Gestational Diabetes occurs when pregnant women who have never had diabetes have high blood sugar levels during pregnancy. Some women develop gestational diabetes due to poor diet and exercise choices for others a family history of Type II diabetes is a contributing factor. If you are diagnosed with Gestational Diabetes the dietitians at Pea Pod Nutrition and Lactation Support can give you the tools you need to manage gestational diabetes through diet and exercise with a customized plan that fits your lifestyle. July 20, 2015 by Dorsa · The world of eating for two with gestational diabetes is often a balancing game.
The balancing game is all about carbohydrates and proteins and how to put them together to create a balanced snack that will work to keep your blood sugar levels stable.
Carbohydrates are foods that break down in your system as sugar, and therefore can raise your blood sugar levels. Proteins are foods that help maintain healthy blood sugar levels, such as nuts, meats, and dairy products. The carbohydrates and sugars raise your blood sugar, and the protein keeps the levels manageable and maintains healthy levels over time. Apple Slices with Cheese: Slice up a small apple and pair it with a few slices of low fat cheese. Carrots and Hummus: The natural carbohydrates in both the carrots and the chickpeas are the healthy kind, and the protein in the hummus balances it all out perfectly. Whole Wheat Muffin with Peanut Butter: Half of a toasted whole wheat English muffin with some natural (unsweetened) peanut butter is a deliciously filling snack. Creating healthy, balanced snacks with gestational diabetes is easy when you know the rules to the game.
Get my free e-book and a sample meal plan about how to get control of your gestational diabetes - Learn the secrets you can't find anywhere else online! Okay, so you have been diagnosed with pre-diabetes or maybe you have that sneaking suspicion that you may have it.
The Fasting Plasma Glucose (FPG) test is performed after an 8 hour fast, thus it is usually done in the morning.
Thus, your pre diabetes glucose readings should look similar to the above, from a diagnosis standpoint. This means that your doctor is trying to determine how well you are managing your diabetes or pre-diabetes. Pre-diabetics and diabetics are advised to keep their A1c below 7%, although some doctors recommend being as close to 6% as possible.
While not a substitute for a doctor’s visit, there is a new home test for A1C results from Bayer Corporation. Diabetes is a chronic condition that affects the body's ability to convert sugar into energy. The economic burden of T2D among South Asians makes this an important global clinical and public health challenge.
A1C chart on this page has A1C to BS conversion chart and calculator using the DCCT formula.
The hemoglobin A1C result is an important value for long-term glucose monitoring; about three months mean value of glucose level. DCCT (The Diabetes Control and Complications Trial) Formula: Below is the a1c chart to show a relation between A1C and BS equivalent. If pregnant women develop gestational diabetes during pregnancy, it often disappears after childbirth.
Scientists created a working guitar the size of a red blood cell to illustrate the possible uses of nanotechnology. Signs of gestational diabetes may differ with each individual, however, some common warning signs may include intense thirst or a burning sensation upon urinating.
Some pregnant women may develop gestational diabetes during the first or second trimester of pregnancy. When gestational diabetes develops, some women may also experience issues with vision that were not present before pregnancy. Symptoms of gestational diabetes, although not very common, may also include numbness of the extremities. It's important to remember that very often, gestational diabetes produces few, if any, symptoms. I think it must be difficult to diagnose gestational diabetes if the doctor doesn't check for it routinely.
While some may lead a relatively healthy lifestyle and still experience this phenomenon when they’re pregnant.
If you are thinking about becoming pregnant or are pregnant and want to learn how to make healthy lifestyle changes to lower your disease risk and increase your overall health call us today at 678-607-6052 to make an appointment for a prenatal nutrition consult or sign up for one of our classes on Prenatal Nutrition today! Every snack should include some sort of protein to balance out the rest of your snack, and give you the nutrients you need not only to keep your blood sugar stabled, but to help keep you full until your next meal. For further information, you can get a list of great protein options from either your doctor, nutritionist, or on reputable health websites. Several questions that come up include what pre diabetes glucose readings are and what should pre-diabetic A1c numbers be. They test your blood glucose level at the moment of the test, not over a period of time like the A1c test.
However, it is important to note that different labs can provide varying results, so work with your doctor to determine what your individual test results mean.


