Diet Plan for Gestational Diabetes in Third trimester


Eating a healthy diet is an important way to treat Gestational Diabetes mellitus. The main objective of dietary management during Gestational Diabetes is to keep the blood glucose levels within normal range throughout the day, yet eating nutritionally balanced diets that provide nutrients from all food groups. Controlling the amount of carbohydrate intake, choosing healthier carbohydrate food sources, evenly distributing carbohydrate intake throughout the day, and pairing all essential nutrients required for adequate growth and development of the baby with carbohydrates helps regulate high blood glucose levels. Studies also support that carbohydrate restriction in patients with diet-controlled gestational diabetes mellitus results in improved glycemic control, less need for insulin therapy, a decrease in the incidence of large for gestational age infants, and a decrease in cesarean deliveries for ‘big bodied’ infants!1 
This sample diet plan for women suffering from Gestational Diabetes provides 1971 calories, 153.76g carbohydrates, 131.83g proteins, and 28.3g fiber. This is the time when women cannot accept large meals and feels full more quickly than usual. In addition to this, appetite increases for most, which complements the increased nutritional requirements. Thus, the diet plan provides small-portioned frequent meals for the would-be mother to comfortably digest the food she eats, during the new phase of her life. 
*It is advisable to add natural sweeteners instead of artificial sweeteners to add sweetness to your food preparations.

Early Morning: ½ cup 2% fat milk, 2 Marie gold biscuits
120.5 calories, 12.49g carbohydrates, 5.5g proteins, 0g fiber.

Nutrition insight: A light snack in the morning after overnight fasting provides much needed early morning nutrition and helps to ease acidic reflux, which may occur because of prolonged hours of fasting.

Breakfast:  2 multigrain bread toast, Mushroom, and spinach omelet, 10 raw almond kernels 
584.5 calories, 31.1g carbohydrates, 30.41g proteins, 7.1g fiber.


Nutrition insight: Whole or multigrain products such as breads, breakfast cereal, and pastas have low GI and are a good source of dietary fiber. Research states, consuming a low GI, whole grain cereal product helps to improve glucose tolerance at subsequent meals during the course of a whole day. Hence, it is advised to consume a high fiber, whole grain cereal, as part of a balanced breakfast meal and diet to manage gestational diabetes.2

Mid-morning Snack: Falafel burgers, fruit and almond smoothie
261 calories, 33g carbohydrates, 11g proteins and 5g fiber.

    


Image Source: Veggienosh.blogspot

Nutrition insight: A small snack between breakfast and lunch meal is strongly recommended both during the state of pregnancy and during diabetes. Studies strongly support that not all women with gestational diabetes mellitus respond the same to a specific carbohydrate quantity. Thus, it is recommended to distribute the carbohydrate intake among 3 meals and 3 snacks initially, followed by personalized variations in the diet plan.3 

Lunch: Schezwan Style Chicken with Peanuts, 1 cup Sliced Apple with skin
330 calories, 26.05g carbohydrates, 28.28g proteins, 5.6g fiber.

             


 

Nutrition insight: A great source of proteins and low in GI, this Asian style chicken with peanuts preparation is delicious and quite filling. A study reports that a low GI diet is the most appropriate dietary intervention to be prescribed to patients with gestational diabetes mellitus, as it is associated with less frequent insulin use.4

Evening Snack: 1 cup Tea, 2 Vegetable and Egg muffin
96 calories, 4g carbohydrates, 7.6g proteins, 1g fiber.


Nutrition insight: In a day, one can comfortably consume a cup or two of tea without exceeding the permissible caffeine intake during pregnancy.

Dinner: Chinese Chicken Salad, Turkey and Vegetable soup, 1 Peanut Butter and Avocado Cookies
510.5 calories, 40.4g carbohydrates, 44.2g proteins, 9.6g fiber.


 


Nutrition insight: A diet high in vegetables of different color, such as in salads and soups, is highly recommended during pregnancy as it provides essential micronutrients and dietary fiber that are abundantly available in fresh vegetables. Studies suggest an increased diet of vegetable intake during pregnancy is associated with decreased risk of gestational diabetes mellitus.5

Post Dinner: ½ cup 2% fat milk.
68.5 calories, 6.72g carbohydrates, 4.84g proteins, 0g fiber.

Nutrition insight: If required, one can consume half cup of milk post dinner to keep the pregnant woman full in late hours of the night. 

References:
1 Major, Carol A. MD et al. "The Effects of Carbohydrate Restriction in Patients With Diet-Controlled Gestational Diabetes." Obstetrics & Gynecology 91.4 (April 1998): n. pag. Web.

2 Nilsson AC et al. "Effect of Cereal Test Breakfasts Differing in Glycemic Index and Content of Indigestible Carbohydrates on Daylong Glucose Tolerance in Healthy Subjects." Am J Clin Nutr. 87.3 (2008 Mar): 645-54. Web.

3 Deborah Thomas-Dobersen, RD, MS, CDE. "Nutritional Management of Gestational Diabetes and Nutritional Management of Women With a History of Gestational Diabetes: Two Different Therapies or the Same?"Clinical Diabetes. 17.4 (1999): n. pag. Web.

4 Luciana Verçoza Viana et al. "Dietary Intervention in Patients With Gestational Diabetes Mellitus: A Systematic Review and Meta-analysis of Randomized Clinical Trials on Maternal and Newborn Outcomes." American Diabetes Association37.12 (December 2014): 3345-355. Diabetes Care. Web.

5 He JR et al. "Maternal Dietary Patterns and Gestational Diabetes Mellitus: A Large Prospective Cohort Study in China." Br J Nutr. 113.8 (2015 Apr 28): 1292-300. Web.


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