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Old 01-31-2009, 08:09 PM   #1
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Gestational Diabetes Questions

Hi ladies...

I'm only 9.5 weeks pregnant, but have already been diagnosed as borderline for gestational diabetes. If I am unable to get the GD under control with diet, I'll probably be transferred from my beloved midwife to an OB, or possibly a specialist.

I'm really hoping that some of you here who have experienced GD could give me some tips as far as foods that seem safe, or foods that I should try to avoid. Also, how many times a day should I be eating and what are some safe snacks to eat between meals? Also, I've had issues with my blood pressure being higher than they'd like (I think its due to stress) so foods that would help with that too would be especially great suggestions.

I'm not sure when I'll get to see the nutritionist, but it should be within the next few weeks. I want to get started making changes before then if possible though so I can get a jump start on things. I really don't want to lose my midwife as my caregiver, so I feel like I've got to do whatever I can to take care of this with diet and exercise (when it warms up anyways!)

Thanks in advnace for any help or advice you can give!

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Old 01-31-2009, 09:11 PM   #2
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Re: Gestational Diabetes Questions

The nutritionist has me on a 2,000 calorie/225g of carbs per day diet. Breakfast, snack, lunch, snack, dinner, snack. I have 45-60g of carbs at each meal and 20-30g of carbs at each snack. Drastically limit fruit juice, don't drink soda or sugary drinks, and get lots of protein. Eat good carbs, like whole grains. Don't be afraid of eating fruit, just don't eat a ton of it and choose fruits that have less impact on your blood sugar levels (like apples or blueberries). You may find that certain foods make your blood sugar spike (for me that's any kind of rice, more than 6oz of milk in a sitting, and breads made with corn syrup), and it's best to avoid those foods once you figure out what they are.
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Old 02-01-2009, 11:12 AM   #3
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Re: Gestational Diabetes Questions

Megan gave some great advice. I had GD with my last pregnancy and was put on a 2,000 cal diet with pretty much all the same as her. Your not alone it happens more than you think.
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Old 02-01-2009, 11:48 AM   #4
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Re: Gestational Diabetes Questions

Yep, great advice from Megan.
My diet is a little different though, not much, just the amount of carbs.
Breakfast 30 carbs,
Snack 15-30 carbs,
Lunch 45 carbs
Snack 15-30 carbs
Dinner 30 carbs
Snack 30-45 (45 since I"m on insulin right now)
And protein w/ snacks and meals.
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Old 02-01-2009, 12:25 PM   #5
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Re: Gestational Diabetes Questions

I had GD and HBP with Preg #4 and had dangerously low levels of potassium which can raise your BP, so you should eat plenty of high potassium foods like bananas, potatoes & avocados. Calcium WITH magnesium is important in Lowering BP as well - foods that contain these that are GD safe are green beans, sardines with bones (Which are LOW in Mercury and safe in moderation during pregnancy), broccoli, spinach, Legumes and Seeds (unsalted sunflower) and tofu. Cutting back on SALT is Huge. I was on the same 2000cal diet but still had to take a pill to control it. Unsalted or Lightly salted Nuts are a great snack, Sugar snap peas are awesome as a snack, 1/2 C Cottage cheese, Limit to 2-3 eggs per week, Morning snack - Banana with 2TBS of a HEALTHY peanut butter ( most are loaded with bad stuff - gotta get a good one), Dried Fruit seems good but be carefull most are loaded with sugar. Hope this helps - good luck!!
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Old 02-01-2009, 12:36 PM   #6
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Re: Gestational Diabetes Questions

hi there! I had GD with my second (and the OB suspected i had it with DS1 but it went undetected). I was put on the previously mentioned carb restrictions. I wasn't give a calorie restriction, thought. It's tough, but you'll be ok Eggs, nuts, meat, and cheese are great things to eat. One of the key things I was told by the nutritionist was to make sure you had plenty of protein when you ate the carbs. Proteins are very important to help keep a balance. I would snack on cheese and drink Diet Rite Zero since I was a soda junkie. It has zero carbs, zero calories, zero sodium, and zero caffeine. And no aspertame or HFCS There are a ton of diabetes websites out there that will guide you along. Get yourself a meter and check it 4 times a day. Once when you first get out of the bed before having anything. then an hour after each meal. Keep a running log of your readings and not the things you ate. I had to bring my log to each of my appointments for the doc to review. I saw a temp doc while my reg was out of town and that one threated me with insulin and scary stuff AND had me going for weekly NSTs. When my doc got abck, she stopped that and said it wasn't needed. DId your doc give you some guidlines on where she wants your levels to be?
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Old 02-01-2009, 01:17 PM   #7
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Re: Gestational Diabetes Questions

I have GD with this pregnancy but didn't have it with my other 3. I have the roughly the same carb guidelines as Staceyroo77 mentioned except I get 30 carbs at lunch and 45 at dinner. I try to stick with it as closely as possible but I still ended up on an oral med 4 weeks ago. One thing you can do to lower your glucose readings is to take a walk or do mild exercise after each meal. I do that some days and I do notice a difference in my numbers. Exercise in addition to the diet might just keep you away from the OB. I had to switch from my MW to an OB when I couldn't control it and it was hard. Good luck.
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Old 02-01-2009, 01:28 PM   #8
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Re: Gestational Diabetes Questions

My midwife mentioned wanting a number less than 140 after meals...but I think the nutritionist will be more specific.

Thank you all so much for the advice! I'm going to start counting the carbs and making sure that I'm eating as healthy as possible. I wish it would warm up a bit so I could get out and walk. Its just too darn cold here right now for outdoor activity.

I picked up some Simply Jif...would that be considered a healthy peanut butter? Its only 6g of carbs and 2g of Sugar per serving, and has low sodium as well.

I am a big natural birth person and I was planning on a water birth this time around. I'll be heartbroken if I end up with an OB full time.
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Old 02-01-2009, 03:12 PM   #9
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Re: Gestational Diabetes Questions

The diet ideas are great--when I had GD I was told to limit my breakfast to 15g carbs (a small yogurt and a hardboiled egg, basically), then I could have more 1 hour later.

The other major thing that worked for me was EXERCISE! I participated in a Penn State study that proves that even 10 minutes of moderate exercise after a meal cuts your blood glucose significantly! And your body won't cut your glucose so much that it's dangerous. The stuff we did in our sessions (35 minutes exercise 2 x/week) was pretty basic: treadmill, stationary recumbent bike and low-impact aerobics. It was extremely effective for the GD and also made me feel fantastic. I was able to keep up my activity level until the very end--I started slowing down about 2 weeks before delivery.

Oh--and I've kept up the more moderate diet and increased my exercise and am now 30 lbs lighter than when I got pregnant!

Good luck, mama!
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