VulvaVaginaCervix

Gestational Diabetes... baby, it's okay. I promise.

Ashlee Episode 12

Hey y'all!! Quick disclaimer: this is not medical advice. You can find all of this information yourself in a textbook, from your care practitioner and on the internet. Here, we're talking about it though.


What is Gestational Diabetes?

When — different question — do you want to screen? (Accepting the risks of undiagnosed gestational diabetes.) If you screen positive, will you do the diagnostic test?

How — using a 50 gram glucose load (Fresh Test, jelly beans, meal, glucola), continuous glucose monitor, or finger prick for 2 weeks.

       One hour screening and

       Three hour test - Lab - fasted.... take 100g glucose load... tested every hour for three hours. Must pass two of the tests for the amount of glucose that should have cleared your bloodstream in that one hour.

Foods to help and foods that hurt - not about blame and eating too much sugar… unexpected foods like oats, bread, pasta. Focus on low glycemic index foods.

What does this mean for you and your pregnancy?

Birth Complications: Prolonger labor, Hemorrhage, Birth injury, Shoulder dystocia, 3rd and 4th degree tearing.

Other complications:Stillbirth,Pre-eclampsia,Hypertension,Polyhydramnios, Preterm birth.

— not necessarily a dietary condition though as Lily Nichols wrote in Real Food for Pregnancy, “blood sugar is highly responsive to lifestyle changes.” — “carbohydrate intolerance in pregnancy.”

Management 

      Early nutrition conversation 

      Great focus on fiber first and protein to fill yourself… 

      High protein breakfast and add healthy fat — is going to be your best friend!! — rather than filling on simple carbs like breads and pasta. 

      Eating more than 3 meals a day… some of us wait and will only eat when we’re really hungry and then we binge. I’m encouraging you to eat every two hours… it will also help with your indigestion. 

      Exercise - I love a 30 minute walk after a meal — 15 minutes out and 15 minutes back.

Sleep - hopefully 9 hours each night — naps... whenever you like.

Reducing stress (get help with other children, cooking cleaning, therapy, laughing and fun activities).

Working with a nutritionist. Working with a maternal fetal medicine specialist. 

Vitamin & Nutrient deficiency - Vitamin D, Magnesium 


Daily kick counts in the 3rd trimester.


Thanks for listening! 

xoxoxox, Ashlee'

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