Your meal plan for
diabetes needs to be modified when you are pregnant.
The total calories you need are based on your prepregnancy weight, age,
activity level, and whether you are carrying more than one baby. Your calorie
Remain the same during the first trimester (weeks
1 through 12) as they were before pregnancy. But you may need extra calories if
you have nausea, vomiting, or a low blood sugar level.
during the second and third trimesters (week 13 through 40). During this time,
you need 300 calories a day more than your prepregnancy intake.
If you are at a healthy
weight before you get pregnant (BMI between
18.5 and 25), aim for a total weight gain of
25 lb (11.3 kg) to
35 lb (15.9 kg), with a rate of
weight gain of about
1 lb (0.5 kg) each week during
the second and third trimester.
Your snacks should
include less carbohydrate than at meals. And your breakfast should be no more
than 10 hours after your bedtime snack. This helps prevent low blood sugar
(hypoglycemia) in women who take insulin and ketone production in women who have
Make sure your meal plan contains:
Complex carbohydrate, especially foods high in
fiber, such as oatmeal, brown rice, bran cereal, whole wheat bread, whole wheat
pasta, and beans.
Refined sugar and foods with a high content of
refined sugars (sweets)
Refined starches, such as highly processed
breakfast cereals, instant potatoes, instant rice, or instant
About 20% to 25% of your daily calories
should come from
protein foods. If your kidney function is impaired,
your protein allowance may be lower.
About 30% of your calories should come from fat.
Monounsaturated fats and omega-3 fats, rather than saturated fats, should
continue to be the primary source of fat in your diet. Less than 10% of your
daily calories should come from saturated fats and your cholesterol intake
should be less than 300 mg each day.
Most people get far more sodium than they need. Talk to your doctor about how much sodium you should
Vitamins and minerals
Take a prenatal
vitamin with folic acid and iron to meet your body's
increased need for these micronutrients. Folic acid is
needed for the production of blood cells. And iron is needed for red blood
cells to deliver oxygen throughout the body. Folic acid
has also been proved to reduce the risk of fetal
neural tube defects. You need to get
0.4 mg (400 mcg) of
folic acid each day.
You may need to take a
vitamin B12 supplement, which is important for the production of red blood
cells, and a vitamin D supplement if you are a strict vegetarian (vegan).
Vitamin B12 can only be obtained from animal sources in the diet.
Other vitamins and minerals, such as the B vitamins and calcium, are important
during pregnancy for producing energy and preserving your body's calcium
Very large doses (megadoses) of vitamins, especially
vitamins A and D, are not recommended during pregnancy. Vitamins and minerals
should only be taken under your doctor's supervision.
Saccharin (Sweet'N Low, Sugar Twin), aspartame (Equal, NutraSweet), acesulfame K (Sunett), sucralose (Splenda), and neotame are safe to eat when you are pregnant.
Avoid using aspartame (Equal or
Nutrasweet) if you have
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Your level is currently
If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
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