Pre-diabetics, with proper exercise, weight management and diet can often achieve results closer to 5%. This allows sugar (glucose) levels to build up in the blood. Type 2 Diabetes (T2D) is the fifth leading cause of death worldwide, and a major contributor to development of coronary heart disease, stroke, peripheral vascular disease and end-stage renal disease. This A1C chart is based on the DCCT formula, a randomized clinical trial designed to compare intensive and conventional therapies and their relative effects on the development and progression of diabetic complications in patients with type 1. Self diagnosis is not recommended, and to protect the health of her unborn child, the individual should seek advice from a health care professional. Although any of the mentioned symptoms may be a cause for concern, the only definite way to detect gestational diabetes is for the physician to run a test. Because many of the symptoms mentioned here are ones that pregnant women already experience. Normally, gestational diabetes goes away after the pregnancy but there remains a 50-70% chance that a woman may develop type II diabetes later in life. If gestational diabetes is left untreated it can cause serious problems for the baby and mother. As you well know, snacking is an important part of any healthy and balanced diet, but is especially important for women with gestational diabetes. Start putting together your own combinations to create delicious and healthy snacks for every day. Because the test is an average reading, it does not tell you what your actual blood glucose level measures on any given day or time. Again, different labs may produce different results, so all results need to be discussed with your physician. Seven-point capillary blood-glucose profiles (pre-meal, post-meal, and bedtime) obtained in the DCCT were analyzed to define the relationship between HbA1c and BG. This could also mean other complications have set in, or the condition has become progressively worse. If necessary, the doctor may recommend a total change in diet to reduce blood sugar or glucose levels.
If you or someone you know is looking for information on managing GD with real food, I highly recommend it!Gestational diabetes is never part of any mom’s plan . The baby may be very large in weight, over 10+ lbs., which can lead to an emergency C-Section and increase birth complications for both mother and baby. Snacks help keep your blood sugar levels stable throughout the day so you can make it until your next meal. Simple carbohydrates are the kind that you want to avoid wherever possible, as they can create a spike in your blood sugar. Converting A1C to equivalent blood-glucose level (as shown by the glucometer) can be easier interpreting the result. He recommends DCCT's formula to convert A1C to BS than the formula by ADAG recommended by ADA.
Moderate exercise may also be beneficial, but should be done under a doctor's recommendation and care. A woman can definitely tell if she is drinking more water than she did before and urinating more as a result.
The only symptom that stands out is infections, which is not normal under any circumstance and must be treated quickly.
The baby may also have birth defects that are present at birth, or complications such as breathing problems, jaundice and low blood sugar. This is why health care providers see if you have this condition with a prenatal test called a glucose tolerance test.
Not to mention that pregnancy cravings and hunger can be pretty brutal to navigate without regular snacks. Goldstein, MD "Defining the Relationship Between Plasma Glucose and HbA1c, Analysis of glucose profiles and HbA1c in the Diabetes Control and Complications Trial," Diabetes Care 25:275-278, 2002.
In more extreme cases, when diet or exercise is not effective, insulin may be prescribed on a short-term basis. For example, drinking so much water that one has to get up in the night to urinate is a major sign of diabetes. The jaundice is a result of a liver problem or incomplete development and the baby will look a pale yellowish color. Nausea as a result of eating something high in carbohydrates and sugar is another major symptom.
Yet there are many misconceptions about this diagnosis, both in conventional health care and the integrative medicine world.
Despite possible uncontrollable factors that may lead to gestational diabetes, you can work to lower your risk of developing gestational diabetes by eating a healthy, well-balanced and exercising regularly. Complex carbohydrates are foods like whole grain or whole wheat flour products, vegetables, and beans. Sudden weight loss, sudden bouts of hypoglycemia causing dizziness, fatigue and blurry vision are symptoms as well.
Ia€™ll also be sharing why the typicalA gestational diabetes diet fails and why a real food, nutrient-dense, lower carbohydrate approach is ideal for managing gestational diabetes.What is Gestational Diabetes?Gestational diabetes is usually defined as diabetes that develops or is first diagnosed during pregnancy. However, it can also be defined as a€?insulin resistancea€? or a€?carbohydrate intolerancea€? during pregnancy.I prefer to rely on the latter description because, at the end of the day, gestational diabetes is the result of insulin resistance, which means a woman is unable to tolerate large amounts of carbohydrates without experiencing high blood sugar. However, in our modern world where food is rarely scarce and refined carbohydrates are everywhere, this adaptation can work against us.


