucose during pregnancy
The main "ally" of glucose in medicine is ascorbic acid. Tablets with glucose and ascorbic acid will be offered to you in every pharmacy. They are very convenient to take, and in terms of efficiency they are not inferior to intravenous droppers. However, infusion treatment is different rapid achievement therapeutic result, which pills cannot give.
Ascorbic acid with glucose is allowed at any stage of pregnancy. The drug exhibits a tonic and restorative effect. Also among the indications for its use are the following conditions:
- hypo- and beriberi;
- active growth (we are talking about full-fledged intrauterine development child);
- lactation;
- prolonged physical activity.
The dosage is calculated individually for each pregnant woman.
Contraindications to the use of ascorbic acid with glucose during pregnancy
The drug of carbohydrate nutrition in combination with ascorbic acid is not prescribed to patients with such diseases:
- thrombophlebitis;
- predisposition to the formation of blood clots;
- diabetes;
- lack of glucose-6-phosphate dehydrogenase.
Naturally, the drug is not prescribed to pregnant women with high sensitivity to its components.
Side effects in the treatment of ascorbic acid with glucose during pregnancy
The combination of two drugs only at first glance seems harmless. In fact, the following unforeseen reactions sometimes occur during the treatment process:
- allergy;
- irritation of the mucous membrane of the digestive tract;
- nausea and vomiting;
- diarrhea.
It is very difficult for the female body to adapt to the requirements of a growing fetus, so pregnancy does not always go smoothly. In the presence of direct indications, a glucose solution helps to smooth this process as much as possible and safely endure the child.