Gestational Diabetes Treatment Plan
Many women with gestational diabetes have healthy pregnancies and healthy babies because they follow the treatment plan that their health care providers set up for them.
One of the most important things you can do to help ensure a healthy pregnancy is to make regular health care appointments and keep them.
A general treatment plan to control gestational diabetes may include these items:
- Knowing your blood sugar level and keeping it under control
- Eating a healthy, balanced diet
- Getting regular, moderate physical activity
- Maintaining a healthy weight gain
- Keeping daily records of your diet, physical activity, and glucose levels
- Taking medications as prescribed, you may need a medication if:
- Your blood sugar level is too high.
- Your blood sugar level is high too many times.
- Your blood sugar level remains high, but you are not gaining much weight or are not eating poorly.
- You cannot safely add physical activity to your treatment plan.
The History And Safety Of Ketogenic Diets
There are cultures who have thrived for centuries on high-fat, low-carb diets, such as the Masai warriors and Inuits.
Ketogenic diets have been used as medical treatments for a long timeÃ¢specifically, to treat children with epilepsy. In the past 20 years, many endurance athletes have started adopting low carb and ketogenic diets for improved performance.
How Many Carbs Per Day
A typical Western diet consists of about 60% of energy coming from carbs up to 300 grams of carbs every day.
In our experience, consuming this many carbs makes it extremely difficult to gain good blood sugar control.
As a contrast, we encourage people to aim for 50-120g of carbs per day, which is about 10-25% of your daily energy needs.
As you reduce your carb intake, youll notice that you naturally steer towards more proteins and fats, which is good for satisfying appetite and blood sugar stability too.
These numbers can be difficult to conceptualize if youre not used to thinking in terms of grams and percentages, so lets take a look at how 50-100g of carbs breaks down over the course of a day. Weve got two examples here, one with a goal of 100 grams of carbs per day, and one with a goal of 50 grams .
50g Carbs Per Day:
- 2 Snacks: 10 g carbs each
100g Carbs Per Day:
- 2-3 Snacks: 10 g carbs each
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What Happens When We Eat Carbohydrates Protein And Fat
Ã¢Your blood insulin responds very differently to different macronutrients. Fat does not impact blood insulin levels. Carbs have a high impact, and protein impacts them moderately, but fat has no impact.
Carbs and fats can both provide energy for the bodyÃ¢but not at the same time. When carbs are abundant in the diet, carbs function as the preferred fuel source. But when carbs are limited in the diet, fat becomes the preferred fuel source.
When you reduce your intake of one macronutrient, you have to increase your intake of at least one other macronutrient to avoid feeling hungry and not have enough energy.
In a low carb, high-fat diet, fat provides you with the energy your body needs, and it also reduces hunger and cravings.
Which Is Worse For Diabetics Sugar Or Carbs
The American Diabetes Association states that all carbs will have the same ultimate effect on blood sugar, however, complex carbs, because they are a long string of sugars, will provide a slower rise in blood sugar after all, it takes some time to break down that long string of sugars into absorbable single sugars.
Foods That Contain High Carbs
Some of the foods that contain a high amount of carbohydrates are breads in any form, like rolls and bagels grains such as rice and corn pasta potatoes and yams legumes such as peas, lentils, and specific beans that exclude snow peas, peanuts, and green beans yogurt all fruits except berries sweets such as ice cream, cakes, pies, and cookies fried foods processed foods and any sweetened drinks and beer. While these are not exactly harmful to a healthy individual, they can affect diabetics.
Know Your Blood Sugar Level And Keep It Under Control
The first step in this general treatment plan has two parts:
1) Knowing your blood sugar levelmeans you test to see how much glucose is in your blood and
2) Keeping your blood sugar level under controlmeans you keep the amount of glucose within a healthy range at all times, by eating a healthy diet as outlined by your health care provider, getting regular physical activity, and taking medication, if needed.
Your blood sugar level changes during the day based on what foods you eat, when you eat, and how much you eat. Your level of physical activity and when you do physical activities also affect your blood sugar levels.
As you get closer to your due date, your insulin resistance could increase. If that happens, you might need to take medication to help keep your glucose level under control. Knowing your glucose levels at specific times of the day will allow your health care provider to figure out the right medicine for you.
Follow your health care providers advice about when to test your glucose level. You will have to test your blood sugars four times a day and keep track of the numbers in a log book.
Even though your glucose level changes during the day, there is a healthy range for these levels. The goal is to keep your glucose level within this range. The following chart shows the healthy target range for each time you test.
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How To Decide Your Daily Carb Intake
If you simply remove the unhealthiest carb sources from your diet, such as refined wheat and added sugars, youll be well on your way to improved health.
