About Milk For Gestational Diabetes
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Questions and Answers
Gestational diabetes milk substitute? Hi everyone. I was told today that I have gestational diabetes and my diet tells me that I need 1 milk or a substitute for tomorrow's lunch. Is there anything other than milk (can't find anything to put it in tonight to take it to work) or yogurt (do not currently have any sugar free)? Any ideas? I'll go out and get something to put milk in or buy the right yogurt tomorrow after work. I'm just looking for an idea for tomorrow's lunch. I'm looking for something that I might have around the house if possible. I don't have soy milk just sitting around the house. If I did, I would just take it to work with me. I'm looking for a substitute that I can just grab and take with me to work without a container or a purchase tonight. It's 11:00pm my time.

Terry O replied: "Soy milk is your best option. If you want to manage your glycemic index yourself, you need to get soy powder and sweeten it with a little agave syrup. You and your baby will both love it."

Mazher replied: "Auber ! You can always use Soy milk or the skimmed milk. For more details on gestational diabetes"

wilandhil replied: "i did not drink any mild when i was pregnant. i would puke. my milk substitute is 2oz of hard cheese , ex. cheddar, long horn..... cream cheese and soft cheeses have too much fat and is harder to digest. i would take to work, 2 oz of cheese, 1/2 cup of mixed nuts ( dry roasted), 1/4 cup of peanut butter, 1 small apple, 4-8 stalks of celery, and 10 grapes. this would take care of 2 snacks and a light lunch. i was on 4 light meals and 5 snacks a day. i could not maintain my weight. lost 75 lbs. good luck :)"

What are some breakfast ideas when you have gestational diabetes? I'm 33 weeks pregnant and was recently diagnosed with a touch of gestational diabetes. I am no longer allowed to have more than 15g of carbs for breakfast before 10:00 am. So I have been reduced to some fruit and a glass of milk or yogurt for breakfast. Prior, I was a milk and cereal, muffins, oatmeal, eggs, bacon, and toast eater for breakfast. Now I am starving again after I've been at work for an hour with this reduced carb breakfast. It's hard to have the energy I need to keep up at work when I haven't had a filling breakfast. I start at 8:00 and I don't get my lunchbreak until 1:00 usually. I can bring a snack to tie me over until lunch, but I still can't even eat that until after 10. So do you have any good ideas of foods that will fill me up better but still be within the 15g of carbs guideline?

Elaura replied: "Eggs and bacon don't have any carbs so you can still do those. I ate a lot of string cheese which also has very low carbs and is very portable. Also, if you like sausage, you can get frozen, cooked sausage and microwave it. I found that I could eat multi-grain Cheerios and they didn't spike my blood sugar over the acceptable limit. Are you testing 2 hours after breakfast? Because it isn't the number of carbs you eat that is important, it's how high your blood sugar gets afterward."

darwical replied: "I'm surprised your doctor didn't send you to a dietician. It must be hard to suddenly change your eating habits. My friend went through the same thing (twice) , but a dieticien helped her out with her meal plans. Try eggs, lowfat cheese, cottage cheese, even steak and eggs or canadian bacon. Egg white omelets. Can you snack on nuts?"

lostinspace replied: "who the heck is your nutritional advisor on this problem? You really should get someone to give you good advice on this--a second opinion. and just what is a "touch" of gestational diabetes? I was 'borderline'. is that what you mean? Get yourself a glucose monitor and test yourself. I did. it wasn't fun. it wasn't cheap. but I was able to eat a healthy meal three times a day. just stay away from processed sugars and juice. Use no- or low fat dairy products, no butter or margarine, no sodas--not even diet--the fake sugar is bad for you too. I think for breakfast I had bran flakes with skim milk and a piece of whole wheat toast with fruit spread, and a cup of de-caf tea. You have only 7 weeks to term--make good choices. And the really fun part is that you should continue with the diabetic diet for the rest of your life because you are high risk for developing type 2 diabetes. Lose weight, exercise daily. good luck. have a happy baby."

iluvtorofl replied: "Eggs with cheese and bacon like an omelet. Take cheese or meat for a snack."

