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Diet For Gestational Diabetes

I have gestational diabetes. Why do I have to watch what I eat? Eating well is an important way to stay healthy for all women in pregnancy. But if you have gestational diabetes (GD), choosing the right food is especially important. When you eat, your digestive system breaks most of your food down into a type of sugar called glucose. Glucose is one of your body’s main sources of energy. Glucose enters your bloodstream and then, with the help of insulin (a hormone made by your pancreas), your cells use the glucose as fuel. However, if your body doesn't produce enough insulin – or your cells have a problem responding to the insulin – too much glucose stays in your blood, instead of moving into the cells and getting converted to energy. Pregnancy hormones reduce the effect of insulin, so your body has to make more of it. If your body can't keep up with the demands for insulin, your blood sugar levels can get too high. That's when GD happens. It's important to control it, as it can lead to problems for your baby. You may be able to control GD by changing what you eat and combining a healthy diet with regular exercise. Learn all about gestational diabetes, including risk factors, s Continue reading >>

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Popular Questions

  1. owlright

    Getting rid of ketones?

    Anyone have advice for helping to get rid of ketones in the urine. I'm definitely not dehydrated - I drink a ton of water each day, completely avoid caffeine, and haven't been throwing up much or at all lately. My blood sugar is not high, completely within GD guidelines. So I'm thinking that the ketones must be from not getting enough carbs.
    I am eating as much as I can. I haven't had much of an appetite since becoming pregnant, but beyond that, I have delayed gastric empyting and severe reflux - so I really can't get more into my stomach. If I try for more volume of food, it will come back up.
    Suggestions for foods that have a bit more carbs without a ton of volume, and something that is less likely to spike my BS (I know this is individual).

    Relevant is that my GD is probably a result of long-time steroid use - going off the pred is not a possibility. I'm supposed to be trying to take in 175 g of carbs a day for the pregnancy. Right now I am making it to 100 on a good day (todays total is 89), and that is even with a late night (1 am) snack. My blood sugars are what I would consider to be good - has been between 78 and 85, and 2 hours pp has been between 93 and 117,

  2. mollythed

    I'm not used to thinking in terms of GD, but it seems to me that the ketones with lower blood glucose mean you are burning body fat instead of food for energy. Why not add more protein or fat instead of carbs? Does gastroparesis make that difficult?

  3. owlright

    Mollythed:

    I'm not used to thinking in terms of GD, but it seems to me that the ketones with lower blood glucose mean you are burning body fat instead of food for energy. Why not add more protein or fat instead of carbs? Does gastroparesis make that difficult?
    True - the ketones are likely a product of burning fat instead of food. Which would not be a horrible thing, generally, but most docs want you to avoid ketones, regardless of the cause, during pregnancy. There are some studies that say that they can have negative effects on the baby.

    If increasing other fat and protein will make them go away, I can probably swing that - at this point everything suggested to me has been that I need to eat more carbs. It is ok for me to lose a little bit of weight, because I'm overweight, but right now I'm losing at a rate that they are worried about.

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