### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 28weeks pregnant .i am diagnosed having GDM.i am on insulin A week ago i had a vaginal discharge with a bloody tinge. I am also taking dupastone b.d. i was put on clingen forte .only once i used that but still some bloody discharge is there but minimal .what should i do for it

### output:

Hi, Thanks for your question. After going through your question, I can understand your concern. I would like to know your current blood sugar control. For better blood sugar control I will advise you -1) Discuss your diet with dietitian. You should take 3 major meals and 3 snacks distributed not less than 2 hrs and not more than 4 hrs apart. Starvation should be avoided in pregnancy.2) Continue exercise as you are doing currently (30 - 40-min walk), avoid vigorous exercise or efforts to lose weight. Weight loss in pregnancy is not recommended.3) Frequent blood sugar monitoring with using glucometer at home as follows- - Fasting (Before breakfast) - 2 Hours after breakfast.  - Before lunch.  - 2 hours after lunch.  - Before Dinner.  - 2 hours after dinner. It is usually advisable to do as much as readings possible from all above readings daily.Otherwise, at least 2 or 3 reading should be done daily. If required additional readings should be done in case there are symptoms of low blood sugar (hypoglycemia), in that case you should also note down date and time of incidence any change in meal pattern, increased physical activity on that particular day.  According to your blood sugar level chart your physician can adjust the dosage, frequency and type of insulin, if needed.  - Insulin is preferred over oral medications for diabetes in pregnancy. Regarding your bloody discharge-1) You should follow advise of your obstetrician.2) Keep using Capstone and Clinger forte as advised.3) There is need for close fetal monitoring. Hope this helps you, if so do vote as helpful.