Hi everyone. I had my 1st prenatal today. I am 4 weeks, 2 days. My last A1C was 6.4. My OB doc scheduled a sono for 6 weeks and follow up after, but she also told me I need to adhere to an almost no carb diet. 2000 calories, with just about no carbs, including fruit…
I have never been told to go on a no carb diet! but my baby is now 5 months old and i went on a low carb diet a couple of months ago my self. It does help keep your levels better controlled because the less insulin you do, the less chance you have of having hypos and hypers. And i never eat fruit, unless its in a muffin. so dont worry about the fruit too much.
With my first pregnancy i was on probly the most high carb meals i could think of, but i had no idea about diabetes back then.
Best of luck and i hope ive helped ?
Hi I have never been told NOT to have carbs, true we have to limit the carbs but we need them for energy! I would get a second opinion, before doing this… I’m 11 weeks today and my doc recommendes that I have at least 2-3 servings of fruits per day… I have a diet plan for Breakfast, lunch and Dinner all includes some type of starch (carbs) protein, and a little fat…
A no carb diet can’t be healthy doing pregnancy
I think the real question should be, is your OB high risk and knows about diabetes complications or are they just kind of winging it by what they think they know about diabetes? Because this doesn’t sound like she really knows how the diet part works.
Both my CDE and my high risk OB (perinatalogist) stressed the IMPORTANCE of carbs for a healthy pregnancy. This would have me concerned if I were you. I was asked to increase my carb intake to 180g from 90-100 pre preg.
Yeah I was told to definitely eat carbs including fruit and loads of milk when I was pregnant! I was sent to a dietician from the diabetes clinic and she knew exactly what I needed. Maybe ask if you can be referred to one too?
Congrats on your pregnancy!
I was told (by my endocrinologist) that during pregnancy I should eat around 170-190 carbs per day. The only stipulation is that I only eat fruit in the afternoon and evening when I am more insulin sensitive. In the morning, I eat less carbs and slow-acting carbs.
I notice that many times OBs and endo have different views. Have you talked to your endo since you found out that you are pregnant?
Thanks everyone for your help. The OB I saw yesterday is not high risk, but was recommended to me by my Endo. I have an appt with another OB, who is high risk on the 22nd and an appt with my endo the beginning of Dec. For now I’m just going to watch what I eat ver carefully, my fasting sugars are about 80 and my 2 hour after meals run about 120, which is pretty good right? Thanks for the help everyone!!!
Hi Jenn. I definitely ate carbs during my pregnancy. Some would probably say I ate too many, but actually it worked out good for me. I would eat like a 30 carb meal then 2 hrs later have 15 carbs. This kept me and my son fueled. It made things balance out. I had my pump so that of course made it not so bad. First trimester I kept having lows so I made adjustmets to my basal and I:C ratios. Third trimester I had more highs so again I made the adjustments with help from my maternal fetal medicine team. My A1C never went over 5.7 and even though my son was born a little early at 35 weeks he was very healthy.
Those numbers are great Jenn!
But, from what I have heard things can change dramatically during pregnancy. You may want to see if you can get a meeting with a diabetes educator (CDE) or dietitian at your endo’s office before December. It might be good to discuss the diet with them.
Also you can check for ketones in the morning to make sure that you are eating enough. Medium or high ketone readings would tell you if your body is breaking down too much fat to give the baby the energy that he or she needs.
Congratulations Jenn! I am so happy for you. Not sure what to tell you about the diet. I just wanted to congratulate you. Are you still taking symlin or did you have to come off because your numbers are fantastic! I am working really hard at it right now. My a1c is 6.7 but I never have those kind of numbers at fasting or post meal :(. My doc also recommended me losing 30lbs first which is quite discouraging. Good luck and keep us posted!
I also wanted to add that during pregnancy you should test 1 hour after meals to catch the spike. You should aim to get that below 140, but many say that is not realistic.
I was put on a diet in preparation for pregnancy and I am able to keep my 1 hour postprandial readings under 140 (most of the time, but NOT all the time) by eating mostly low glycemic index carbs and only 10g of fast acting carbs (milk or fruit) at each meal. I eat a fruit snack (of 20g of carbs) at 4pm when I am insulin sensitive and the spike isn’t usually that bad.
How many carbs are you eating now? Are you feeling hungry?