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Suggest Ideal Diet During Pregnancy When Diagnosed With Gestational Diabetes
Question: Hi mam, I am 28weeks pregnant with low lying placenta with hypothyroidism with gestation diabetes on insulin Inj h actrapid 12-10-8. Before lunch my sugar level was 183. Today at 8.30 am I ate two wheat dosa. Today morning sugar level was 111. And at 10.30 I drunk milk with two whole wheat bread. Then 11.30 I ate one orange. Then took the test at 12.30pm because I put injection at 12.30. So I took test before that. Sugar level was 183. I just shocked to see this. Anything I need to change mam.
Brief Answer:
you should discuss your diet with treating doctor
Detailed Answer:
Hello,
It seems that your actrapid dosage is not enough to keep your blood sugar within the recommended levels. Most women find longer acting insulins a lot more helpful, particularly the early morning measurements. Insulin mixes with long and short acting insulins is a reasonable choice as well.
Regarding your diet: there are some foods that will increase your blood sugar faster than others, which may depend on various factors. I'll mention some of them.
The time of day is a very important factor. Early morning is the most difficult time to eat carbohydrates. The morning hormones are all against good glucose control! If you can't keep your blood sugar low, you should avoid eating carbohydrates (milk for example) in the morning and eat/drink them in the afternoon. Eating some fat may also reduce the immediate blood glucose elevation after the meal (cheese for example contains a lot of fat). And you can try some mild exercise after eating like going for a walk.
You don't have to panic at this time. Try to watch your diet, increase your physical activity unless your gynecologist has good reasons for the opposite. Blood sugar control usually needs trial and error, so it's normal to have some high blood sugars in the process. I suppose that your hypothyroidism is under control now. If it's not then, you should try to control it as soon as possible. The thyroid affects your blood sugar as well.
I hope you find my comments helpful!
You can contact me again if you'd like any clarification or further information.
Kind regards!
you should discuss your diet with treating doctor
Detailed Answer:
Hello,
It seems that your actrapid dosage is not enough to keep your blood sugar within the recommended levels. Most women find longer acting insulins a lot more helpful, particularly the early morning measurements. Insulin mixes with long and short acting insulins is a reasonable choice as well.
Regarding your diet: there are some foods that will increase your blood sugar faster than others, which may depend on various factors. I'll mention some of them.
The time of day is a very important factor. Early morning is the most difficult time to eat carbohydrates. The morning hormones are all against good glucose control! If you can't keep your blood sugar low, you should avoid eating carbohydrates (milk for example) in the morning and eat/drink them in the afternoon. Eating some fat may also reduce the immediate blood glucose elevation after the meal (cheese for example contains a lot of fat). And you can try some mild exercise after eating like going for a walk.
You don't have to panic at this time. Try to watch your diet, increase your physical activity unless your gynecologist has good reasons for the opposite. Blood sugar control usually needs trial and error, so it's normal to have some high blood sugars in the process. I suppose that your hypothyroidism is under control now. If it's not then, you should try to control it as soon as possible. The thyroid affects your blood sugar as well.
I hope you find my comments helpful!
You can contact me again if you'd like any clarification or further information.
Kind regards!
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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