Gestational Diabetes during pregnancy (with Twins) plz advice?
Posted by admin on Sep 3, 2009
I’m 28 weeks pregnant with twins and recently was told that i have high glucose level and that is 159. is this really high. i’m gonna go this weekend for my 3 hour test with 8 hours fasting.I’m so worried about my babies. can you provide me the list what i can eat and what i can not and how much sugar (grams) we can take everyday. i’m not totally vegetarain but i only eat eggs and if chicken is good for diabetes i can start eating that too.Thanks
so far i gained 30 pounds.
The first step is to make lifestyle changes that can prevent or reverse both [gestational diabetes mellitus] GDM and type 2 diabetes. These measures include nutritional therapy – which is best accomplished with the help of a dietitian – to achieve what’s called euglycemia, or blood glucose balance. It’s important to ensure appropriate weight gain, but not weight loss, and adequate nutritional intake for both mother and baby. Exercise is encouraged, with the frequency and intensity of activity decided with your doctor based on your risk.
If reductions in blood glucose do not reach the recommended levels within two weeks with lifestyle changes, then certain types of insulin can be safely used in pregnancy.
• Follow a healthy lifestyle.
• Be screened regularly for the development of type 2 diabetes, or impaired glucose tolerance, also known as “prediabetes”.
• Consult their physician when planning their next pregnancy to check blood glucose levels, and consider taking a folic acid supplement to ensure the best outcomes.
I dont know….my brain hurts thinking about it….
References :
As to abnormal blood glucose level, different practitioners use different standards. Some will say that if your one-hour blood sugar level is 140 milligrams of glucose per deciliter of blood plasma (mg/dL) or more, you need to have the glucose tolerance test. Others put the cut-off at 130 mg/dL to catch more women who may have gestational diabetes (you can view more details from my blog http://www.best4future.com/blog/failed-to-pass-gct
Therefore, if your number is 159, it is pretty high.
The good news is, like any screening test, glucose screening test won’t give you a diagnosis. So a positive result doesn’t mean that you have gestational diabetes. In fact, only about a third of women whose screening test shows elevated blood sugar don’t turn out to have gestational diabetes.
I hope you belong to this group of lucky women. Good luck!
As to healthy eating, the following Food Guide Pyramid is the advice given from my practitioner. Hope it may help you achieve a healthy eating! see http://www.best4future.com/blog/healthy-eating for more details
Milk, Yogurt and Cheese (4 servings/day)
1 cup of milk
1 ounce of cheese
1 1/3 cups of cottage cheese
1 ½ cups of ice cream
1 cup of yogurt or custard
Meat, Poultry, Dry Beans, Eggs, and Nuts (2-3 servings/day or 6-7 oz)
Beef
Chicken
Lamb
Eggs 1 egg = 1 oz meat
Cheese 1 slice = 1 oz meat
Peanut Butter 2 Tbsp = 1 oz meat
Turkey
Pork
Organ Meats
Fruits (3-4 servings/day)
1 serving = 1 medium fruit
½ cup juice or fruit
Vegetables (4-5 servings/day)
1 serving = ½ cup cooked or 1 cup raw vegetabless
Choose one good source of Vitamin C daily. Examples include: Broccoli, Grapefruit, Orange Juice, Cabbage, Greens, Strawberries, Cantaloupe, Oranges, and Tomatoes
Choose one good source of Vitamin A every other day. Examples include: Dark Green vegetables, orange vegetables, Apricots, Spinach, Sweet Potatoes, and Carrots
Bread, Cereals, Rice and Pasta (9-11servings/day, 1 serving = ½ cup or 1 slice)
Bagels
Breads
Noodels
Macaroni
Cereals
Rice
Spaghetti
Fats & Oils
only small amounts of margarine, salad dressings and oils
References :
Welcome to visit http://www.best4future.com/blog for my personal journey as a expectant mother!
The first step is to make lifestyle changes that can prevent or reverse both [gestational diabetes mellitus] GDM and type 2 diabetes. These measures include nutritional therapy – which is best accomplished with the help of a dietitian – to achieve what’s called euglycemia, or blood glucose balance. It’s important to ensure appropriate weight gain, but not weight loss, and adequate nutritional intake for both mother and baby. Exercise is encouraged, with the frequency and intensity of activity decided with your doctor based on your risk.
If reductions in blood glucose do not reach the recommended levels within two weeks with lifestyle changes, then certain types of insulin can be safely used in pregnancy.
• Follow a healthy lifestyle.
• Be screened regularly for the development of type 2 diabetes, or impaired glucose tolerance, also known as “prediabetes”.
• Consult their physician when planning their next pregnancy to check blood glucose levels, and consider taking a folic acid supplement to ensure the best outcomes.
References :
http://www.diabetes.ca/Section_About/gestational.asp
they will try you on a diet first to try to control it, you also have to watch carbs because carbs turn to sugar, try to stop eating pastas, breads, cereals, soda pop, sugar drinks, if you have the occasional glass of wine it will sky rocket your sugar too. stick to salads, protein, veggies, and not too much fruit either has natural sugar. your sugar wasn’t that high so it could have been a fluke that it happened just wait to see how your next test comes out! GOOD LUCK
References :
Generally you want your blood sugar to be between 70-120. You’ll only know for sure after the glucose tolerance test. If you had GD you will be eating smaller more frequent meals. Whole gains, fruits and veggies, and fiber! It will all depend on your blood sugar, activity levels, and insulin. Your dr or nurse will give you the education, just try to become familiar with how it works beforehand so you’re ready with specific questions to ask.
References :