糖妈妈

得了妊娠期糖尿病不要怕，糖妈妈帮您治好它！

【糖妈妈】是一款根据食物交换份法，为每一位孕妇个体制定饮食方案，调节孕妇血糖，控制母婴体重的专业孕期营养软件。

【开发背景】
1.妊娠期糖尿病患者数量逐年增加。
随着生活水平的不断提高，准妈妈们的营养摄入量也是与日俱增。妊娠期糖尿病的发病率在17.5%左右，几乎每六个孕妈妈中就有一人是妊娠期糖尿病。而且这个比例还呈现出逐年上升的趋势。

2.巨大儿及体重超标新生儿已成普遍现象。
由于妊娠糖尿病对孕妇的影响，患者多孕育巨大儿，在分娩时出现产道损伤的机会将增多，另会造成胎肺成熟延迟以及胎儿缺氧，早产儿成活率低，新生儿低血糖。

3.妊娠期糖尿病对产妇及胎儿的健康影响巨大。
1)患有妊娠糖尿病的孕妇发生早期流产、胎儿畸形、早产的概率均高于正常的孕妇。
2)妊娠糖尿病患者出现羊水过多的概率为10%—30%。
3)由于糖尿病导致抵抗力明显下降，容易出现合并感染，常见此类感染有泌尿系统感染和霉菌性阴道炎。
4)娠糖尿病患者容易出现酮症，对此病若不及时纠正会使期发展为糖尿病酮症酸中毒，这将对母亲和胎儿产生极大的危害。
5)妊娠糖尿病患者在以后的生活中发生糖尿病的危险会明显增高。

4.妊娠期糖尿病对分娩方式的影响不容忽视。
妊娠糖尿病患者实施剖宫产的概率高达24%—39%。此外，“糖妈妈”在分娩时容易因体内的能量不足而使产程延长，从而易引起产妇出现宫缩乏力性出血（产后出血）。

通过本软件制定科学饮食方案，指导孕产妇合理饮食，控制血糖水平及胎儿体重，对提高母婴健康及体质有着积极的意义。

【主功能模块】
1. 营养门诊
通过对孕妇的孕周（+孕天）、身高、孕前体重、当前体重、日常活动量以及血糖水平等信息进行计算，判断孕产妇当前体重及体重增长速度是否合格，并计算出孕妇每日所需热量。

2. 饮食指导
根据食物交换份法，结合一线临床医师诊疗经验，计算分配三大热能营养素，兼顾每一位患者的饮食禁忌及四季时蔬特点，为孕妇个体生成营养健康食谱，达到孕期膳食营养平衡、控制母婴体重以及血糖水平。

3. 孕妇学校
从一线妇产医院获取孕期知识，定期更新，让准妈妈们学习孕期知识！

4. 妊娠期糖尿病诊断
根据75g糖耐量试验结果，判断孕产妇的血糖值是否正常，是否属于妊娠期糖尿病范畴。此诊断结果为孕期饮食指导重要依据之一。

5. 血糖监测
通过对孕产妇一天中餐前餐后五个不同时段血糖的监测，对孕产妇血糖控制状况进行科学的分析与提示，生成个体监测图，达到妊娠期血糖监测效果。

6. 孕期监测图
绘制孕妇体重增长曲线图以及血糖监测点阵图，让每一位孕妇看到自己体重及血糖控制效果。

7. 孕妇家园
为准妈妈们提供了交流园地，大家可以在这里讨论各类孕期知识、血糖及体重控制心得。

8. 业界新闻
定期更新孕期营养学术界、妊娠期糖尿病学术界及医疗界最新资讯，让准妈妈们了解孕期营养新闻及知识。

【适用人群】
1)妊娠期糖尿病患者；
2)希望合理控制胎儿体重，以期顺产的正常孕妇；
3)血糖值偏高，但未达到妊娠期糖尿病标准的孕妇；
4)希望达到膳食营养平衡，对母婴营养进行科学指导的孕妇。
5)对所有正常妊娠期孕妇均有调节血糖，控制母婴体重的作用。

【开发历程】
1)2011-2012，电脑医用版开发完毕，产科门诊应用；
2)2013-2015，电脑医用版二次开发，产科门诊应用;
3)2016年6月，【糖妈妈】上线。

【结语】
妊娠期糖尿病危害极大，但各位准妈妈们不必过于担心，只要科学、严格地摄入营养，制定科学的饮食方案，每一位准妈妈都可以把血糖控制在良好的范围，保持良好的母婴体重，顺利地诞下健康的宝宝。 I had gestational diabetes do not be afraid, Sugar Mama help you fix it!
  
