Gestational hypertension and glycosuria?
Hello, I am currently 28 weeks pregnant.
My blood pressure has been on the higher side during each prenatal check-up, and my most recent reading was 140/70, with some glucose in my urine.
My obstetrician advised me to reduce sugar and salt intake.
I am no longer eating snacks or desserts and am using low-sodium salt and light soy sauce.
Is there anything else I should be cautious about or avoid? Can I eat fruits without restrictions? (Will this affect my urine glucose levels? My blood glucose tolerance test results were normal.) Is it okay to drink low-fat milk instead of water? (I have developed a particular liking for milk since mid-pregnancy.) Thank you for your response.
Yú, 20~29 year old female. Ask Date: 2005/04/12
Dr. Liu Yulai reply Nutrition
FISH: Hello! Typically, when there is glucose in the urine, blood sugar levels are often above 170 mg/dL.
Regardless, during pregnancy, the dietary needs for high blood sugar remain the same as during a normal pregnancy; however, the percentage of carbohydrates and meal frequency will be adjusted based on pre-pregnancy weight.
It is advisable to avoid snacks and desserts.
Low-sodium or light soy sauce usually contains higher potassium, so it’s important to check for any potassium-related issues.
Generally, a low-salt diet can be achieved by not drinking soup or eating pickled or canned foods, which can reduce salt intake by half.
Milk should not be consumed as a substitute for water; during pregnancy, 2-3 cups per day (each cup being 240 mL) of low-fat milk is recommended.
All types of fruits can be eaten, but portion control is important, as excessive amounts are not beneficial.
Whether fruits will affect blood sugar levels depends on the body's tolerance to sugar.
Nevertheless, a balanced diet is essential, and the quantities of the aforementioned foods should align with daily requirements.
It is recommended to visit the obstetrics and gynecology outpatient department and nutrition consultation clinic for more detailed diagnosis and dietary assessment.
Wishing you safety and well-being.
Liu Yu-Lai, Dietitian, National Taiwan University Hospital Yunlin Branch.
Reply Date: 2005/04/12
More Info
Managing high blood pressure and sugar levels during pregnancy is crucial for both maternal and fetal health. As you are currently 28 weeks pregnant and experiencing elevated blood pressure readings, it is essential to adopt a comprehensive approach to manage these conditions effectively.
Understanding High Blood Pressure in Pregnancy
High blood pressure during pregnancy, also known as gestational hypertension, can lead to complications such as preeclampsia, which poses risks to both the mother and the baby. The causes of high blood pressure during pregnancy can include abnormal placental development, maternal immune responses, hormonal imbalances, and pre-existing conditions. It is important to monitor your blood pressure regularly and maintain it within a healthy range.
Dietary Considerations
1. Sodium Intake: Reducing sodium intake is vital. You mentioned using low-sodium salt and soy sauce, which is a good start. Aim for a diet that is low in processed foods, as they often contain hidden sodium.
2. Sugar Intake: Since you have noted the presence of sugar in your urine, it is wise to limit your sugar intake further. This includes avoiding sugary snacks and desserts, as well as being cautious with high-sugar fruits. While fruits are healthy, some are higher in sugar than others. Opt for lower-sugar fruits such as berries, apples, and pears, and consume them in moderation.
3. Dairy Consumption: Drinking low-fat milk can be beneficial as it provides essential nutrients like calcium and protein. However, moderation is key. If you are consuming it in place of water, ensure that it does not lead to excessive calorie or sugar intake. It’s best to balance your fluid intake with water and other low-calorie beverages.
4. Balanced Diet: Focus on a well-rounded diet rich in whole grains, lean proteins, healthy fats, and plenty of vegetables. Foods high in potassium, such as bananas, sweet potatoes, and spinach, can help manage blood pressure.
Monitoring and Lifestyle Changes
1. Regular Monitoring: Keep track of your blood pressure at home using a reliable blood pressure monitor. This will help you and your healthcare provider assess your condition more accurately.
2. Physical Activity: Engage in regular, moderate exercise, as advised by your healthcare provider. Activities like walking, swimming, or prenatal yoga can help manage blood pressure and improve overall well-being.
3. Stress Management: High stress can contribute to elevated blood pressure. Incorporate relaxation techniques such as deep breathing, meditation, or prenatal massage into your routine.
4. Regular Check-ups: Continue to attend all prenatal appointments. Your healthcare provider will monitor your blood pressure and urine sugar levels closely, adjusting your care plan as necessary.
When to Seek Help
If you experience any symptoms such as severe headaches, visual disturbances, sudden swelling, or abdominal pain, contact your healthcare provider immediately. These could be signs of complications that require prompt attention.
Conclusion
In summary, managing high blood pressure and sugar levels during pregnancy involves a combination of dietary modifications, regular monitoring, and lifestyle changes. By focusing on a balanced diet, reducing sodium and sugar intake, and maintaining an active lifestyle, you can help ensure a healthier pregnancy. Always communicate openly with your healthcare provider about any concerns or changes in your condition, and follow their recommendations closely. Your health and the health of your baby are of utmost importance.
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