Women with diabetes can become pregnant and give birth at age 30, but they need to strictly manage their blood sugar before, during, and after pregnancy to reduce risks to both mother and baby. Controlling blood sugar, regular monitoring, and adjusting diet and medication are key to ensuring a safe pregnancy.
1. Preconception Management: Women with diabetes should undergo a comprehensive health assessment before planning pregnancy, including blood sugar control, kidney function, and fundus examination. It is recommended to control glycated hemoglobin (HbA1c) below 6.5% to reduce the risk of fetal malformations and miscarriage. Preconception counseling may be helpful in adjusting medications, such as switching from oral hypoglycemic agents to insulin therapy to ensure stable blood sugar levels.
2. Pregnancy Monitoring: Blood sugar levels fluctuate significantly during pregnancy, requiring close monitoring. It is recommended to measure blood sugar multiple times daily, maintaining fasting blood glucose levels between 3.9-5.3 mmol/L, postprandial blood glucose levels below 7.8 mmol/L (1 hour after meals), and postprandial blood glucose levels below 6.7 mmol/L (2 hours after meals). Regular prenatal checkups, including ultrasound examinations and fetal heart rate monitoring, are essential for the timely detection and management of pregnancy complications.
3. Dietary Adjustments: A pregnant woman's diet should focus on low sugar, high fiber, and balanced nutrition. It is recommended to eat small, frequent meals and avoid high-sugar and high-fat foods. Increasing the intake of vegetables, whole grains, lean meat, and fish, which are rich in protein and fiber, will help stabilize blood sugar. If necessary, consult a nutritionist to develop a personalized dietary plan.
4. Exercise Management: Moderate exercise helps control blood sugar and improve insulin sensitivity. It is recommended to choose low-intensity exercises such as walking, prenatal yoga, or swimming, for 30 minutes daily, at least 5 days a week. Monitor blood sugar before and after exercise to avoid hypoglycemia. If you experience any discomfort, stop exercising immediately and consult a doctor.
5. Postpartum Care: Postpartum blood glucose management is equally important, especially for breastfeeding women. Continued blood glucose monitoring and adjustments to diet and medications are recommended. Breastfeeding helps reduce the risk of diabetes for both mother and baby, but care must be taken to avoid hypoglycemia. A follow-up blood glucose test should be performed 6-8 weeks postpartum to assess diabetes control.
It is feasible for women with diabetes to become pregnant and give birth at age 30, but strict blood sugar management is required before, during, and after pregnancy to ensure the health of both mother and baby. By controlling blood sugar, regular monitoring, and adjusting diet and medication, the risk of pregnancy complications and fetal malformations can be effectively reduced, achieving a safe pregnancy.