However, to unlock the potential metabolic benefits of low carb diets, you also need to restrict other carb sources.
There are no scientific papers that explain exactly how to match carbohydrate intake to individual needs. The following sections discuss what some dietitians believe about carb intake and weight loss.
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Common Sources Of Added Sugars
Theres lots of added sugar in cookies, sodas, jams, and sweetened breakfast cereals. Yet plenty of healthy foods have sugar, too. They may even contain more sugar.
Here are a few examples:
- Flavored yogurt: 26 grams per 6 ounces
- Granola bars: 7 to 12 grams per 70-gram bar
- Jarred spaghetti sauce: 11 grams per half-cup
- Peanut butter: 5 grams per tablespoon
- Protein bars: 23 to 30 grams per 80-gram bar
- Russian salad dressing: 3 grams per tablespoon
- Sweetened apple juice: 39 grams per 12 ounces
- Vanilla almond milk: 14 grams per cup
Luckily, many of these foods have sugar-free versions so you can enjoy them without worry. But dont confuse the terms low fat with low sugar or no sugar added. Low-fat foods and natural ingredients can still have added sugars.
Verywell / JR Bee
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Learn More About Treating Type 2 Diabetes
The Diabetic DietDiet is very important in diabetes. There are differing philosophies on what is the best diet but below is a guideline with some general principles.
Patients with type 1 diabetes should have a diet that has approximately 35 calories per kg of body weight per day . If you have a child who has type 1 diabetes, we encourage you to read our article about meal planning for children with type 1 diabetes.
Personalize Your Carb Intake For Diabetes
If youd like to learn more about how you can reverse diabetes, lower high blood sugar, and get the health benefits of simply eating a more healthy diet, you can reach out to our coaches through our coaching program.
Our diabetes educators are experts with years of experience and the latest research and can work with you, your healthcare professional, and your registered dietitian to develop a healthy diet that works for you.
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Mastering Diabetes has strict guidelines for scientific references in our articles. We rely on peer-reviewed studies, academic research institutions, governmental organizations, and reputable medical organizations. We do our best to avoid using non evidence-based references in all articles. The references in this article are listed below.
5. Lifestyle Management: Standards of Medical Care in Diabetes2019 | Diabetes Care. .
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Blood Sugar Levels And Carb Intake: Why It Matters
There are two main misconceptions around carbohydrates.
The first is that all carbohydrates are bad for you, and the second is that carbohydrates are the cause of diabetes.
First things first all carbohydrates are not the same. Refined carbohydrates found in artificial sweeteners enter your bloodstream quickly and can cause elevated blood glucose quickly after eating a meal.
On the other hand, whole carbohydrates found in fruits, vegetables, legumes, and whole grains are surrounded by fibers and a host of micronutrients. As a result, your digestive system absorbs glucose at a reasonable physiological rate, resulting in a slow rise in your post-meal glucose.
Second, carbohydrates are not the underlying cause of diabetes, which can be a bit confusing at first since blood glucose levels are the key measurement for people living with all forms of diabetes. Since the goal with all forms of diabetes is to regain control of your blood glucose, it seems natural to carb count.
However, its important to understand that high blood glucose levels are a symptom of diabetes, not the root cause.
The underlying cause of most struggles with diabetes is actually an excess of dietary fat, which creates insulin resistance, which in turn increases your blood glucose values in the fasting and fed state.
Insulin resistance is the direct cause of prediabetes and type 2 diabetes, and can be an additional complication some people experience on top of type 1 diabetes.
Carbohydrates Per Day For A Borderline Diabetic Woman
If you have prediabetes, develop an exercise routine and adjust your eating habits in favor of nutritious whole grains rather than refined carbohydrates.
If you have prediabetes, your doctor will probably recommend lifestyle changes to prevent the development of Type 2 diabetes 18. You may have to adjust your diet as part of those changes, and its possible that reducing your carb intake can help you lose weight to prevent the onset of the disease.
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So How Many Carbs Should You Eat
It does vary some from person to person. But overall your goal is to keep your carbohydrate intake to less than 130 grams per day, which is considered the top threshold for a low carb diet.
Still, although anything below 130 grams is considered low carb, and its a good place to start, 130 grams is not that low.
Research shows that if you can eat even fewer carbs, youll get even better results:
- Great blood sugar control
- Lower inflammation
- Reduction in medication
What weve found works well for our members is to consume around 50 to 80 grams of total carbs per day. Yes, thats 50-80 g maximum carbs per day!
So, when you start carb counting, if you were calculating net carbs , youd be consuming around 30 to 50 net carbs per day.
