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How to control diabetes during pregnancy?

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Posted on Fri, 1 Jul 2016
Question: Hi,
i am 7 months pregnant 8th is running now and having diabetes problem during third trimester so just wanted to know how can i control sugar level while i have to take fruits in this time.so which fruits i can take.
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Answered by Dr. Om Lakhani (52 minutes later)
Brief Answer:
You can take fruits with low glycemic index.

Detailed Answer:
Hi XXXXXXX

These are my suggestions based on the question you have asked :

1. You need to restrict you overall calorie intake. Your calorie intake needs to be around 1600-1800 Kcal/day. You can use various Smartphone apps freely available on Google Play or iTunes for counting your daily calorie intake.

2. You need to take a fixed amount of carbohydrates in each meal. We generally suggest 30 grams of carbohydrates in each meal.

3. You can take fruits with low glycemic index. Avoid fuits with high or low glycemic index. Here are classification of foods based on glycemic index

Low Glycemic index– Apple, Orange, guvava
Medium Glycemic index- XXXXXXX banana, plum, black grapes , resins
High Glycemic index– Pineapple , Watermelon

There is a website called www.glycemicindex.com which can give you detailed list of glycemic index of various food substances. if you need some specific information on some specific fruit, you can check out the website.

Your blood sugar targets needs to be as follows:

1. Fasting blood sugar <95 mg/dl
2. 2 Hours post meal blood sugar <120 mg/dl

You can use a glucometer to check you blood sugar. In pregnancy we suggest 6 times blood sugar check - 3 times before meal and 3 times 2 hours after meal. Keep a chart of the same.

If you blood sugars are not in target range after 2 weeks of diet control then we generally add a medication called METFORMIN for blood sugar control.

Hope this helps and Good luck.

With Regards
Dr. Om J Lakhani, MD
Department of Endocrinology
Sir XXXXXXX XXXXXXX Hospital
New XXXXXXX


Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Om Lakhani (2 hours later)
i am making chart of sugar testing so according to glucometer fasting is near 90 to 95 but posty lunch and post dinner is arount 130 to 140.
doctor
Answered by Dr. Om Lakhani (4 minutes later)
Brief Answer:
Fasting is fine, Post prandial a bit high but can be controlled with diet

Detailed Answer:
Your fasting blood sugar is alright. Post-prandial is slightly high but not high enough to start medications. Continue the diet control as advised above and you would do just fine.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Om Lakhani

Endocrinologist

Practicing since :2004

Answered : 319 Questions

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How to control diabetes during pregnancy?

Brief Answer: You can take fruits with low glycemic index. Detailed Answer: Hi XXXXXXX These are my suggestions based on the question you have asked : 1. You need to restrict you overall calorie intake. Your calorie intake needs to be around 1600-1800 Kcal/day. You can use various Smartphone apps freely available on Google Play or iTunes for counting your daily calorie intake. 2. You need to take a fixed amount of carbohydrates in each meal. We generally suggest 30 grams of carbohydrates in each meal. 3. You can take fruits with low glycemic index. Avoid fuits with high or low glycemic index. Here are classification of foods based on glycemic index Low Glycemic index– Apple, Orange, guvava Medium Glycemic index- XXXXXXX banana, plum, black grapes , resins High Glycemic index– Pineapple , Watermelon There is a website called www.glycemicindex.com which can give you detailed list of glycemic index of various food substances. if you need some specific information on some specific fruit, you can check out the website. Your blood sugar targets needs to be as follows: 1. Fasting blood sugar <95 mg/dl 2. 2 Hours post meal blood sugar <120 mg/dl You can use a glucometer to check you blood sugar. In pregnancy we suggest 6 times blood sugar check - 3 times before meal and 3 times 2 hours after meal. Keep a chart of the same. If you blood sugars are not in target range after 2 weeks of diet control then we generally add a medication called METFORMIN for blood sugar control. Hope this helps and Good luck. With Regards Dr. Om J Lakhani, MD Department of Endocrinology Sir XXXXXXX XXXXXXX Hospital New XXXXXXX