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Pregnancy diabetes : Weight control and exercise

The recommended energy intake during pregnancy diabetes is approximately 1600-1800 kcal / day. Similarly, if the starting weight is normal, more energy is needed, about 2000–2200 kcal / day. The recommended average weight gain during pregnancy is 8-12 kg. If the mother has been overweight before pregnancy, a weight gain of 6-8 kg is sufficient. In the case of excessive obesity, the weight need not increase at all. In the table below you can check what is the appropriate weight gain during pregnancy for your weight index (BMI, ie the ratio of weight to height).



In pregnancy diabetes, the mother's insulin production is not enough to meet the increased need during pregnancy. Obesity before pregnancy or excessive weight gain during pregnancy weakens the effect of insulin and the mother's sugar tolerance. As a result, the mother's blood sugar rises and the fetus can grow larger than normal. During pregnancy, it is important to keep your mother's blood sugar at a normal level and the weight gain at an appropriate level. In the diagrams below you can check how often the fetus of a pregnancy diabetic grows too large, that is, become macrosomic in different BMI groups. The control group refers to pregnant women who have not been found to have pregnancy diabetes.

Regular exercise helps keep weight under control and stimulates the absorption of sugar in the body. Exercise has a positive effect on blood sugar levels by increasing the effect of insulin in the body. When you exercise, blood circulation in the muscles increases and physically active muscle work increases the sugar circulation from the blood to the cells and the blood sugar level drops. Exercise in any form you like daily or at least three times a week, 30 minutes at a time. When you move in everyday life you get natural exercise. If the uterus begins to contract as you exercise, you need to choose a lighter shape. Good physical fitness also helps to cope better with childbirth.

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