And if you do this, youll be seeing great improvements!
Leisa M says:
Heres the thing, you can choose to eat a higher carb diet but over time you will likely find it difficult to control your blood sugar levels and many find you need to continually increase your medication. And the reality is, if you struggle to maintain your blood sugar within a healthy range, you put yourself at higher risk for nasty diabetic complications.
Whereas, if you adopt new ways of eating, switching to a lower carb diet, you can reverse* your diabetes. Yes, thats right!
A Word Of Caution!
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Healthy Carb Intake For People With Diabetes
The Centers for Disease Prevention and Control recommends that people with diabetes get about 45% of their daily calories from carbohydrates. Put another way, for a 2,000 calories diet that equates to about three or four servings of carbohydrates.
For those with diabetes, eating well is not just a matter of counting grams and calories, though. Choosing nutritious foods is key, says Jennifer Smith, Director of Lifestyle and Nutrition at Integrated Diabetes Services in Madison, Wisconsin.
There are two main types of carbs:
Simple carbs hit the bloodstream quickly and can lead to a higher spike in blood sugar levels compared to complex carbs.
If youre doing 45% carbohydrates because thats what youve been told to do, but its all white rice and white bread and Fruit Loops, thats not healthy, Smith says. Simple sugars have a big impact on blood sugar, while more complex carbohydrates like grains, beans, and legumes have more fiber in them, which slows blood sugar impact once your body takes it into your system.
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What Is The Number 1 Worst Carb
14 Foods to Avoid on a Low- Carb Diet Bread and grains. Bread is a staple food in many cultures. Some fruit. A high intake of fruits and vegetables has consistently been linked to a lower risk of cancer and heart disease . Starchy vegetables. Most diets allow an unlimited intake of low-starch vegetables. Pasta. Cereal. Beer. Sweetened yogurt. Juice.
I Am Pre Diabetic And Need To Lose 25lbs On A Carb Diet Of 1500 Calories How May Carbs Can I Have Drama Ward
Answered By dLife Expert: Franziska Spritzler, RD, CDE Certified diabetes educator and registered dietitian living in Southern California. The content of this website, such as text, graphics, images, and other material on the site are for informational purposes only. The Content is not intended to be a substitute for, and dLife does not provide, professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this site. If you think you may have a medical emergency, call your doctor or 911 immediately. dLife does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on this site. Reliance on any information provided by dLife, its employees and other contributors or visitors to this site is done solely at your own risk. Any information you submit to dLife or this site may be published on this site and in other dLife products. dLife retains all rights to all contributions including submitted questions and expert answers.Continue reading > >
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How Much Carbohydrate Is Found In The Foods I Eat
There are many resources you can use to count carbohydrates:
- Nutrition Facts food labels on packaged foods list the total grams of carbohydrate.
- The American Diabetes Association Exchange Lists for Meal Planning: Choose Your Foods lists grams of carbohydrate per exchange serving size. In this system, one carbohydrate exchange serving equals 15 grams of carbohydrate.
- Carbohydrate counting and food composition books are available. These resources can also be found online.
- Some cookbooks are available that provide nutrition information.
- Many restaurant chains, including fast food outlets, have brochures available that list nutrition information for each of their offerings. This nutrition information often includes the amount of carbohydrates and will save you from having to make your own calculations.
- Computer software programs for hand-held devices.
- Some insulin pumps.
Research On Very Low Calorie Diets
Research shows that caloric restriction can help people with type 2 diabetes achieve non-diabetic glucose levels.
One 8-week very low calorie diet study, found that 87% of patients having diabetes < 4 years and 50% of patients having diabetes > 8 years, saw clinical improvements in fasting blood sugar levels, with a 50% chance of eliminating all diabetes therapies, including medication.
A 2017 clinical trial, randomized people with type 2 diabetes to follow either the standard diabetes diet or a very low calorie diet for 12 to 20 weeks.
The results of the study showed a large percentage of the calorie restricted group lost over 30 pounds/15 kg, and 46% achieved complete diabetes remission.
An important thing to note is that the low calorie diet was also a low carbohydrate diet, containing between 122 to 126 grams of carbs per day. Even the diet recommended to participants after the study, was you guessed it low carb!
While the results for very low calorie diets are very impressive, you must have clinical guidance to follow a diet so low in calories .
Beyond needing clinical guidance, very low calorie diets are not sustainable long term. And restricting calories that low will inevitably lead to fatigue, along with the potential for vitamin and mineral deficiencies.
The good news is that low carb diets are equally effective for achieving diabetes remission, without the need to restrict calories so low!
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