1. Make appointment• For Jiahui Hospital patient: Our staff will make the appointment for you in person.• For Satellite Clinics: We will make an appointment for you through phone call (53393278).If you cannot come on time for the examination, or want to reschedule, please inform us to cancel it before 15:00, one working day before examination. Otherwise, you will be billed according to the drug wastage policy.2. Check in (At front desk of Medical Imaging Center)• You can eat and drink as usual.• It might be better to wear pure cotton clothes and remove metal objects, so we can get images more clearly.• Please bring your past medical record to our department because we need the medical history for correct diagnosis.（MRI/CT/Ultrasound/SPECT, blood tests, etc.）3. Prepare• The imaging agent for this procedure is 99mTc-MDP. To test patency of the intravenous line, 10 to 20 ml of normal saline will be injected.• You need to drink at least 500 ml of water after injection.4. Examination• Our technician will guide you to the examination room.• The drug will be injected by a nurse while you are on the examination table.• The first part of procedure will last for about 15 minutes. You should remain still.• Please wait for about 135 minutes to continue next step.• Generally, relatives are not allowed to enter the examination room.• Leave only after being informed by our staff (generally within 15 minutes after examination). Occasionally, more images are obtained for clarification or better visualization of certain areas or structures. If you have any question, please feel free to ask us.• Please drink more water to reduce the radioactivity in your body.5. Report• The report will be ready within one working day after the examination.• You can get the report from your clinician.Notes:1. Caution should be exercised in children and lactating women while use this scan. If you are (or think you may be) pregnant, please tell our staff.2. We use radioactive material for this examination. The low dose radioactivity is safe.3. Through the natural process of radioactive decay, the small amount of radiotracer in your body will lose its radioactivity over time. It may also pass out of your body through your urine or stool during     the first few hours or days following the examination.4. On the day of the exam, people who accompany you will receive low dose radiation, but this radiation dose is small and will cause no risk. Nuclear Medicine Examination Warm PromptExcept myocardial perfusion scan and radionuclide ventriculography, a fasting state is not needed before examination. You could eat whatever you like.It might be better to wear pure cotton clothes and remove metal objects, so we can get images clearly.If you have hypertension or diabetes, the relevent medications you take will not affect this examination.After injection, you need to rest quietly for a period of time, or may be longer. Please be patient and you can also bring some food to spend time.We are very sorry for that you need to wait in a specific room and cannot walk around after injection. Thank you for your cooperation.We will call you at 15:00-16:00 the working day before the examination for confirmation, then we will order the medicine for you. If you cannot come on time for some reason, please contact us before 15:00 of the previous working day to cancel the appointment or change the date. If you cannot show up on the day of examination after confirmation, you will be billed according to the drug wastage policy.In order to better understand your condition, it might be better to bring other relevant examination reports (such as blood, CT, MR, ultrasound, etc.). The examination report will be completed within one working day.

1. Make appointment• For Jiahui Hospital patient: Our staff will make the appointment for you in person.• For Satellite Clinics: We will make an appointment for you through phone call (53393278).If you cannot come on time for the examination, or want to reschedule, please inform us to cancel it before 15:00, one working day before examination. Otherwise, you will be billed according to the drug wastage policy.2. Check in (At front desk of Medical Imaging Center)• A fasting state is recommended for a minimum of 4 hours.• It might be better to wear pure cotton clothes and remove metal objects, so we can get images more clearly.• Please bring your past medical record to our department because we need the medical history for correct diagnosis.（MRI/CT/Ultrasound/SPECT, blood tests, etc.）3. Prepare• The imaging agent for this procedure is 99mTc-MIBI. To test patency of the intravenous line, 10 - 20 ml of normal saline will be injected.• You should drink milk or eat fatty meal about 30 minutes after injection and wait for 90 minutes more.• Please drink several cups of water while waiting.4. Examination• Our technician will guide you to the examination room.• The procedure will last for about 10-15 minutes. You should remain still.• Generally, relatives are not allowed to enter the examination room.• Leave only after being informed by our staff (generally within 15 minutes after examination). Occasionally, more images are obtained for clarification or better visualization of certain areas or structures. If you have any question, please feel free to ask us.• Please drink more water to reduce the radioactivity in your body.5. Report• The report will be ready within one working day after the examination.• You can get the report from your clinician.Notes:1. Caution should be exercised in children and lactating women while use this scan. If you are (or think you may be) pregnant, please tell our staff.2. We use radioactive material for this examination. The low dose radioactivity is safe.3. Through the natural process of radioactive decay, the small amount of radiotracer in your body will lose its radioactivity over time. It may also pass out of your body through your urine or stool during     the first few hours or days following the examination.4. On the day of the exam, people who accompany you will receive low dose radiation, but this radiation dose is small and will cause no risk. Nuclear Medicine Examination Warm PromptA fasting state is needed.It might be better to wear pure cotton clothes and remove metal objects, so we can get images clearly.If you have hypertension or diabetes, the relevent medications you take will not affect this examination.After injection, you need to rest quietly for a period of time, or may be longer. Please be patient and you can also bring some food to spend time.We are very sorry for that you need to wait in a specific room and cannot walk around after injection. Thank you for your cooperation.We will call you at 15:00-16:00 the working day before the examination for confirmation, then we will order the medicine for you. If you cannot come on time for some reason, please contact us before 15:00 of the previous working day to cancel the appointment or change the date. If you cannot show up on the day of examination after confirmation, you will be billed according to the drug wastage policy.In order to better understand your condition, it might be better to bring other relevant examination reports (such as blood, CT, MR, ultrasound, etc.). The examination report will be completed within one working day.

