No, I’m not pregnant. Although, I desperately wish I was, that ship may have sailed.
Regardless, I’ve been chatting with a lot of d-friends lately who are looking into the getting-pregnant-business, and they have been asking about pregnancy diet plans.
Below is what my endo’s nutritionist gave me, and it worked like a charm every day that I followed it. And by “charm” I mean: relatively reliable and consistent good blood sugars within a range I could handle at that point in my pregnancy. Blood sugars are ALWAYS a moving target, but pregnancy makes that even more of a challenge. It felt like I was changing basal rates and insulin-to-carb ratios almost every week.
As we all know, your body and diabetes may be different, but this is what I went by, and this worked for me. I am connecting this with Type 1 diabetes because that is what I know, however, I don’t see why it wouldn’t be applicable for a Type 2 or gestational diabetic as well – as always, you should consult with your doctor to discuss what is best for you as an individual.
Everything in ( ) is examples for that meal – you may obviously swap it out for things you like & different stuff each day – these examples are using the Diabetic Exchange lists. I was a little cavalier and didn’t quite stick to it 100% of the time. When you are pregnant and crave a chicken quesadilla, you must have a chicken quesadilla, though it may not mesh exactly into the options for food at dinnertime.
But to this diet’s credit – my HbA1c’s were fabulous throughout the 9-ish months of pregnancy – 5.2, 5.7, and 5.9 respectively. AND my daughter came out with no issues whatsoever (despite my fears throughout the entire 37 weeks that every high or low blood sugar was killing her. If I could do it all over again, I would do my best to NOT be so stressed out, and instead just relish in the ability to BE pregnant.)
– 1 protein (one egg)
– 1 starch (one slice of whole wheat toast)
– 1 milk (1 cup skim milk)
– 1 fat (1 tsp margarine or 1 piece bacon)
– 1 protein (1 oz. cheese)
– 1 fruit (1 small apple)
– 3 proteins (3 oz. lean turkey)
– 2 starches (2 slices whole wheat bread)
– 1 milk (or 1 fruit) (1 cup plain or lite yogurt)
– 1 fat (1 tbsp diet mayonnaise)
– 2 vegetables (1 tomato / 1 cup raw broccoli)
– 1 protein (1 tbsp peanut butter)
– 1 starch (6 crackers)
– 3 proteins (3 oz cooked chicken)
– 2 starches (1/2 cup pasta, 1 slice bread)
– 1 fruit (1/3 of cantaloupe)
– 1 fat (1 tsp margarine)
– 2 vegetables (tossed salad with tomato)
– 1 protein (1 slice cheese)
– 1 starch (1/2 English muffin)
– 1 milk (1 cup milk)
Notes & info links:
- I had terrible morning (really, all day) sickness throughout my pregnancy, up until the day I gave birth. The ONLY thing that kept me from retching all day was making sure I ate something every 3 hours. It was like clockwork, and I could almost biologically tell you when it had been exactly 3 hours because I would start getting nauseous.
- Near the end of my 1st trimester, my husband and I went on a cruise. It was amazingly beautiful and relaxing, but my most favorite memory is eating a piece of almost every night around 11pm so that my blood sugar would stay stable throughout the night. I AM NOT KIDDING. Pizza!! It was an historic event of perfect blood sugars with relation to that usually-nightmare-blood-sugar-causing food. (This only happened in 1st trimester and beginning of the 2nd. During the crazy-insulin-resistant-3rd trimester….pizza was off the table.)
- There are tons of resources out there around pregnancy with Type 1 diabetes. Before I really engaged with the breadth of the DOC, I chatted a lot on the boards at http://www.diabeticmommy.com/
TuDiabetes also has forums and groups filled with women looking to get pregnant, currently pregnant, or post-pregnancy who can be great sounding boards for questions: http://www.tudiabetes.org/group/diabetesandwomen
- And for those of us who face infertility (diabetic or not) and issues with just getting pregnant in the first place: http://www.resolve.org/