Gestational Diabetes (Pregnant)
Eat healthy diet with steady carbs, provide increased nutrients and reduce risk of complications
Recommended For
Gestational diabetes, Diabetes during pregnancy.
Diet Goals
Stable blood sugar; meet nutritional needs
- Distribute carbs evenly throughout the day
- Fiber rich foods slow sugar absorption and stabilize blood sugar
- Manage sugars to avoid preeclampsia, eclampsia or high BP
The goal is to maintain a steady blood sugar with diet changes and exercise. High blood sugars cause troubles for mom and baby.
Food Recommendations
Foods to Eat
Beans, Legumes: Lentils, soy, black beans, peas, chickpeas
Lean meats: Chicken, turkey, fish, tuna, shrimp, pork chops
Fish 2 x week: Salmon, bass, cod, crab, scallops, shrimp
Low sugar: Berries, greek yogurt, DIY fruit smoothie
Low fat dairy: Skim, 1% milk, yogurt, cheeses, buttermilk
Fruits, Vegetables: Berries, avocado, leafy greens, carrots
Foods to Avoid
Alcohol: Beer, wine, liquor, canned alcohol drinks
High sodium: Deli meat, soup, cheese, pizza, salty nuts & snacks
Sugary drinks: Soda, coffee drinks, energy drinks, fruit juice, smoothies
Saturated fats: Beef, lamb, pork, full fat dairy, butter, pastry, pie, biscuits
High sugar: Fruit yogurt, granola, energy bars; raisins, ketchup, pasta sauce
Processed foods: Fast or fried foods, packaged foods, frozen dinners, cakes
Diet Rules
Additional Information
Research
Women with GDM have increased risk of developing T2 diabetes later in life; physical activity may help prevent both GDM and T2 diabetes.
Placenta releases hormones for baby growth that interfere with making or using insulin (insulin resistance).
Nutritional management is main treatment for gestational diabetes; overweight/obese are at increased risk.
Caveats
Gestational diabetes typically develops between weeks 24 and 28; and resolves after baby is born.
Monitor blood sugar post pregnancy; at 6 and 12 weeks.
Stable blood sugar prevents cravings; increase fiber, complex carbs; evenly distribute carbs throughout day.
Combining aerobic and resistance training increases insulin sensitivity; check with MD first.
References
Artificial Sweeteners and Pregnancy. (2021). American Pregnacy Association. https://americanpregnancy.org/pregnancy-health/artificial-sweeteners-and-pregnancy/
Aronne MD, L. (2015). Food Order Has Significant Impact on Glucose and Insulin Levels. Weill Cornell Medicine. https://news.weill.cornell.edu/news/2015/06/food-order-has-significant-impact-on-glucose-and-insulin-levels-louis-aronne
AssociatedPress. (2018). 5 Percent of Calories Should Be From Sugar, WHO Says. NBC News/The Associated Press. http://www.nbcnews.com/health/diet-fitness/5-percent-calories-should-be-sugar-who-says-n45166
Caffrey, M. (2017). Gestational Diabetes Raises Heart Attack, Stroke Risk, NIH Study Finds. The American Journal of Managed Care. https://www.ajmc.com/view/gestational-diabetes-raises-heart-attack-stroke-risk-nih-study-finds
Campbell, A. (2017). DASH Eating Plan: An Eating Pattern for Diabetes Management. NIH, National Library of Medicine, Diabetes Spectrum. https://diabetesjournals.org/spectrum/article/30/2/76/32278/DASH-Eating-Plan-An-Eating-Pattern-for-Diabetes
PCOS(Polycystic Ovary Syndrome) and Diabetes. (2020). Centers for Disease Control. https://www.cdc.gov/diabetes/basics/pcos.html
Gestational Diabetes. (2020). Centers for Disease Control. https://www.cdc.gov/pregnancy/diabetes-gestational.html#targetText=Gestational%20diabetes%20is%20a%20type,in%20the%20middle%20of%20pregnancy.