1. Make appointment• For Jiahui Hospital patient: Our staff will make the appointment for you in person.• For Satellite Clinics: We will make an appointment for you through phone call (53393278).If you cannot come on time for the examination, or want to reschedule, please inform us to cancel it before 15:00, one working day before examination. Otherwise, you will be billed according to the drug wastage policy.2. Check in (At front desk of Medical Imaging Center)• You can eat and drink as usual.• It might be better to wear pure cotton clothes and remove metal objects, so we can get images more clearly.• Please bring your past medical record to our department because we need the medical history for correct diagnosis.（MRI/CT/Ultrasound/SPECT, blood tests, etc.）3. Prepare• The imaging agent for this procedure is Na99mTcO4. To test patency of the intravenous line, 10 to 20 ml of normal saline will be injected.• You will wait for about 15-30 minutes after injection.• Please drink several cups of water while waiting.4. Examination• Our technician will guide you to the examination room.• The procedure will last for about 5 minutes. You should remain still.• Generally, relatives are not allowed to enter the examination room.• Leave only after being informed by our staff (generally within 15 minutes after examination). Occasionally, more images are obtained for clarification or better visualization of certain areas or structures. If you have any question, please feel free to ask us.• Please drink more water to reduce the radioactivity in your body.5. Report• The report will be ready within one working day after the examination.• You can get the report from your clinician.Notes:1. Caution should be exercised in children and lactating women while use this scan. If you are (or think you may be) pregnant, please tell our staff.2. We use radioactive material for this examination. The low dose radioactivity is safe.3. Through the natural process of radioactive decay, the small amount of radiotracer in your body will lose its radioactivity over time. It may also pass out of your body through your urine or stool during the first few hours or days following the examination.4. On the day of the exam, people who accompany you will receive low dose radiation, but this radiation dose is small and will cause no risk. Nuclear Medicine Examination Warm PromptExcept myocardial perfusion scan and radionuclide ventriculography, a fasting state is not needed before examination. You could eat whatever you like.It might be better to wear pure cotton clothes and remove metal objects, so we can get images clearly.If you have hypertension or diabetes, the relevent medications you take will not affect this examination.After injection, you need to rest quietly for a period of time, or may be longer. Please be patient and you can also bring some food to spend time.We are very sorry for that you need to wait in a specific room and cannot walk around after injection. Thank you for your cooperation.We will call you at 15:00-16:00 the working day before the examination for confirmation, then we will order the medicine for you. If you cannot come on time for some reason, please contact us before 15:00 of the previous working day to cancel the appointment or change the date. If you cannot show up on the day of examination after confirmation, you will be billed according to the drug wastage policy.In order to better understand your condition, it might be better to bring other relevant examination reports (such as blood, CT, MR, ultrasound, etc.). The examination report will be completed within one working day.