How did your Gestational Diabetes affect your birth? Im due on 6/13 and have Gestational Diabetes...I have to take one shot of insulin every morning. The diet the dietian put me on is horrible...example **Bfast; half a bagel/tbsp of cream cheese (plain) 3 pieces of canadian bacon/possible glass of milk (depending on sugar level before bf.) WTF!! Seriously!! I cheat terriblly because an hour later Im hungry again! Snack: 6 animal crackers/tbsp peanut butter. Who eats like this? Anyway I still check my sugar levels and depending on if I follow the diet to a T its fine but then at night, I eat xtra before I go to bed. When I eat more portions my sugar levels are higher, sometimes. So now my doctor keeps saying if I dont control it, my baby will have to stay behind with an IV...what were your personal experiences? During and after birth!

hottiecj replied: "Mine did not effect my first 2 pregnancies much, except I was on a strict diet (60 g carbs per meal), but my third pregnancy effected my baby. He laid down too much fat and his chest was bigger around than his head and shoulders! So giving birth was harder. His chest got kind of "stuck", and it took alot of pushing to get the rest of him out. If you are still hungry eat more protein! Lean protein has little or no carbs and therefore will not affect your sugar lvls. Eat eggs for breakfast. You can have as many as you want. The CARBS are the important thing to watch."

Laurie W replied: "I was a fanatic about the diet (You are right it is Hell) but I did it because it can really hurt the baby. He could have been born with diabetes himself, or low blood sugar, or huge. I would really try not to cheat. I found out that I could eat a ton of nuts (they are a protein not a carb) and that would fill me up. Popcorn was good too, but it had carbs. As for my baby he was fine, but I was really uptight about the diet and the monitoring. I had to take insulin too. - creepy huh. The diabetes goes away the minute you have the baby. I had a box of chocolates in the hospital -and I didn't share one! Hang in there, really be good on the diet. Three months of a hell diet is nothing compared to a lifetime of managing your child's diabetes. Good Luck!"

sevenofus replied: "I had Gestational Diabetes with my youngest child, who will be 10 in July. I was sick throughout most of my pregnancy and had trouble eating all the food my dietitian had on my daily meal plan. One possible problem for babies whose moms have Gestational Diabetes is they gain a lot of weight before birth thus causing possible delivery problems associated with large babies. My baby only weighed 6 pounds 14 ounces even though she was born at 41 weeks. I had a few labor and delivery problems that were not related to my Gestational Diabetes, but were caused by a bad reaction to a gel I had inserted to soften my cervix Usually, after your baby is born both you and your baby will have blood tests in the hospital to check glucose levels just to be sure. Sometimes a baby born to a mom with Gestational Diabetes does have elevated glucose levels and needs special treatment. I have recently been diagnosed with Glucose Intolerance, which is a form of pre-diabetes. The risk of developing Type 2 Diabetes later in life is increased for women who have had GD. Anytime you have a diabetic condition, whether it be Gestational Diabetes, pre-diabetes, Type 1 or Type 2 diabetes, it is very important to follow the meal plan that is given to you by the dietitian. It is helpful if you eat smaller meals 5-6 times during the day. To help your body naturally control glucose levels, an important goal is to maintain a consistent intake of carbohydrates during the day. The foods that contain carbs are breads, grains, cereals, pasta, rice, milk, yogurt, fruit, sweets/starchy snacks, starchy vegetables (corn, potato, green peas), and legumes (dried beans). Try eating at least one starchy carb with proteim and vegetables at each meal/snack. This will help fill you for longer periods. Forget about the 6 animal crackers and choose something more filling for a snack such as a piece of whole wheat toast with 1 TBS peanut butter. Add lots of veggies to your snacks, lunch and dinner and that will help you stay fuller longer, too. Another thing that may help is to forgo things like peanut butter that have little in the way of bulk and instead scramble an egg to eat on the whole wheat toast. Add some fresh veggies like baby carrots, cucumber slices, and yellow pepper strips and drink a glass of water with it. It is a snack that should help you last until the next meal or snack."