Sugar Mama [] is based on a food exchange portion, for every pregnant woman to develop an individual diet plan, regulate blood sugar in pregnant women, weight control maternal nutrition during pregnancy professional software.
  
[Background of development]
1. Gestational diabetes increases the number of patients every year.
With the continuous improvement of living standards, mothers nutritional intake is also increasing. The incidence of gestational diabetes at around 17.5%, almost every six pregnant mothers had had a gestational diabetes. And this proportion is also showing an increasing trend.

2. tremendous overweight children and newborns has become a common phenomenon.
The influence of gestational diabetes in pregnant women, patients with multiple breeds huge children, the opportunity to appear in the birth canal during childbirth injury will increase, will cause another delay fetal lung maturity and fetal hypoxia, low survival rate of preterm children, neonatal hypoglycemia.

3. Gestational diabetes on maternal and fetal health tremendous impact.
1) pregnant women with gestational diabetes occurs early abortion, fetal malformation, the probability of premature birth are higher than normal pregnant women.
2) patients with gestational diabetes polyhydramnios probability of 10% -30%.
3) Because diabetes cause decreased immunity, prone to infection, such infections have common urinary tract infections and fungal vaginitis.
4) pregnant diabetics prone to ketosis, which causes the disease, if not corrected in time of the development of diabetic ketoacidosis, which will have a significant maternal and fetal harm.
5) the risk of diabetes, gestational diabetes occurs later in life will be significantly increased.

4. Effect of gestational diabetes on the mode of delivery can not be ignored.
Probability of cesarean section for patients with gestational diabetes up to 24% -39%. In addition, "Sugar Mama" likely due to lack of energy leaving the body prolonged labor during childbirth, which could easily cause of maternal uterine inertia hemorrhage (PPH).

  The software developed by scientific diet program that will guide maternal reasonable diet, control blood sugar levels and fetal body weight, to improve maternal and child health and physical fitness has a positive meaning.

[Main function modules]
1. nutrition clinic
Through the pregnancy period (+ pregnant days), height, pre-pregnancy weight, current weight, daily activity level and blood sugar levels and other information are calculated to determine the current weight and maternal weight gain rate eligibility and calculate the day of the pregnant woman need heat.

2. dietary guidance
The food exchange copies of law, combined with first-line clinician clinic experience, calculate the heat distribution of the three major nutrients, taking into account each patient's food taboos and seasons when vegetables characteristics, generate healthy recipes nutrition for pregnant women, individuals achieve nutritional balance diet during pregnancy, maternal control weight and blood glucose levels.

3. School for Pregnant Women
Get line from maternity hospital pregnancy knowledge, regularly updated, so that mothers during pregnancy to learn knowledge!

4. Diagnosis of gestational diabetes
According to the results of 75g glucose tolerance test, blood glucose level is normal maternal judgment, whether gestational diabetes category. This diagnosis is an important basis for dietary advice during pregnancy.

5. Blood Glucose Monitoring
By day, meal after meal maternal five different time monitoring of blood glucose, maternal glycemic control and scientific analysis suggests that generate self monitoring chart, blood glucose monitoring during pregnancy to achieve results.

Figure 6. Monitoring of pregnancy
Draw a graph maternal weight gain and blood glucose monitoring bitmap, so that every pregnant woman to see their weight and blood glucose control.

7. Pregnant homes
Expectant mothers to provide exchange garden, we can discuss all kinds of knowledge during pregnancy, blood sugar and weight control tips here.

8. Industry News
Regularly updated nutrition during pregnancy academia, academia and the medical profession News gestational diabetes, so that mothers understand pregnancy nutrition news and knowledge.

【For people】
1) gestational diabetes;
2) hope the reasonable control of fetal weight, in order to smooth production of normal pregnancies;
3) blood glucose level is high, but did not meet the standard of gestational diabetes in pregnant women;
4) hope to achieve dietary balance, maternal and child nutrition scientific guidance of pregnant women.
5) for all pregnant women during pregnancy are normal regulation of blood sugar, the role of maternal weight control.

[Development] Course
1) 2011-2012, the computer version of the completion of the development of medical, maternity clinic applications;
2) 2013-2015, the computer version of the secondary development of medical, maternity clinic applications;
3) in June 2016, [on-line] Sugar Mama.

[Conclusion]
  Gestational diabetes great harm, but you do not have mothers who worry too much, as long as the scientific, strict nutritional intake, to develop a scientific diet program, every expectant mother can control blood sugar in a good range, good mother weight infants, successfully gave birth to a healthy baby.