1. Make appointment• For Jiahui Hospital patient: Our staff will make the appointment for you in person.• For Satellite Clinics: We will make an appointment for you through phone call (53393278).If you cannot come on time for the examination, or want to reschedule, please inform us to cancel it before 15:00, one working day before examination. Otherwise, you will be billed according to the drug wastage policy.2. Check in (At front desk of Medical Imaging Center)• You can eat and drink as usual.• It might be better to wear pure cotton clothes and remove metal objects, so we can get images more clearly.• Please bring your past medical record to our department because we need the medical history for correct diagnosis.（MRI/CT/Ultrasound/SPECT, blood tests, etc.）3. Prepare• The imaging agent for this procedure is 99mTc-MIBI. To test patency of the intravenous line, 10 - 20 ml of normal saline will be injected.• You will wait for about 15 minutes after injection.4. Examination• Our technician will guide you to the examination room.• The first part of procedure will last for about 5 minutes. You should remain still.• Please wait for about 130 minutes to continue the nextstep.• Generally, relatives are not allowed to enter the examination room.• Leave only after being informed by our staff (generally within 15 minutes after examination). Occasionally, more images are obtained for clarification or better visualization of certain areas or        structures. If you have any question, please feel free to ask us.• Please drink more water to reduce the radioactivity in your body.5. Report• The report will be ready within one working day after the examination.• You can get the report from your clinician.Notes:1. Caution should be exercised in children and lactating women while use this scan. If you are (or think you may be) pregnant, please tell our staff.2. We use radioactive material for this examination. The low dose radioactivity is safe.3. Through the natural process of radioactive decay, the small amount of radiotracer in your body will lose its radioactivity over time. It may also pass out of your body through your urine or stool during     the first few hours or days following the examination.4. On the day of the exam, people who accompany you will receive low dose radiation, but this radiation dose is small and will cause no risk.  Nuclear Medicine Examination Warm PromptExcept myocardial perfusion scan and radionuclide ventriculography, a fasting state is not needed before examination. You could eat whatever you like.It might be better to wear pure cotton clothes and remove metal objects, so we can get images clearly.If you have hypertension or diabetes, the relevent medications you take will not affect this examination.After injection, you need to rest quietly for a period of time, or may be longer. Please be patient and you can also bring some food to spend time.We are very sorry for that you need to wait in a specific room and cannot walk around after injection. Thank you for your cooperation.We will call you at 15:00-16:00 the working day before the examination for confirmation, then we will order the medicine for you. If you cannot come on time for some reason, please contact us before 15:00 of the previous working day to cancel the appointment or change the date. If you cannot show up on the day of examination after confirmation, you will be billed according to the drug wastage policy.In order to better understand your condition, it might be better to bring other relevant examination reports (such as blood, CT, MR, ultrasound, etc.). The examination report will be completed within one working day.

1. Make appointment• For Jiahui Hospital patient: Our staff will make the appointment for you in person.• For Satellite Clinics: We will make an appointment for you through phone call (53393278).If you cannot come on time for the examination, or want to reschedule, please inform us to cancel it before 15:00, one working day before examination. Otherwise, you will be billed according to the drug wastage policy.2. Check in (At front desk of Medical Imaging Center)• A fasting state is recommended for a minimum of 4 hours.• It might be better to wear pure cotton clothes and remove metal objects, so we can get images more clearly.• Please bring your past medical record to our department because we need the medical history for correct diagnosis.（MRI/CT/Ultrasound/SPECT, blood tests, etc.）3. Prepare• The imaging agent for this procedure is 99mTc-MIBI. To test patency of the intravenous line, 10 - 20 ml of normal saline will be injected.• We use Dobutamine or Adenosine analogue to induce myocardial ischemia，heart rate and blood pressure will be monitored during stress test.• You will wait for 90min before examination.4. Examination• Our technician will guide you to the examination room.• The procedure will last for about 10-15 minutes. You should remain still.• Generally, relatives are not allowed to enter the examination room.• Leave only after being informed by our staff (generally within 15 minutes after examination). Occasionally, more images are obtained for clarification or better visualization of certain areas or structures. If you have any question please feel free to ask us.• Please drink more water to reduce the radioactivity in your body.5. Report• The report will be ready within one working day after the examination.• You can get the report from your clinician.Notes:1. Caution should be exercised in children and lactating women while use this scan. If you are (or think you may be) pregnant, please tell our staff.2. We use radioactive material for this examination. The low dose radioactivity is safe.3. Through the natural process of radioactive decay, the small amount of radiotracer in your body will lose its radioactivity over time. It may also pass out of your body through your urine or stool during     the first few hours or days following the examination.4. On the day of the exam, people who accompany you will receive low dose radiation, but this radiation dose is small and will cause no risk.  Nuclear Medicine Examination Warm PromptA fasting state is needed.It might be better to wear pure cotton clothes and remove metal objects, so we can get images clearly.If you have hypertension or diabetes, the relevent medications you take will not affect this examination.After injection, you need to rest quietly for a period of time, or may be longer. Please be patient and you can also bring some food to spend time.We are very sorry for that you need to wait in a specific room and cannot walk around after injection. Thank you for your cooperation.We will call you at 15:00-16:00 the working day before the examination for confirmation, then we will order the medicine for you. If you cannot come on time for some reason, please contact us before 15:00 of the previous working day to cancel the appointment or change the date. If you cannot show up on the day of examination after confirmation, you will be billed according to the drug wastage policy.In order to better understand your condition, it might be better to bring other relevant examination reports (such as blood, CT, MR, ultrasound, etc.). The examination report will be completed within one working day.

