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Old 08-11-2011, 09:24 AM   #1
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GD mamas, got conflicting advice

I had GD with my last pregnancy and while it was a couple of years ago I remember what the dietitian told me. Well the advice I got from my recent dietitian meeting is not completely the same as what I was told the first time.

The first time I was told that I could only have 1 serving of carbs before 10am, I had to eat protein or fat every time I had a carb, and that I could have very little fruit.

This time I was told that I should have 2 carbs for breakfast, protein or fat was more to keep me full (and that I should eat protein but it doesn't have to be with a carb), that I could have fruit any time after lunch and that ice cream was fine every night for a before bed snack.

So what sounds more like what you were told by your dietitian? Have the recommendations changed in the past 2 years?

ETA: The first dietitian told me that protein or fat would slow the absorption of the carbs into my blood stream. She also said that I could only the 15 grams of carbs before 10 am regardless of whether I got up at 5am or 930 am, somehow 10am was a magic time when insulin resistance leveled off. So I have always wondered a bit about her advice.

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Old 08-11-2011, 09:37 AM   #2
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Re: GD mamas, got conflicting advice

I would stick with what your old dietitian said, I could only have about 40 carbs per day and I still had to have insulin nightly with my 2000mg of Met.

If I had listened to the diabetic educator I would have been on much more insulin, but I didn't I listened to a diabetic friend who was so much more help than I could have expected. The diabetic educator would have had me on insulin 3 times a day if I had eaten the way she said I "could"

It stinks that you have it, but if kept under control you have nothing to worry about. If you want to PM me I have a few tried and true recipes which made me feel like I was eating a normal diet
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Old 08-11-2011, 10:24 AM   #3
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Re: GD mamas, got conflicting advice

I guess some of it depends on how bad your diabetes is. I've been able to keep mine in check very easily WHEN I follow the diabetes diet.


Mine was broken down into carb servings (15g=1 serving)

breakfast: 2 carbs (servings) and 1 serving protien

mid mornign snack: 1 carb

lunch: 3 carbs, 1 protien, 1 fat

afternoon snack: 1 carb

supper: 3 carbs, 1 protien, 1 fat

final snack: 1 carb

as long as the item falls within the serving size, I am pretty much free to choose what I want to eat. of course, 1/3 cup of applesauce compared to a slice of toast or 1/2 c. of apple juice compared to 12+ ounces of v8 splash diet, and you start to find "better" choices for your serving size.

I've had ice cream before bed...again, as long as it was with in the serving size of 15 grams. so, again, it is about making your carbs go the distance and keeping them in balance throughout the day. and I agree, that the protien at breakfast does help to keep you satisfied a little longer.
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Old 08-11-2011, 10:45 AM   #4
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I'm not a GD mama, but thus stuff changes all the time. Do you use insulin? The ice cream suggestion before bed sounds like the dietician is worried about low sugar levels during the night. But again, I could be wrong.
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Old 08-11-2011, 10:55 AM   #5
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Re: GD mamas, got conflicting advice

it depends on you. 10am is BS. i have heard levels are lower in the morning, but if you roll out of bed at 10:30 you aren't allowed cpt. crunch.

i started off with your 2nd dietitians recs, but then had to go to #1's. i couldn't look at fruit, or breads. and had to drown them in proteins and fats. if i wanted an orange, i had to eat a porterhouse. diabetes makes no sense.
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Old 08-11-2011, 11:12 AM   #6
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Re: GD mamas, got conflicting advice

The carb/protein balance and nutritional needs can vary from person to person, from pregnancy to pregnancy, and at different stages during the same pregnancy. I would follow the advice you received from your current dietitian, not from your previous pregnancy, and not what anyone else does/eats.
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Old 08-11-2011, 11:14 AM   #7
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Re: GD mamas, got conflicting advice

I agree that it is going to depend on how your body is. My fasting is always high but then I drop when I start moving, so I need to eat more carbs in the morning. I eat my least amount in the evening. It is also going to depend on if you are taking any medication and what kind. There is no way I could dream of ice cream before bed until I was on insulin, now I do need to eat something carby or else I will drop at night.
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Old 08-11-2011, 12:01 PM   #8
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Re: GD mamas, got conflicting advice

I agree that the old dietician's advice sounds better. If you're going to do ice cream you should probably stick to something with a high fat content to slow the sugar absorption. No low fat ice cream for sure.
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Old 08-11-2011, 12:21 PM   #9
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Re: GD mamas, got conflicting advice

It seems that the old dietician proposed more balanced eating, except for the fruit aspect. Fats and Proteins are important, and will help your body deal with the carbs better. You do have to be careful with fruit, but it's an excellently healthy source of carbs.

Be aware that too much fat will keep your sugars too high for too long, preventing them from coming back down within a reasonable time frame.

As far as 10am being a magic number... I don't know. I would think the shift in hormones depends more on your activity...going from a long period of rest back to active, than a magic time of day. And if you are eating at say 5-6am, you might very well need a snack before ten. I think its recommended to eat about every four hours to help keep your sugars steady.

You are going to find a large variance between dieticians and doctors. My Endo (I have Type 2 Diabetes so I skip right past to the specialist) swears by cereal and milk for bedtime snack. I've heard of others recommending peanut butter on toast. I've had ice cream, or something similar, a couple times for snack, but have discovered that I'm more likely to wake up with a low in those cases (insulin dependent) than with cereal and milk for the same carb count. I'd say bedtime snack should generally be something that is going to stick to your ribs for the night - something with protein, and not too many simple sugars.
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Old 08-12-2011, 05:23 PM   #10
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Re: GD mamas, got conflicting advice

Quote:
Originally Posted by heyuitsme View Post
I guess some of it depends on how bad your diabetes is. I've been able to keep mine in check very easily WHEN I follow the diabetes diet.


Mine was broken down into carb servings (15g=1 serving)

breakfast: 2 carbs (servings) and 1 serving protien

mid mornign snack: 1 carb

lunch: 3 carbs, 1 protien, 1 fat

afternoon snack: 1 carb

supper: 3 carbs, 1 protien, 1 fat

final snack: 1 carb

as long as the item falls within the serving size, I am pretty much free to choose what I want to eat. of course, 1/3 cup of applesauce compared to a slice of toast or 1/2 c. of apple juice compared to 12+ ounces of v8 splash diet, and you start to find "better" choices for your serving size.

I've had ice cream before bed...again, as long as it was with in the serving size of 15 grams. so, again, it is about making your carbs go the distance and keeping them in balance throughout the day. and I agree, that the protien at breakfast does help to keep you satisfied a little longer.
My diet plan is sort of similar. It's at least structured similarly.

I can do 2 carbs for breakfast (although, this was just upped to more if I want) I typically do 1/3 of a serving of blueberries, or about 1/4 cup, an egg and a bagel thin with cream cheese and butter. When I do a few more carbs, I typically have 1 c. cheerios, 1 c. vanilla soy milk and 1/2 a banana.

2 carbs for a morning snack

4 carbs for lunch

2 carbs for an afternoon snack

4 carbs for dinner

2 carbs for an evening snack

I wasn't given any specific amounts of fats or proteins to add in with the carbs. Honestly, sometimes I have a tough time fitting in all the carbs and I feel like I eat only carbs.
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