Diyetisyen Sezen \u00c7etinkaya, anne ve bebek i\u00e7in en \u00f6nemli d\u00f6nemlerden birisinin de bebe\u011fin ya\u015fama tutunmaya \u00e7al\u0131\u015ft\u0131\u011f\u0131 gebelik d\u00f6nemi oldu\u011funu belirterek, \u201cGestasyonel diyabet di\u011fer ad\u0131yla gebelik \u015fekeri ya\u015famsal riskler ta\u015f\u0131maktad\u0131r. GDM \u0130lk kez gebelik s\u0131ras\u0131nda ortaya \u00e7\u0131kan her derecedeki glukoz tolerans bozuklu\u011fudur\u201d dedi.<\/p>\n
Gebelik d\u00f6neminde v\u00fccutta bir\u00e7ok de\u011fi\u015fiklik meydana geldi\u011fini endokrin de\u011fi\u015fikliklerde hormonel sal\u0131n\u0131m artt\u0131\u011f\u0131ndan ins\u00fcline olan ihtiyac\u0131n artt\u0131\u011f\u0131n\u0131 dikkat \u00e7eken Diyetisyen Sezen \u00c7etinkaya, \u201cPlasentadan sal\u0131nan steroid yap\u0131s\u0131ndaki hormonlar ,kan \u015fekerinin dengede seyretmesini sa\u011flayan ins\u00fclin hormonun aksine kan \u015fekerini y\u00fckseltmektedir. Karbonhidrat metabolizmas\u0131ndaki bozukluk sonucunda da hiperglisemi olu\u015fabilmektedir. \u00d6zellikle 24. Haftada ins\u00fclin direnci olu\u015fmaktad\u0131r. Gebelik \u00f6ncesinde de yanl\u0131\u015f beslenme hakimse gebeler daha fazla risk alt\u0131ndad\u0131r. Bu durum bebe\u011fin anne karn\u0131nda daha irile\u015fmesine ve fazla kilolu do\u011fmas\u0131na , annede d\u00fc\u015f\u00fck riskine, rahim i\u00e7i bebek \u00f6l\u00fcmlerine sebep olmaktad\u0131r. Do\u011fum sonras\u0131nda bebekte hipoglisemi, kan kalsiyum miktar\u0131n\u0131n d\u00fc\u015fmesi, uzayan sar\u0131l\u0131k g\u00f6r\u00fclebilmektedir. \u00c7ocu\u011fun zihinsel ve fiziksel geli\u015fiminde sinir sistemi i\u015flevini belirleyen h\u00fccrelerin belirli zamanda belirli say\u0131ya ula\u015fabilmesi i\u00e7in de \u00f6nemlidir\u201d diye konu\u015ftu.<\/p>\n
Beden k\u00fctle indeksi normalin \u00fczerinde olanlar, Daha \u00f6nceki gebeli\u011finde gestasyonel diyabet, makrozomi ve polihidromnios \u00f6yk\u00fcs\u00fc olanlar, Daha \u00f6nceki gebelikte 20 \u00fcst\u00fc kilo alanlar ve iri bebek do\u011furmu\u015f olanlar, Nedensiz \u00f6l\u00fc do\u011fum yapm\u0131\u015f olanlar, 35 ya\u015f \u00fczeri gebelikler, Genetikte diyabet veya tansiyon hastal\u0131\u011f\u0131 olanlar ve a\u00e7l\u0131k kan \u015fekerinin 105, tokluk, 120 mg\/dl \u00fczeri, glikoz\u00fcri olanlar\u0131n risk grubunda olaca\u011f\u0131n\u0131 belirten Diyetisyen Sezen \u00c7etinkaya, \u201cGebelik \u00f6ncesi a\u00e7l\u0131k ve tokluk kan \u015fekerleri bak\u0131lmal\u0131 Hb1AC ve fruktozomi de\u011ferleri normal s\u0131n\u0131rlarda tutulmal\u0131d\u0131r. Veya hemen a\u00e7l\u0131k kan \u015fekeri kontrol\u00fc yap\u0131lmal\u0131 <105 olmal\u0131d\u0131r. \u00dclkemizde 24-28. Haftalarda Oral Glukoz Testi (OGTT) yap\u0131lmaktad\u0131r. Hastalar\u0131n y\u00fczde 15 inde ins\u00fcline ihtiya\u00e7 duyulurken, di\u011fer b\u00fcy\u00fck kesimde diyet ve egzersiz ile tedavi edilebilmektedir. Bir beslenme ve diyet uzman\u0131 e\u015fli\u011finde yeterli kaloriniz belirlenmeli ve uygun besinler ile diyetiniz d\u00fczenlenmeli. Bu a\u015famada az az s\u0131k s\u0131k yemek en \u00f6nemli kural\u0131m\u0131z. besinlerimizi 6-8 \u00f6\u011f\u00fcne da\u011f\u0131tarak t\u00fcketmeliyiz. Haz\u0131r g\u0131dalar, \u015fekerli g\u0131dalar, tatl\u0131lar, \u00e7ikolatalar, cipsler, bisk\u00fcviler, makarna, beyaz unlu her \u015fey, pirin\u00e7, patates,alkol, k\u0131zartmalar, ya\u011fl\u0131 yemekler, haz\u0131r meyve sular\u0131, \u00fcz\u00fcm, kavun, karpuz, incir, muz gibi \u015fekeri y\u00fcksek meyveler, tereya\u011flar\u0131, sucuk , salam, sosis gibi i\u015flenmi\u015f et \u00fcr\u00fcnlerinden uzak durmam\u0131z gerekirken. Mevsim sebze ve meyveleri , tam bu\u011fday unundan yap\u0131lm\u0131\u015f ekmekler , bulgur , kurubaklagiller, bol su ve egzersiz dostumuz olmal\u0131\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
D\u0130YET\u0130SYEN SEZEN \u00c7ET\u0130NKAYA, ANNE VE BEBEK \u0130\u00c7\u0130N EN \u00d6NEML\u0130 D\u00d6NEMLERDEN B\u0130R\u0130S\u0130N\u0130N DE BEBE\u011e\u0130N YA\u015eAMA TUTUNMAYA \u00c7ALI\u015eTI\u011eI GEBEL\u0130K D\u00d6NEM\u0130 OLDU\u011eUNU BEL\u0130RTEREK, \u201cGESTASYONEL D\u0130YABET D\u0130\u011eER ADIYLA GEBEL\u0130K \u015eEKER\u0130 YA\u015eAMSAL R\u0130SKLER TA\u015eIMAKTADIR. GDM \u0130LK KEZ GEBEL\u0130K SIRASINDA ORTAYA \u00c7IKAN HER DERECEDEK\u0130 GLUKOZ TOLERANS BOZUKLU\u011eUDUR\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":167319,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[1440,5557,40017],"class_list":["post-167318","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-dikkat","tag-gebelik","tag-sekerine"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/06\/gebelik-sekerine-dikkat_fe25b4b.jpg?fit=450%2C451","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-HwG","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/167318","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=167318"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/167318\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/167319"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=167318"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=167318"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=167318"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}