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Precaution and diet for diabetes in pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2565 Questions
Doctor :   hi
User :   Hi am 19 weeks pregnant
Doctor :   r u there
Doctor :   ok
Doctor :   go ahead with ur medical query
User :   1 1/2 months back i got my glucose test done
User :   it was showing 133
User :   doc told me that i have diabeties
Doctor :   ok
User :   could u suggest some diet and what are the precautions i need to take
Doctor :   fasting blood glucose level isit
Doctor :   sure
Doctor :   this is called gestational diabetes
User :   lab technician gave me 75gms of glucose with lemon
Doctor :   ok
User :   after two hours they took my test again which showed 133
Doctor :   ok
User :   could u suggest some diet and what are the precautions i need to take
Doctor :   yes sure
User :   i have to undergo another blood test on sat also
User :   that is 5th of july
Doctor :   ok
Doctor :   avoid taking sugar
Doctor :   The total calories you need are based on your prepregnancy weight, age, activity level, and whether you are carrying more than one fetus. Your calorie needs: * Remain the same during the first trimester (weeks 1 through 12) as they were before pregnancy; however, you may need extra calories if you have nausea, vomiting, or a low blood sugar level.
* Increase during the second and third trimesters (week 13 through 40). During this time, you need 300 calories per day more than your prepregnancy intake.
Aim for a total weight gain of 25 lb (11.3 kg) to 35 lb (15.9 kg), with a rate of weight gain at about 1 lb (0.5 kg) each week during the second and third trimester.
* Excessive weight gain [greater than 6.5 lb (3 kg) per month for a woman who was of normal weight or overweight at conception] can contribute to insulin resistance.
* Inadequate weight gain [less than 0.5 lb (0.2 kg) per week or less than 2 lb (0.9 kg) per month] may be an indication that you and your baby are not receiving enough nourishment.
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.
Follow these guidelines for your diet during pregnancy.
User :   am not taking tea/coffee or any sugar content items like cake, pastries, chocolates
Doctor :   ok
Doctor :   u need good diet control and exercise as well
Doctor :   to keep sugar levels in check
Doctor :   I would recommend you to take the advice of a nutritionist who can help you with the menu you require based on your diet patterns. For all weight problems, please visit an you can also call them alternatively at 000
User :   i was weighing 45 kgs before pregnancy
Doctor :   k
User :   now my weight is 54 kgs
Doctor :   u will gain weight
Doctor :   gradually during pregnancy
User :   is this weight ok
Doctor :   ur 19 weeks pregnant right
User :   s
Doctor :   9 kg weight gain
User :   what kind of fruits can i eat
Doctor :   orange
Doctor :   i will calculate ur weight gain
User :   ok
Doctor :   what is height
User :   5
Doctor :   5 feet isit
User :   s
Doctor :   u should get a weight gain of atleast 29lbs
Doctor :   at the end of pregnancy
User :   ok
Doctor :   aim for weight gain of 4 lbs for every week
Doctor :   that should be ideal
Doctor :   or 3lb weight gain is good
User :   ok doctor
Doctor :   anything else u wantto know about
Doctor :   exercise regularly
Doctor :   please
Doctor :   join yoga
User :   my bp is 100/80
Doctor :   good for ur baby
User :   is it fine
Doctor :   thats normal
Doctor :   u need not worry
Doctor :   u have dates
User :   since am working i wont get enough time to join
Doctor :   food rich in iron and calcium
Doctor :   have milk regular
Doctor :   weekends u can join
User :   for yoga could u pls suggest some exercise at home
User :   am having milk twice with d protein a day and a banana
Doctor :   u can contact nearest yoga centre
Doctor :   good
Doctor :   they will teach u home exercise
Doctor :   which u can do on ur own
Doctor :   after few sessions
Doctor :   if u dont have time to practise
User :   ok doctor
Doctor :   u need not to yoga center everytime
Doctor :   i will give u list
Doctor :   of fruits u can take
User :   dates which one should i take dry ones are fine doctor
Doctor :   yes
Doctor :   liondate u get
Doctor :   u can take
Doctor :   that is rich in iron
User :   someone told me that people with dry dates are not good for diabeties
User :   ok
User :   how many can i have in a day
Doctor :   thats the problem
Doctor :   apple u can take
Doctor :   grape
Doctor :   jambul
Doctor :   People with diabetes are encouraged to eat at least five portions of fruit and vegetables every day. Spreading the fruit you eat through the day will avoid a sudden rise in blood glucose levels.
Doctor :   avoid taking dates
Doctor :   instead u can take apple
Doctor :   bananas, mango, chikoo, custard apple, dates, pineapple these fruits u avoid
Doctor :   How fast a fruit will raise your blood sugar also depends on considerations as whether you eat the fruit after a high-calorie meal or drink it as a glass of fruit juice on an empty stomach.
Doctor :   r u able to follow
User :   s
Doctor :   how old are u
User :   35
Doctor :   most important thing for u to do is u need to have walk atleast
User :   ok
Doctor :   make it habit to walk atleast for 30 mins
User :   am going for a walk in the morning and after dinner
Doctor :   take ur hubby as well
User :   s he comes with me
Doctor :   above everything
Doctor :   dont worry, be cheerful
User :   s doctor
Doctor :   did i clear all ur doubts
Doctor :   anything else u would u like to know about
User :   am taking orofer it and triple acal tablets one per day
User :   how many days should i continue with this
Doctor :   till 3 months
Doctor :   or 90 days
Doctor :   as suggest by the obstetrician
User :   one of junior doct told me to continue even after delivery is it ok doc
User :   or should i chck with them again
Doctor :   depends on ur HB levels
Doctor :   and physical condition
User :   ok
Doctor :   they will tell u
Doctor :   when to stop
User :   ok
Doctor :   anything else u want to know about
User :   am getting leg cramps and back pain in the night
Doctor :   back painu do get in pregnancy
User :   at least 3 to 4 times in a day
Doctor :   as the baby grows
Doctor :   leg cramps as well
Doctor :   execise
Doctor :   regularly
User :   wl u b able to suggest one exercise doc
User :   or i need to check with the tutor
Doctor :   thats the reason i told yoga
User :   ok
Doctor :   swimming is good
User :   ok
Doctor :   exercise which u can do
Doctor :   Remember, when picking something up from the floor, bend your knees and keep your back straight. Always lift with your legs, never your back, keeping the heavy object close to your body at all times.
User :   i will check with the tutor doc as per ur suggestion
Doctor :   ok
Doctor :   A firm mattress will help relieve your back pain
Doctor :   If you donĂ¢??t have a firm mattress, put a piece of hardboard under your current mattress.
Doctor :   A pregnancy support belt gently lifts the abdomen without squeezing and encourages a more erect posture.
Doctor :   anything else u want to know about
User :   ok doctor
User :   ok doc
Doctor :   if u have medical queries
Doctor :   u can write to us or have chat with us
Doctor :   u can mail us at YYYY@YYYY
Doctor :   Thanks for Consulting Health care Magic. IF you find this service helpful please refer your friends and family members.
User :   hi doctor
Doctor :   hi
Doctor :   how can i help you?
Doctor :   hi
Doctor :   hi
Doctor :   hi
Doctor :   hi
Doctor :   hi
Doctor :   r u there
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