This is especially true if a woman already has some level of insulin resistance before becoming pregnant, which is becoming more common.[2]Why Early Screening for Gestational Diabetes is HelpfulIn years past, it was thought that the elevated blood sugar levels seen with gestational diabetes only begin to occur in the second and third trimester, when placental hormones are at their peak and insulin resistance spikes. This is why gestational diabetes is classically screened for around 24-28 weeks of pregnancy.However, researchers have now found that gestational diabetes can be predicted earlier, by relying on a blood test called hemoglobin A1c (for short, A1c). As their pregnancies progressed, their insulin resistance got more severe, as a natural result of placental hormones and weight gain, resulting in elevated blood sugar.Moreover, gestational diabetes is increasingly believed to be an early indicator for the later development of diabetes, which means a womana€™s insulin resistance continues or worsens years after they give birth. Women who have gestational diabetes have a 7-fold higher risk of developing type 2 diabetes later in life.[4]Can Gestational Diabetes be Prevented?Not all women with gestational diabetes have preexisting issues with glucose tolerance or insulin resistance, but research does show that wise preconception practices may prevent some cases of gestational diabetes. For women with a body mass index (BMI) greater than 35, the risk of gestational diabetes is five times greater than a woman at a healthy weight, most likely because insulin resistance tends to go up at higher body weight.[8]Vitamin D deficiency has also been associated with gestational diabetes (and, not surprisingly, insulin resistance).
When those two arena€™t enough to bring the blood sugar levels down to normal, a woman may need insulin or medication.Many women would rather make dietary changes to control their gestational diabetes, than jump right to medicine (and most doctors feel the same way). Often, much to their disappointment, my patients had to start medication or insulin in order to control their blood sugar. Carbohydrates are the primary macronutrient that raises the blood sugar, so why are we suggesting they eat lots of carbohydrates?The primary reason clinicians are afraid to endorse a lower carbohydrate diet for pregnancy is that theya€™ve been given outdated information regarding ketosis. This topic is so complex that I devote an entire chapter to in my book,A Real Food for Gestational Diabetes. But the short answer is that low-level nutritional ketosis is common during pregnancy, does not carry the same risks as starvation ketosis or diabetic ketoacidosis, and does not negatively impact the brain development of a baby.[19]What Level of Carbohydrates is Best?There will likely always be controversy around the ideal level of carbohydrates a woman should consume during pregnancy and frankly, I believe it will vary woman-to-woman based on her blood sugar control. But, in general, I find most women with gestational diabetes benefit from a diet that has less than 175g of carbohydrates per day.My approach is to have a woman monitor her blood sugar while eating her usual diet (using a home glucose monitor) to get a baseline of how food affects her blood sugar.
Below are some simple tips you can implement.Request getting your HbA1c (hemoglobin A1c) measured with your first trimester labs to get a better idea of your baseline blood sugar control.
That way, you can take action earlier in your pregnancy if you need to.Ask to have your vitamin D levels measured (25-hydroxy vitamin D), so you can correct deficiency if ita€™s present. Depending on where you live, time of year, and time spent outdoors in sunlight, you may need to add a vitamin D supplement to meet target levels.[22]If you have gestational diabetes, monitor your blood sugar in the morning (fasting) and after each meal to learn your bodya€™s unique pattern and response to different foods (and combinations of food).
Adjust your diet and exercise levels accordingly, knowing that carbohydrates tend to raise your blood sugar the most, fat and protein tend to stabilize your blood sugar, and exercise tends to lower your blood sugar.Emphasize foods with plenty of fat and protein, both of which stabilize, rather than directly raise, the blood sugar. Pasture-raised meat (including organ meat), poultry, eggs, wild-caught fish, full-fat cheese, heavy cream, nuts, seeds, avocados, olives, butter, and some coconut products fit into this category.Embrace low-glycemic sources of carbohydrates, like non-starchy vegetables (lots of these!), nuts, seeds, and low-sugar fruit (like berries). For example, ita€™s better for your blood sugar levels to have a servings of sweet potatoes alongside grass-fed beef, sauteed spinach, and butter rather than by itself.Avoid large portions of carbohydrates at one time to prevent blood sugar spikes. Ita€™s far better to have fruit as a snack twice per day than to have a large fruit salad in one sitting.Exercise regularly. A real food approach is ideal for gestational diabetes, because it emphasizes nutrient-dense foods that provide a baby with all the critical nutrients for growth, while also minimizing blood sugar spikes.Knowledge is power. 2Real Food On A Budget Pregnancy 10 Comments About Lily Nichols, RDN, CDE, CLTLily Nichols, RDN, CDE, CLT is one of the countrya€™s most sought after a€?real food for pregnancya€™ experts whose approach to nutrition embraces real food, integrative medicine, and mindful eating.She is a regular speaker at medical conferences on gestational diabetes and prenatal nutrition.
I had gestational diabetes during my pregnancy and it was one of the most frustrating and depressing seasons of my life. I had no traditional risk factors other than maternal age over 30, although since then I’ve done a lot of research and discovered there is a link between autoimmune disease and gestational diabetes.
I could talk on and on about my experience, what I learned, what I will do differently next time, etc (supplements, exercise, diet). I felt like the focus was on birthing a baby of a certain size rather than on our day-to-day health and well-being. In the end my son was born healthy at 39 weeks with barely any sign that his mom had gestational diabetes. Our great frustration is that he is now allergic to all the foods I was required to eat in large quantities for that diet- dairy, eggs, chicken, blueberries.
Brewer’s Pregnancy Diet is an excellent resource that eliminates many pregnancy complications.
The whole diagnosis of gestational diabetes can be a real pain to deal with without the right kind of help.
Protein, vegetables, a little fruit (low on the glycemic index), higher fat dairy…Thanks for this post! Instead of hearing snarky comments like, “You do know that *half* a banana is one serving, right?” Yeah, maybe not eating bananas at all would have been easier!
I have been gluten free for several years and I feel that I should have been gluten free when I was pregnant. My fasting levels are checked every year or so because of my high risk of developing Type 2 diabetes. I was able to get my blood sugars under tight control basically how you suggested- monitoring and adjusting my diet accordingly. I’m so nauseous and all I can tolerate (barely) is crackers, bread, rice, and watered down juice or broth. On the other hand, I think I am actually glad I was diagnosed with GD, because it certainly gave me a huge kick in the butt down the path of healthy living, good nutrition, and label reading!



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Comments

  1. 04.03.2016 at 19:53:57


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    Author: Santa_Claus
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  3. 04.03.2016 at 19:16:22


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