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Guidelines for managing gestational diabetes mellitus (GDM) through healthy meal planning. It covers creating a meal plan, healthy food choices, portion control, and reading food labels. The document also includes examples of healthy meal plans and foods to limit.
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Gestational diabetes mellitus (GDM) is diabetes that is diagnosed during pregnancy. It occurs in people who do not clearly have diabetes when they are not pregnant. Following a meal plan that focuses on regular, balanced meals and healthy snacks helps manage GDM. Some women with GDM may need medication along with nutrition therapy to manage their blood sugar (glucose). Keeping your blood glucose near goal will help reduce risks for both mother and baby. A healthy meal plan during pregnancy includes eating a variety of nutritious foods in moderate amounts and at regular meal times. This meal plan is high in healthy nutrients. Healthy food choices include vegetables, fruits, lean protein, low- fat dairy, legumes and whole grains. If you have GDM, it is important to eat healthy carbohydrates to help you manage your blood glucose. High blood glucose levels can lead to problems for the mother and baby. Your physician can tell you more about the risks. To get started, this brochure will explain what you need to know about: ■ (^) Creating a healthy meal plan ■ (^) Foods you should limit ■ (^) Food portion control ■ (^) Reading food labels You should meet with a registered dietitian to make a meal plan that is right for you. The dietitian can guide and teach you about how you can manage your blood glucose and weight with your eating plan.
Here are some basic guidelines that will help you manage your blood glucose. Eat 3 meals per day ■ (^) Plan to eat your meals at about the same time each day. ■ (^) Do not skip meals. ■ (^) Eat a variety of foods (fruits, vegetables, protein, whole grains and low-fat dairy products). ■ (^) Have a small snack if your meals are more than 5 hours apart.
Northwestern Memorial Hospital DIET AND NUTRITION Patient Education
2 Include healthy carbohydrates While all foods can affect your blood glucose, carbohydrates may have the biggest impact. A meal plan with consistent amounts of carbohydrates can help improve your blood glucose. This means that you eat the same amount of carbohydrates at each meal. Examples of healthy carbohydrates are: ■ (^) Starches (whole grain bread, brown rice, whole grain pasta) ■ (^) Beans (lentils, chickpeas) ■ (^) Starchy vegetables (winter squash, potatoes, corn, peas) ■ (^) Fruit (apples, grapes, oranges) ■ (^) Low-fat dairy products (milk, plain yogurt) Count your carbohydrates daily You may want to use a website such as myfitnesspal.com to do this. Follow your clinician’s guidelines ■ (^) Gain a healthy amount of weight during pregnancy. ■ (^) Follow your prescribed meal plan. ■ (^) Participate in regular physical activity as advised by your clinician. ■ (^) Take medications as directed. ■ (^) Monitor your blood glucose as advised by your clinician.
Avoid foods that are high in sugar such as: ■ (^) Flavored yogurt ■ (^) Ice cream ■ (^) Juice ■ (^) Dried fruit ■ (^) Syrup-packed canned fruit ■ (^) Fruit spread (jams, jellies) ■ (^) Baked goods (cookies, cake, pastry) ■ (^) Candy ■ (^) Crackers ■ (^) Sugar-sweetened cereals ■ (^) Sweetened drinks (soft drinks, sweetened drink mixes, Kool-Aid®) ■ (^) Sweeteners (sugar, honey, molasses, syrup)
4 Figure 2: Food Nutrition Label
1. Find the serving size. 2. Find the total carbohydrate per serving. A dietitian can teach you more about the amount of carbohydrate that fits your specific needs.
Food labels contain important information to help you manage your meal plan (Figure 2). Learn more about the new Nutrition Facts label at FDA.gov/NewNutritionFactsLabel. Since carbohydrates have a big impact on your blood glucose, it is important to keep track of how many carbohydrates you eat. Carbohydrates are measured in grams (g). One serving of carbohydrates is 15 grams. Your care team will talk to you about how many grams of carbohydrates per day are right for you.
5
These menu examples show options for a meal plan that contains 180 grams of carbohydrates per day. They show 3 to 4 servings of carbohydrates at each meal and snack options. Option 1 Option 2 Breakfast 45 grams of carbohydrates:
Foods that increase your blood glucose
Foods that have little effect on blood glucose: