What to do if hemoglobin A1c levels are high during pregnancy
Disease description:
My best friend is six months pregnant and recently found out that her hemoglobin A1c (HbA1c) level is high. I would like to ask, what should be done if hemoglobin A1c is high during pregnancy?
Doctor's answer (1)
Dr. Zhang Lu
Elevated levels of glycated hemoglobin (HbA1c) during pregnancy may indicate poor blood glucose control, which is generally associated with gestational diabetes mellitus.
Management strategies:
1. Dietary adjustment: Consult a nutritionist to develop a low-sugar, balanced diet plan suitable for pregnant women, control carbohydrate intake, and increase consumption of fruits, vegetables, and fiber.
2. Regular exercise: Engage in appropriate aerobic activities, such as walking or prenatal yoga, as recommended by your doctor. This can improve insulin sensitivity and help control blood glucose levels.
3. Blood glucose monitoring: Regularly self-monitor blood glucose to understand fluctuations and adjust the treatment plan promptly.
4. Medication: If lifestyle modifications are insufficient to control blood glucose, your doctor may prescribe insulin or other antidiabetic medications suitable for use during pregnancy.
It is recommended to seek treatment at a reputable hospital under the guidance of a qualified physician.