Gestational Diabetes and Pregnancy. (2022). Centers for Disease Control. https://www.cdc.gov/pregnancy/diabetes-gestational.html
Gestational Diabetes. (2022). Centers for Disease Control. https://www.cdc.gov/diabetes/basics/gestational.html
Standards of Medical Care in Diabetes—2017 Abridged for Primary Care Providers. (2016). Clinical Diabetes Papers in Press. https://professional.diabetes.org/sites/professional.diabetes.org/files/media/abridged_standards_of_medical_care_in_diabetes_2017_0.pdf
Dolatkhah, N., Hajifaraji, M., & Shakouri, S. (2021). Nutrition Therapy in Managing Pregnant Women With Gestational Diabetes Mellitus: A Literature Review. J Family Reprod Health. PMID: 30820209; PMCID: PMC6391302. https://pubmed.ncbi.nlm.nih.gov/30820209/
Dolatkhah MD Ph.D, N., Hajifaraji Ph.D, M., & Shakouri MD, S. (2018). Nutrition Therapy in Managing Pregnant Women With Gestational Diabetes Mellitus: A Literature Review. NIH, National Library of Medicine; Journal of Family & Reproductive Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391302/
Gearing, M. (2015). Natural and Added Sugars: Two Sides of the Same Coin. Harvard University/The Graduate School of Arts. http://sitn.hms.harvard.edu/flash/2015/natural-and-added-sugars-two-sides-of-the-same-coin/
Gebremikael, M., Konings, E., & Roberts, C. (2018). Identifying and Treating Gestational Diabetes Among Women Living with HIV in Ethiopia. MATERNAL HEALTH TASK FORCE, Harvard Chan School. https://www.mhtf.org/2018/02/27/identifying-and-treating-gestational-diabetes-among-women-living-with-hiv-in-ethiopia/
Hage, M., Zantout, M., & Azar, S. (2011). Thyroid Disorders and Diabetes Mellitus. Journal of Thyroid Research. https://www.hindawi.com/journals/jtr/2011/439463/
Gestational Diabetes Mellitus (GDM). (n.d.). Johns Hopkins Medicine. Retrieved January 21, 2022, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/diabetes/gestational-diabetes
Kucukgoncu, S. (2019). Antipsychotic Exposure in Pregnancy and the Risk of Gestational Diabetes: A Systematic Review and Meta-analysis. Schizophrenia Bulletin, Volume 46, Issue 2. https://academic.oup.com/schizophreniabulletin/article-abstract/46/2/311/5511697?redirectedFrom=fulltext
Lao, T., Chan, B., Leung, W.-C., Ho, L.-F., & Tse, K.-Y. (2007). Maternal hepatitis B infection and gestational diabetes mellitus. Journal of Hepatology/PubMed. https://pubmed.ncbi.nlm.nih.gov/17434231/
Mahajan, A., Donovan, L., Vallee, R., & Yamamoto, J. (2019). Evidenced-Based Nutrition for Gestational Diabetes Mellitus. Current Diabetes Reports. PMID: 31473839. https://pubmed.ncbi.nlm.nih.gov/31473839/
Gestational diabetes diet. (n.d.). Medline Plus/NIH. https://medlineplus.gov/ency/article/007430.htm
MedlinePlus. (2021). Gestational diabetes diet. National Library of Medicine. https://medlineplus.gov/ency/article/007430.htm
Moore MD, T. (2020). Diabetes Mellitus and Pregnancy . Medscape. https://emedicine.medscape.com/article/127547-overview
Moore, T., & Griffing, G. (2021). Diabetes Mellitus and Pregnancy. Medscape. https://emedicine.medscape.com/article/127547-overview
Toiba PhD RD, R. (2013). Gestational Diabetes. Today’s Dietitian. https://www.todaysdietitian.com/newarchives/080113p48.shtml
Dietary Recommendations for Gestational Diabetes. (n.d.). University of California San Francisco Health. Retrieved January 27, 2022, from https://www.ucsfhealth.org/education/dietary-recommendations-for-gestational-diabetes
Gestational Diabetes Treatment Plan. (n.d.). Yale University. Retrieved January 29, 2022, from https://yalehealth.yale.edu/gestational-diabetes-treatment-plan