1. Make appointment• For Jiahui Hospital patient：Our staff will make the appointment for you in person.• For Satellite Clinics patient：We will make an appointment for you through phone call (53393278).If you cannot come for the examination, or want to reschedule, please inform us to cancel it before 15:00, one working day before examination. Otherwise, you will have to bear the cost for the imaging agent.2. Check in (At front desk of Medical Imaging Center)• You can eat and drink as usual.• It might be better to wear pure cotton clothes and remove metal objects, so we can get images more clearly.• Please bring your past medical record to our department because we need the medical history for correct diagnosis. (MRI/CT/Ultrasound/SPECT, blood tests, etc.)3. PrepareThe imaging agent for this procedure is  99mTc-MAA  . To test patency of the intravenous line, 10 to 20 ml of normal saline will be injected.4. Examination• Our technician will guide you to the examination room.• The drug will be injected by a nurse while you are on the examination table.• This procedure will last for about 30 minutes. You should remain still.• Generally, relatives are not allowed to enter the examination room.• Leave only after being informed by our staff (generally within 15 minutes after examination). Occasionally, more images are obtained for clarification or better visualization of certain areas or structures. If you have any question, please feel free to ask us.• Please drink more water to reduce the radioactivity in your body.5. Report• The report will be ready within one working day after the examination.• You can get the report from your clinician.Notes:1. Caution should be exercised in Children and lactating women while use this scan. If you are (or think you may be) pregnant, please tell our staff.2. We use radioactive material for this test. The low dose radioactivity is safe.3. Through the natural process of radioactive decay, the small amount of radiotracer in your body will lose its radioactivity over time. It may also pass out of your body through your urine or stool during the first few hours or days following the examination.4. On the day of the examination, people who accompany you will receive low dose radiation, but this radiation dose is small and will cause no risk.Nuclear Medicine Examination Warm PromptExcept myocardial perfusion scan and radionuclide ventriculography, a fasting state is not needed before examination. You could eat whatever you like.It might be better to wear pure cotton clothes and remove metal objects, so we can get images clearly.If you have hypertension or diabetes, the relevent medications you take will not affect this examination.After injection, you need to rest quietly for a period of time, or may be longer. Please be patient and you can also bring some food to spend time.We are very sorry for that you need to wait in a specific room and cannot walk around after injection. Thank you for your cooperation.We will call you at 15:00-16:00 the working day before the examination for confirmation, then we will order the medicine for you. If you cannot come on time for some reason, please contact us before 15:00 of the previous working day to cancel the appointment or change the date. If you cannot show up on the day of examination after confirmation, you will be billed according to the drug wastage policy.In order to better understand your condition, it might be better to bring other relevant examination reports (such as blood, CT, MR, ultrasound, etc.). The examination report will be completed within one working day.

