Your meal plan for
diabetes needs to be modified when you are pregnant.
The total calories you need are based on your prepregnancy weight, age,
activity level, and whether you are carrying more than one baby.
Dieting to lose weight during pregnancy is not recommended,
because you may not receive enough nourishment for you and your baby, and it
may increase your risk for premature delivery.
guidelines for your meal plan during pregnancy.
Inadequate carbohydrate intake can result in low blood
sugar (hypoglycemia) for women taking insulin and in
ketone production for women who have
gestational diabetes. Excessive carbohydrate intake
can result in elevated blood sugar levels.
Make sure your meal plan contains:
Limit these carbohydrate foods in your diet:
If your kidney function is impaired,
your protein allowance may be lowered.
Monounsaturated fats and omega-3 fats, rather than saturated fats, should
continue to be the primary source of fat in your diet.
Get enough fiber each day. Fiber can help stabilize your blood
sugar levels and relieve constipation, which is common during pregnancy.
Most people get far more sodium than they need. Talk to your doctor about how much sodium you should
Take a prenatal
vitamin with folic acid and iron to meet your body's
increased need for these micronutrients. Folic acid is
needed for the production of blood cells. And iron is needed for red blood
cells to deliver oxygen throughout the body. Folic acid
has also been proved to reduce the risk of fetal
neural tube defects.
You may need to take a
vitamin B12 supplement, which is important for the production of red blood
cells, and a vitamin D supplement if you are a strict vegetarian (vegan).
Vitamin B12 can only be obtained from animal sources in the diet.
Other vitamins and minerals, such as the B vitamins and calcium, are important
during pregnancy for producing energy and preserving your body's calcium
Very large doses (megadoses) of vitamins, especially
vitamins A and D, are not recommended during pregnancy. Vitamins and minerals
should only be taken under your doctor's supervision.
Saccharin (Sweet'N Low, Sugar Twin), aspartame (Equal, NutraSweet), acesulfame K (Sunett), sucralose (Splenda), and neotame are safe to eat when you are pregnant.
Avoid using aspartame (Equal or
Nutrasweet) if you have
Do not drink alcohol. No amount of alcohol
has been proved to be safe for a developing baby (fetus).
Some herbs may cause premature labor and
others may cause high or low blood sugar levels. Talk with your doctor if you
are taking any herbs.
February 26, 2013
Adam Husney, MD - Family Medicine
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