How to balance Diet

Gestational diabetes is a condition brought about by high blood glucose levels that remain high during pregnancy. The health of the fetus and mother as well as the development of the fetus can be adversely affected by this form of diabetes. Although it seems as if the pregnancy causes the diabetic response in some women there have been studies done which show they may have been predisposed to diabetes as they develop type 2 diabetes later on in life. A gestational diabetes diet plan is critical to properly managing the affects of this disease.

Routine screening for gestational diabetes is recommended during the second trimester for all pregnant women to help limit the negative impacts it can have on mother and baby. If it is not controlled it can lead to pregnancy-induced hypertension, premature birth, large fetus size, congenital abnormalities, future obesity and diabetes in the infant, and other birth complications.

Diet

A gestational diabetes diet requires dietary modifications that the mother may not be used to but to control this form of diabetes it is essential. This is accomplished through individually developed dietary prescriptions based on metabolic nutrition and lifestyle requirements. Basic changes include reduced intake of simple sugars such as white table sugar and syrups.

The simple sugars are replaced with more complex carbohydrates with a balanced intake of nutrients, particularly with the carbohydrates, during the day. To make starting this type of gestational diabetes diet plan easier a registered dietician will use exchange lists to make their clients meal planning easier.

Exchange lists were first developed for diabetic meal planning but they have become a basic tool for almost all food guides and dietary recommendations.

Another system to control diabetes, carbohydrate counting, has recently begun to see more widespread use. This system allows the client to keep track of carbohydrate intake during the course of the day.

An overall gestational diabetes diet plan takes into account the physical, psychosocial, and educational requirements. For the woman with this form of diabetes reliance on her health care providers to help manage her condition is vitally important. Her registered dietician has the primary responsibility for developing and teaching her the individualized dietary plan that will work best for her. Nurses at her doctor's office and in the hospital help reinforce these dietary needs and also are responsible for teaching her how to effectively monitor blood glucose levels and administer insulin if needed. By working together the pregnant woman and her health care team can successfully manage and overcome the risks posed by gestational diabetes.

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Gestational diabetes also known as Gestational Diet Mellitus (GDM) is a condition in which a woman who normally doesn't have sugar, gets diabetic during her pregnancy. This diabetic condition now occurs widely throughout the world, 5% of all pregnant women have gestational diabetes, and the mother has nothing to worry about her delivery or her child as long as she keeps the sugar levels under control. The sugar levels should be closely monitored to avoid complications during the delivery period.

A hormone called insulin is responsible for getting the glucose from the blood into the cells of your body. If you are diabetic, then your body is not producing as much insulin as is required, or your cells are not using it the way it should be used.

Diet

If the gestational diabetes is in the mild stage then it can be controlled purely through proper diet. In some cases where the diabetes is in a more progressed state you may have to take insulin to bring your blood sugar levels under control. Your physician will know what to do, and when a diet needs to be followed, he will draft out the diet taking into account your present eating habits making sure that you get all the necessary vitamins and nutrients.

General Guidelines:

• Eat a variety of foods and make sure that most of your calorie content comes from carbohydrates and foods that are rich in fiber.


• It is recommended by the American Diabetes Association to eat three small to moderate sized meals per day and two to four snacks every day. It is also advisable to have a bedtime snack just before you get into bed.


• Never skip meal. Your blood sugar level will be consistent if your meals and calories are distributed evenly throughout the day.


• Meals should be taken around the same time every day.


• Do not wait till you are burning with hunger to start eating. When you do eat like this, your blood sugar levels will rocket up.


• Restrict your intake of foods and juices that are rich in simple sugar like sodas, colas and fruit juices. These foods will quickly raise your sugar levels so limit their intake or if possible avoid them altogether. Instead of drinking fruit juices, you can eat fresh fruits which are also rich in fiber. Also, milk contains lactose which is a form of sugar. So if you drink more than two glasses of milk a day you may need to think for another source of calcium and avoid drinking more that two glasses of milk a day.


• Get some exercise. It need not be something that is strenuous and physically exerting. A simple walk after your meals has been shown to work wonders on gestational diabetes.


• Drink lots of water to maintain the body's water levels.


• Continuously monitor your body's blood sugar levels and keep a record of them.

Sample Diet:

Mild cases of gestational diabetes can be controlled by proper dieting. We are looking for reducing the amount of fat, simple sugar and salt consumption and increasing the amount of complex carbohydrates and fiber rich foods. According to the American Diabetes Association, less than 30% of the total calorie count should come from fats, no more than 10% to 20% of the total calorie count from proteins, and around 50% of the calories should come from carbohydrates and fiber rich food stuffs like whole grains, fruits and vegetables.

A day's calorie intake can be divided into six small meals to make sure that the calories are distributed evenly throughout the day.

Meal 1:

When you wake up in the morning your blood sugar levels will normally be low. To start your day, a small high protein meal that includes meat and a food that is rich in carbohydrates like whole grain toast will be good. Wash it down with a glass of milk or a cup of low calorie yogurt.

Meal 2:

Vegetable sticks with a low calorie dip, whole wheat crackers, and small servings of fruits or cottage cheese will be ideal for the second meal of your day. This will keep you fill till it is time for your lunch.

Meal 3:

Choose a meal that is rich in proteins like garden vegetable salad or whole grain pasta or pita bread.

Meal 4:

Meal 4 mainly comprises of fruits and vegetables. Vegetable or fruit juices with a dash of cheese and whole grain bagel will make a quick, tasty and healthy snack.

Meal 5:

A whole grain wrap stuffed with chicken and salad is a good meal. You can dress this up with a drizzle of a salad of your choice or you can treat yourself with a sugar free cookie.

Meal 6:

When you are up for more than three hours after having your dinner, you sugar levels will start to dip. An apple or a whole grain muffin or a few peanut crackers with a cup of milk will be an ideal bed time snack.

As you would have surmised, with proper diet and exercise as advised by your doctor it is easy to fight gestational diabetes.

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