1. Make appointment• For Jiahui Hospital patient：Our staff will make the appointment for you in person.• For Satellite Clinics patient：We will make an appointment for you through phone call (53393278).If you cannot come for the examination, or want to reschedule, please inform us to cancel it before 15:00, one working day before examination. Otherwise, you will have to bear the cost for the imaging agent.2. Check inPlease bring along your past medical record to our department because we need the medical history for correct diagnosis.（MRI/CT/Ultrasound/SPECT, blood tests, etc.）3. PrepareThe imaging agent for this procedure is  99mTc-MDP.  To test patency of the intravenous line, 10 to 20 ml of normal saline will be injected.• Please wait in the post-injection waiting room. No smoking during waiting.• Drink at least 500 ml (4~6 glasses) of water before examination.• You will wait for at least 2.5 hours before examination.4. Examination• Our technician will guide you to the examination room.• This procedure will last for about 15~30 minutes. You should remain still.• Generally, relatives are not allowed to enter the examination room.• Leave only after being informed by our staff (generally within 15 minutes after examination). Occasionally, more images are obtained for clarification or better visualization of certain areas or structures. If you have any question, please feel free to ask us.• Please drink more water to reduce the radioactivity in your body.5. Report• The report will be ready within one working day after the examination.• You can get the report from your clinician.Notes:1. Caution should be exercised in Children and lactating women while use this scan. If you are (or think you may be) pregnant, please tell our staff.2. We use radioactive material for this test. The low dose radioactivity is safe.3. Through the natural process of radioactive decay, the small amount of radiotracer in your body will lose its radioactivity over time. It may also pass out of your body through your urine or stool during the first few hours or days following the test.4. On the day of the examination, people who accompany you will receive low dose radiation, but this radiation dose is small and will cause no risk.5. You can eat and drink as usual.6. Remove metallic accessories or jewelry before exam or leave them at home.Nuclear Medicine Examination Warm PromptExcept myocardial perfusion scan and radionuclide ventriculography, a fasting state is not needed before examination. You could eat whatever you like.It might be better to wear pure cotton clothes and remove metal objects, so we can get images clearly.If you have hypertension or diabetes, the relevent medications you take will not affect this examination.After injection, you need to rest quietly for a period of time, or may be longer. Please be patient and you can also bring some food to spend time.We are very sorry for that you need to wait in a specific room and cannot walk around after injection. Thank you for your cooperation.We will call you at 15:00-16:00 the working day before the examination for confirmation, then we will order the medicine for you. If you cannot come on time for some reason, please contact us before 15:00 of the previous working day to cancel the appointment or change the date. If you cannot show up on the day of examination after confirmation, you will be billed according to the drug wastage policy.In order to better understand your condition, it might be better to bring other relevant examination reports (such as blood, CT, MR, ultrasound, etc.). The examination report will be completed within one working day.

When should I see a doctor or nurse?If your wound is large, soiled, needs stiches, or shows signs of infection, see a doctor immediately. A deep, gaping, or jagged cut that goes right through the skin will most likely need stitches. If your cut is not very deep, it will probably not need stitches. If in doubt, check with your doctor or nurse.  How do I take care of a cut or scrape?1)     Clean the woundWash your wound thoroughly with soap and water. If, after washing, there is still dirt, glass, or another substance in your cut, see a doctor or nurse. 2)     Stop the bleeding If your wound is bleeding, firmly press a clean cloth or bandage on it for 20 minutes. You can also help slow the bleeding by holding the cut above the level of your heart. If the bleeding doesn't stop after 20 minutes, see your doctor or nurse. 3)     Protect the woundIf available, apply a thin layer of antibiotic ointment (e.g. Bactroban) to the wound. Dress your cut with a clean, dry bandage and change the dressing 1- 2 times a day until the wound heals. Most cuts and scrapes heal on their own within a week, forming a scab in the process. Avoid touching or scratching the scab as this will increase the risk of bleeding, infection, and scarring. If your wound has been treated by a doctor, follow their instructions. 4)     Check for signs of infectionSymptoms of infection include: fever, discharge (e.g. pus), a bad odor, increased pain, redness, swelling, warmth, or red streaks around the edge of the cut.   Do I need a tetanus shot? It depends on how old you are and when your last tetanus shot was. Tetanus is a serious infection that causes fever, muscle stiffness, and can even lead to death. It is caused by bacteria found in dirt. Most children are vaccinated as part of a routine checkup. After three initial doses of the tetanus vaccine (TD, TDAP), regular booster shots are needed to maintain an effective level of protection, usually every 10 years. It’s also common for adults to be vaccinated or receive a booster during a routine checkup. Check your vaccination record if you have one, or check with your doctor. For simple wounds (e.g. closed, shallow, or clean), you will need a tetanus booster if you haven’t received one in the last 10 years. For serious wounds (e.g. open, deep, punctured, or soiled with dirt), you will need a tetanus booster if you haven't had one in the last 5 years.If you have a serious wound and you haven't received all of your tetanus vaccines (or you’re not sure if you have), you will need a tetanus booster shot and another shot of immunoglobulins to fight any tetanus bacteria that may have contaminated the wound.  Normal 0 7.8 磅 0 2 false false false EN-US ZH-CN X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:普通表格; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman","serif"; border:none;} Please be aware that supplies of the tetanus vaccine are not always stable in China and availability cannot be guaranteed. It is recommended that you get regular, preventative booster shots to avoid the need for urgent doses.

