Issues with Blood Sugar Levels
Dear Nutritionist,
I am currently 24 weeks pregnant and have already undergone the first screening for gestational diabetes, but unfortunately, I did not pass.
The clinic's standard is below 140 mg/dL, but my level reached 195 mg/dL.
What can I do to lower my blood sugar levels? I heard from a friend that "Vive Le + Ming Bu Nutrients" can help stabilize blood sugar, so I bought it and have been drinking a cup of 300-400 cc with 7 tablespoons of milk powder in the morning.
For lunch, I sometimes have noodle soup and sometimes fried rice.
In the afternoon, I eat a bowl of fruit or half a piece of fruit.
For dinner, I usually have half a bowl of white rice, mostly vegetables, fish, and a bowl of soup.
I eat a bowl or half a piece of fruit about an hour later, and sometimes I snack a little.
Before bed, I drink another cup of 300-400 cc of Vive Le + Ming Bu Nutrients milk.
What dietary adjustments should I make to improve my situation? Also, does Vive Le + Ming Bu Nutrients really help lower blood sugar? Is my current intake effective? I have been reducing my consumption of beverages and sweets, as I need to undergo the second gestational diabetes screening in a month.
Thank you.
Hui Di, 20~29 year old female. Ask Date: 2009/04/10
Dr. Xie Peiru reply Nutrition
Hello Miss Huidi: It is recommended that pregnant women maintain fasting blood glucose levels below 95-105 mg/dL and postprandial blood glucose levels below 120-130 mg/dL.
Your blood glucose levels are elevated regardless of fasting status, and with pregnancy and the presence of the fetus, it is crucial to control blood sugar levels.
There are many factors to consider, such as your height, weight, lifestyle, activity level, exercise habits, dietary habits, portion sizes, medications or insulin, and the growth of the fetus, among others.
A personalized dietary plan is necessary, as not all pregnant women follow the same dietary regimen.
I suggest that you ask your obstetrician to refer you to a nutritionist who can assist you in managing your blood sugar levels effectively throughout your pregnancy.
Wishing you good health!
Reply Date: 2009/04/10
More Info
Managing blood sugar levels during pregnancy is crucial, especially for women diagnosed with gestational diabetes. Given your situation, where your blood sugar level was measured at 195 mg/dL, which is significantly above the threshold of 140 mg/dL, it's essential to take proactive steps to manage your diet and overall health.
Dietary Adjustments
1. Carbohydrate Management: The first step in managing blood sugar is to monitor your carbohydrate intake. Carbohydrates have the most significant impact on blood sugar levels. Focus on complex carbohydrates such as whole grains, legumes, and vegetables, which are digested more slowly and have a lower glycemic index. Limit refined carbohydrates and sugars, which can cause rapid spikes in blood sugar.
2. Meal Composition: Aim for balanced meals that include a combination of carbohydrates, proteins, and healthy fats. For instance, instead of having just a bowl of rice or noodles, pair them with a source of protein (like fish or chicken) and plenty of non-starchy vegetables. This combination can help slow down the absorption of sugar into your bloodstream.
3. Portion Control: Be mindful of portion sizes, especially for carbohydrate-rich foods. Using smaller plates can help control portions and prevent overeating.
4. Frequent, Smaller Meals: Instead of three large meals, consider eating smaller, more frequent meals throughout the day. This can help maintain stable blood sugar levels. Aim for 5-6 small meals or snacks that include a mix of macronutrients.
5. Snacking Wisely: When snacking, choose options that are high in fiber and protein, such as nuts, yogurt, or raw vegetables with hummus. Avoid high-sugar snacks and processed foods.
Monitoring and Adjustments
1. Blood Sugar Monitoring: Regularly monitor your blood sugar levels as advised by your healthcare provider. Keeping a log of your readings can help identify patterns and determine which foods affect your blood sugar levels the most.
2. Hydration: Staying hydrated is essential. Water is the best choice, and it can help with overall health and digestion. Limit sugary drinks and juices.
3. Physical Activity: If your healthcare provider approves, incorporate moderate physical activity into your routine. Activities like walking can help lower blood sugar levels and improve insulin sensitivity.
Regarding Supplements
You mentioned using "維維樂+銘補養素" to help stabilize your blood sugar. While some supplements may claim to help with blood sugar control, it's essential to approach them with caution. The effectiveness of these products can vary, and they should not replace a balanced diet or medical advice. Always consult with your healthcare provider before starting any new supplement, especially during pregnancy.
Follow-Up
Since you have another blood sugar screening in a month, it's crucial to implement these dietary changes as soon as possible. If you find it challenging to manage your diet on your own, consider seeking guidance from a registered dietitian who specializes in prenatal nutrition. They can provide personalized advice and meal planning tailored to your needs.
Conclusion
Managing blood sugar levels during pregnancy requires a comprehensive approach that includes dietary adjustments, regular monitoring, and possibly lifestyle changes. By focusing on balanced meals, portion control, and healthy snacking, you can work towards stabilizing your blood sugar levels. Always keep your healthcare provider informed about your dietary changes and any supplements you are considering. Your health and the health of your baby are paramount, and proactive management can lead to better outcomes for both of you.
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