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  1. #1
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    Default Gestational Diabetes help please

    Last night my dr rang me and told me I have gestational diabetes. I have to take my BSL first thing in the morning and 2 hours after every meal. I understand that. What I have no idea about is what foods I am meant to eat. I know the basics avoid sugary things and high fat things. I won't get to see a dr until next Thursday and am not sure about a dietition. So can anyone help with some info or give me some sample daily menu plans that you follow.


    I got my monitor this afternoon and tested my BSL (it was at about 5ish I had lunch at 1pm and I had had a banana about 20 minutes earlier) it was 7.1 that's to high isn't it? How do I get it down? I am so confused.


    Thanks for your help.

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    Have a read of this: http://www.health.qld.gov.au/nutriti...gdm_colour.pdf

    There is food suggestions and a sample meal plan in there.

    The aim is to keep your fasting blood sugar <5.5mmol and between 5.0mmol and 7.0mmol 2 hours after eating.

    Eating low GI foods is a good start and lots of foods are labelled low GI these days.

    I hope that helps. I haven't officially been diagnosed as my GD has come on much later (33 weeks) same as it did with DS. I need to get back to the Dr to confirm, but I monitor and I have to work hard to keep my levels in the right range.

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    mordygordy  (25-04-2012)

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    Wow this is such a wiiiiide topic he should have referred you to a dietician straight away! Tbh I dont even know where to start! It is not only plain sugar you have to avoid but high carbohydrates. They are in rice, bread, potatoes, cereal. On the internet you can find lists with how much carbs things have and according to those you plan your meal. I am on 3 carbs for dinner eg (but I am also late pregnancy) now. It is important you eat very strict and regularly, three meals, two snacks a day. Snacks can be nuts, crackers, some muesli bars (I always did well with the go natural bars), joghurt.
    With time you will also get to know the things you can eat and cant, which vary from person to person and pregnancy to pregnancy. I personally love kellogs special k for breakfast, they always work fantastic for me.
    Your sugar should be below 7 after meals and below 5.5 in the morning.

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    mordygordy  (25-04-2012)

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    Big hugs to you to start off with and just want to let you know the world hasn't ended and a little bit of education goes a long way.
    Firstly my endo specialist says my morning levels should be below 5. I test before I eat and we aim for this to be below 5.5 and 2 hours later not more than 6.8

    Food wise aim for lots of fruit and veg and moderate amounts or carbs and protein. Lots of water too. Low GI is also good as the sugar in these types of food is released into your system over longer periods of time. Eg multiple grain and/or wholemeal bread is better than white bread. Also hi fibre low gi white bread is better than normal white bread if you can't stomach the brown bread.

    I pay particular attention to the panel on the back of food packages where the nutritional info is as well - ideally you should be looking at around 10g sugar per 100g of food product or less firstly then look at the carbs verses serving size. Eg salada biscuits you may have 1.5 large biscuits (which equals 6 little squares) and this may have 30g of carbs my dietician says I should aim to have around 45g carbs per meal and recommends 5 small-med meals per day.

    Hope I'm making sense. The figures I'm using are made up and I hope you can understand what I'm getting at.

    Will hunt up some useful websites for you and post them a bit later.

    Question - are you a private or public patient???

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    mordygordy  (25-04-2012)

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    Thanks for your help girls. I will go have a look at the site now. I am 33 weeks to and didn't have it with my boys and passed my first GTT at 24 weeks. I am measuring 5 weeks ahead but baby is measuring spot on for my dates.

    I am going public but I have private coverage (just not top cover to cover birth). I now have to go to Maitland hospital which is 2.5 hours away from home. I am hoping I can transfer back to my hospital or to Maitland private bc the thought of sharing a room and my boys visiting I don't like. I am having a c-section so how big doesn't really matter.

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    Quote Originally Posted by mordygordy View Post
    Thanks for your help girls. I will go have a look at the site now. I am 33 weeks to and didn't have it with my boys and passed my first GTT at 24 weeks. I am measuring 5 weeks ahead but baby is measuring spot on for my dates.

    I am going public but I have private coverage (just not top cover to cover birth). I now have to go to Maitland hospital which is 2.5 hours away from home. I am hoping I can transfer back to my hospital or to Maitland private bc the thought of sharing a room and my boys visiting I don't like. I am having a c-section so how big doesn't really matter.
    It does matter for the baby's health though. My first preg i was diagnosed very late and baby was born 12 pounds He was pretty unhappy, went hypo a few times and was in nicu for a week. Second was better as I checked my own bsl and found the rising at 18 weeks, whereas the hospital wouldnt have tested before 24 weeks. This one was born 7 pounds and in nicu for two hours
    Oh yeah which reminds me, if you are breastfeeding it is a good idea to express and freeze in pregnancy so if baby should go hypo while you are still in surgery or recovery they can syringe feed your bm
    Good luck for the last weeks

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    mordygordy  (25-04-2012)

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    Oh yes I will be following the diet strictly and trying to keep my sugars correct. I want my baby to be fine when she is born and not have problems with her sugars etc. I will be breast feeding for sure.

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    Checkout diabetesaustralia.com.au and Gestationaldiabetesrecipes.com.au
    Found these sites to be very informative and will give you an idea of what foods are more suitable.

    When I was diagnosed with DD she was measuring 6 weeks ahead at 28 weeks by 38+5 when I was induced she was right on time size wise and weighed 3.5kg. I had my first GTT at 14 weeks and another at 18 weeks. By 20 weeks despite my very best efforts I was insulin dependent only morning and night at moment but things change very quickly. Bub has recently had a growth spurt and that threw things out of whack for a couple of days.

    Management is easier I find the second time around. I feel I'm better educated this time too. You should here from the diabetes unit at your local hospital soon and they can help you with education and management. You will have more contact with them than your OB in most cases

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    mordygordy  (25-04-2012)


 

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