What is Gestational Diabetes?Diabetes is a common condition in which the body’s cells are unable to effectively obtain glucose from the bloodstream. Glucose is required to provide the body with energy for day-to-day activities. The hormone insulin moves glucose from the blood into the body’s cells, where it can be used for energy. When the movement of glucose into the cells is delayed, blood glucose levels rise, causing diabetes to develop.Gestational diabetes is a form of diabetes that occurs during pregnancy and usually goes away after the baby is born. Over 10% of pregnant women will develop gestational diabetes and this usually occurs around the 24th to 28th week of pregnancy.In pregnancy, the placenta produces essential hormones that help the baby grow and develop. These hormones also partly stop insulin working which is called insulin resistance. Usually pregnant women naturally increase their insulin levels to overcome this block. If the body is unable to produce the extra insulin or becomes more resistant, gestational diabetes develops.Diagnosis of GDM is based on a fasting 75-g oral glucose tolerance test (OGTT) at 24–28 weeks of gestation in pregnant women not previously known to have diabetes. This test can be performed earlier if there are significant risk factors present or there is a clinical indication.Once a diagnosis of GDM is made, careful planning for the ongoing management of your pregnancy is important.How does GDM affect the baby?As the mother’s excess glucose crosses the placenta into the baby’s bloodstream, untreated or uncontrolled GDM may result in complications for your baby such as:•   Being born very large and with extra fat, thus may make delivery difficult and more dangerous for the baby•   Low blood glucose levels after birth•   Breathing problems•   Requiring admission to a special care nursery•   Problems maintaining body temperature•   An increased risk of developing diabetes or obesity later in life.How to Treat Gestational Diabetes?The management and treatment of GDM is a team effort, involving the woman and her partner, her obstetrician, endocrinologist, diabetes educator, dietitian and midwife.Special attention is paid to home blood glucose monitoring, diet and physical activity. Sometimes insulin injections may be needed. Your treating doctor will discuss with you which treatment option is more suitable for you.•   Start treatment quickly because gestational diabetes can hurt you and your baby.•   Special meal plans and scheduled physical activity•   Daily blood glucose testing•   Insulin injections if neededHome blood glucose monitoringSelf-monitoring blood glucose (SMBG) is a valuable tool in helping manage GDM. These simple finger prick blood tests will give you an indication on what your blood glucose levels are.Your diabetes nurse will teach you how to perform home blood glucose monitoring. You will require:•   A blood glucose meter•   Lancet device – for pricking finger•   Testing strips•   Diary to record blood glucose levels.Blood glucose meters, lancet device and testing strips may be purchased at your local or online pharmacy.Target of Glucose ControlThe blood glucose checks you do at home are a key part of taking good care of yourself and your baby before, during and after pregnancyBoth American Diabetes Association and Chinese Diabetes Society recommend glucose targets for women with GDM are as follows:Pregnancy Glucose GoalsStatus:Blood glucose:Fasting or premeal<95 mg/dL (5.3   mmol/L) and eitherOne-hour postprandial<140   mg/dL (7.8 mmol/L) orTwo-hour postprandial<120 mg/dL (6.7   mmol/L)Food and ExerciseDuring pregnancy, you may need to change your meal plan to avoid problems with low and high blood glucose levels. For most women, the focus of a good meal plan during pregnancy is improving the quality of foods you eat rather than merely increasing the amount of food eaten. A good meal plan is designed to help you avoid high and low blood glucose levels while providing the nutrients your baby need to grow.Exercise is a key part of diabetes treatment. Discuss your exercise plans with your diabetes team and ask for guidance. Just as you need to get your blood glucose under control before getting pregnant, it's best to get fit before you get pregnant.In general, it's not a good idea to start a new strenuous exercise program during pregnancy. Good exercise choices for pregnant women include walking, low-impact aerobics, swimming, or water aerobics. Regular physical activity is not only safe for pregnant women, it benefits health by offsetting some of the problems of pregnancy, such as varicose veins, leg cramps, fatigue and constipation. Exercise after meals may help the muscles use the glucose in the bloodstream, and help keep your blood glucose levels in your target range.Medication (if needed)For women with gestational diabetes, meal planning and exercise often work to keep blood glucose levels in control; however, if blood glucose levels are still high, your doctor will probably start you on insulin.Insulin is the traditional first choice for blood glucose control during pregnancy, because it is the most effective for fine-tuning blood glucose and it doesn’t cross the placenta. Therefore, it is safe for the baby. Insulin can be injected with a syringe, an insulin pen, or through an insulin pump. All three methods are safe for pregnant women.Weight Goals During PregnancyIf you start pregnancy weighing too much, you should not try to lose weight. Instead, work with your dietitian or doctor to curb how much weight you gain during pregnancy.Your dietitian will keep track of your weight gain. If you start pregnancy at a normal weight, expect to add between 25 to 35 pounds (11.5-16.0kg). Women who start pregnancy too thin need to gain more. If you are obese at the start of your pregnancy, work with your dietitian to limit your weight gain to about 15–25 pounds. You can determine your healthy weight by finding your BMI level by using our BMI calculator.Pregnancy Weight GoalsIf your   pre-pregnancy weight is…Then gain…Underweight28~40pounds or   12.5~18.0kgNormal25~35   pounds or 11.5~16.0kgOverweight15~25 pounds or   7.0~11.5kgObese11~20   pounds or 5.0~9.0kgAfter deliveryGDM usually goes away after the baby is born. To make sure, your doctor or midwife will order a special glucose test, the oral glucose tolerance test (OGTT), which is performed 6–8 weeks after delivery. This test will show whether your blood glucose levels are back to normal.Breastfeeding is good for women with GDM and may also help you lose the weight you gained during pregnancy. Refer from the website of American Diabetes Association at http://www.diabetes.org/diabetes-basics/gestational/

What is immuno-oncology (IO) treatment? Under normal circumstances, the human immune system can identify and remove tumor cells in tumor microenvironment, but tumor cells can adopt different strategies to inhibit the immune system, thus survive and even continue to develop at various stages of the anti-tumor immune response. Immuno-oncology (IO) treatment or immunotherapy is a treatment that controls and clears tumors by restarting and maintaining the tumor-immune cycle and restoring the body's normal anti-tumor immune response. Because of its excellent efficacy and innovation, immunotherapy was named the most important scientific breakthrough of the year by Science magazine in 2013. In recent years, good news about immunotherapy has been continuously reported, and it has shown strong anti-tumor activity in the treatment of various tumors. Multiple tumor immunotherapy drugs have been approved for clinical application in dozens of countries around the world, which brings new hopes for cancer patients.What is the principle of I-O? Cytotoxic T cells in human lymph nodes are the powerful source in immune system to kill tumor cells. However, in order to prevent "injury" of healthy cells, T cells are also subject to the restriction of "immunization checkpoints", which in turn gives the tumor a chance to grow. Some tumor cells begin to induce "checkpoints" to escape the immune response after being attacked by T cells. PD-1 (Programmed Death 1, Programmed Death Receptor 1) / PD-L1 (Programmed Cell Death 1 Ligand 1, programmed death ligand) signaling pathway is one of the mechanisms. By secreting PD-L1, tumor cells bind to PD-1, initiate programmed cell death of T cells, and allow tumor cells to obtain immune evasion. The working principle of PD-1 inhibitors is to break the binding of PD-1 and PD-L1 and restart the attack and killing function of T cells on tumor cells. What disease type could benefit from PD-1? Currently, PD-1 inhibitors that have been marketed include Pablolizumab (Keytruda) and Nivolumab (Opdivo). US FDA has approved Opdivo for cancer indications of small cell and non-small cell lung cancer, head and neck squamous cell carcinoma, colorectal cancer (MSI-H/dMMR), melanoma, liver cancer, classic Hodgkin's lymphoma, kidney cancer, bladder cancer, etc. Our domestic CFDA approved Opdivo for second-line treatment of non-small cell lung cancer. Data from PD-1 manufacturer BMS showed that the five-year survival rate of cancer patients who took PD-1 inhibitors increased several times compared with traditional treatments. For patients with non-small cell lung cancer, the survival rate of lung cancer patients receiving traditional treatment is usually less than one year. The three-year survival rate of immunotherapy in lung cancer has reached 30%, and the five-year survival rate can reach 15.6%.   What are the side effects of Opdivo?Opdivo (nivolumab) is different in mechanism from traditional chemotherapeutic drugs. Most of the adverse reactions during the treatment are mild or moderate. Serious adverse reactions are extremely rare, but the consequences may be very serious. Therefore, it is necessary to monitor the side effects of Opdivo medication. Please read the following information carefully with your family: （1）Adverse reactions may occur at any stage of the treatment, and it is more likely to occur after the treatment has been started for a period of time because your immune system has been activated and is more likely to have an adverse reaction due to immune hyperfunction.（2） If you feel chest tightness, wheezing, swollen facial lips or even swollen tongue, it means that you may have a severe allergic reaction. If the situation is urgent, please call 120 for help. （3） If you have the following discomfort, don't panic and please contact your health care team immediately:• Pulmonary symptoms: cough, chest tightness and pain, shortness of breath, etc. • Intestinal symptoms: diarrhea, especially bloody, dark or tarry stools • Severe stomach pain or tenderness• Liver and kidney function damage: symptoms as nausea and vomiting, pain in the right side of the abdomen, dark urine, decreased urine output, light colored stool, yellowing of the skin or eyes• Discomfort caused by hormonal changes: rapid heartbeat, significant weight gain or loss, dizziness, chills and even syncope; thirst and polydipsia, increased urine volume• Other symptoms include: skin and mucous membrane ulcers, fever, fatigue, lethargy, memory disorders （4）In addition, the following adverse reactions may occur during treatment, which usually does not affect your normal life. Of course, you can also contact us for further help:• Fatigue • Loss of appetite sometimes accompanied by nausea• Mild cough and shortness of breath, sometimes upper respiratory tract infections may occur which can usually disappear spontaneously• Rash and itching, it is important to note that if you have a large number of rashes, please seek medical advice promptly.• Constipation or diarrhea• Muscle and joint pain（5）Other precautions during treatmentIn addition to the above-mentioned adverse reaction, Nivolumab may affect your body's functions by activating your immune system. You need to follow your doctor's regular follow-up. Some related tests are essential for us to assess your physical condition. Blood routine, liver function, and thyroid function are usually checked regularly. Nivolumab may have little interaction with other drugs, but to ensure medication safety, we will ask you about your medication history in details before each treatment. If you need other medications during the treatment, be sure to let your doctor know that you are using Nivolumab. Preparations before medication Please assist your medical team to know your history of allergies and medication before using the medicine to ensure medication safety; If you have had an autoimmune disease (such as colitis, Crohn's disease, lupus), organ transplant, lungs or breathing problems, please let us know. Please relax during the medication, keep normal diet, and have proper rest. At the end of each treatment, we will remind you of the time of next medication. If you missed the appointment, please contact the medical team timely. What services can Jiahui International Cancer Center provide for patients under I-O? As the first demonstration center for immuno-oncology (IO) treatment in China, the Immune-oncology Center of Excellence at Jiahui International Hospital has received the first patient and completed the first infusion of O-medicine. (PD-1 antibody drug Opdivo) on August 29.In cooperation with the largest affiliated hospital of Harvard Medical School, Massachusetts General Hospital as a strategic partner, Jiahui is committed to providing patients with Opdivo medication assessment and monitoring services based on international standards.Massachusetts General Hospital, as the largest teaching hospital under the Harvard Medical School, has been using PD-1 immunotherapy for over 8 years, treating more than 20,000 cancer patients, and is the world's most experienced hospital for providing immunotherapy to Asian patients. At the Cancer Center of Jiahui International Hospital, patients may make an appointment to receive a diagnosis from one or several oncologists at the Massachusetts General Hospital through video or face to face. Now experts from Massachusetts General Hospital provides clinical services at Jiahui for one week per month on average. They will work with the doctors of Jiahui International Cancer Center to sort out the patient's condition and explore an overall treatment plan through multi-angle considerations such as pathology, genetics, and etc.Please dial (021) 53393266 during working hours (Monday-Friday, 9:00-18:00) for more information. Or leave a voice message at other times and we will contact you as soon as possible.