Can you suggest some good breakfast ideas for someone recently diagnosed with gestational diabetes? I've been testing my blood sugar 4X daily for a bit more than a week now. Specific recommendations from my doctor and nutritionist are: First-thing-in-the-morning blood sugar of less than 90 One-hour-after-meals blood sugar of less than 140 I'm allowed: 30 grams of carbs for breakfast plus three snacks daily (with one snack after each meal, with the last snack being a before bedtime snack) 50 grams of carbs for lunch and dinner My first-thing-in-the-morning blood sugar is consistently in the normal range, usually in the 70s. But my after-breakfast blood sugar is the most inconsistent. A bowl of low carb Special K with milk (both measured) today gave me a 140, but the other day gave me a 107! I'm having a hard time considering an egg with cheese on a multigrain english muffin (for 27 grams of carbs) healthy to eat on a daily basis (yet of all the breakfast foods I've had, that's about the "best" for my after-breakfast blood sugar. Besides, I do like variety. I've also been told I can't have any fruit juice, nor can I have fruit at breakfast. My english muffin sandwich is made on a whole grain english muffin (which interestingly has more carbs than the plain version). I should probably also add that I'm not overweight. Just pregnant. (Which means no coffee. Sniff.)

Mickie replied: "Ok, with the special K - did you drink juice with it? Coffee with milk? Milk has lactose in it which will convert to sugar in your system. If you poured more milk in the first bowl than the second, it could be the difference. In the multigrain english muffin, it's a different kind of carb - processed carbs will conver to sugar in your body before whole grains will."

Lost in Thought replied: "if you like cottage cheese....then have that with some fruit...my parents are diabetic too...actually on border line...but your sugar level is going to be high after breakfast cuz you just ate...while in fasting it was low because you don't have anything in your system...you also want to be careful because not eating will get you more sick...."

Lara replied: "try this"

Cammie replied: "30 grams is pretty low but it is still two full servings.Fruit can be worked in if you measure carefully.here are some examples. How about :#1- 1 piece french toast with 1/2 cup fresh berries ? #2-Low sugar yogurt with one frozen waffle ? #3- eggs with onions, peppers and ham,one orange and herbal tea . #4-whole wheat toast with pb and a small banana.You can substitute milk for the banana if you like . #5- Half a toasted bagel,pb and jelly.Herbal tea and milk. #6- Cottage cheese with 1/2 cup fresh fruit , Herbal Tea or decaf coffee. Good luck and congrats."

Gestational Diabetes: Why does the same food give very different results? A bowl of Cheerios (3/4 c. - the kids under 12 serving size) with a cup of 1% milk send my blood glucose to 138 one day and 159 another day?! I'm allowed 30 grams of carbs for breakfast. This breakfast was less than 30. It's not the total carbs, because I've had breakfasts with closer to 30 carbs successfully. My breakfasts yesterday -- a mini bagel with peanut butter -- had more total carbs but the same amount of protein. I can't figure this out. It's frustrating! My fasting level was 81 before my Cheerios breakfast today. It was 5 points less, 76, two days ago when I had the same breakfast. My mini bagel with peanut butter breakfast was a whole wheat mini bagel with natural peanut butter (peanuts and salt are the only ingredients). My fasting level before this breakfast was 77. After breakfast it was 128. Regarding exercise, I went for a long walk (more than a mile/more than 40 minutes) yesterday after dinner. I didn't exercise at all the day before my first (and "better") Cheerios breakfast. My highest self-test in two weeks of doing this has been 163 after one hour (I've been told to aim for 140 or less after one hour.)

justwondering replied: "First of all, it's not that different. Home testing meters are allowed by the FDA to have a 10% error rate. So you might only be seeing a couple point difference. Another issue would be what your blood sugar started out at before you ate. Was it exactly the same on all days? If not, it's not a controlled experiment. Also, blood sugar is affected by many things, not just food. Most important is exercise. The amount of exercise you got in the previous 24 hours can affect your readings. Another thing is Tylenol. It can cause an artificially high reading. The breakfast with the peanut butter had more fat in it than the cereal breakfast. That may help slow down/even out the sugar rise. Many people are especially resistant in the morning, when other hormone levels are high. If your readings at other times, and your fasting reading are all OK, then I would say you are doing OK. If all your postprandials are this high, you may need to go back to your provider to adjust your diet. EDIT: Ok, I read your additional details. Listen, blood sugar is a moving target and you're only taking a snapshot. It sounds like you're working at it and trying hard and that's all you can do. Another big factor that I forgot to mention earlier is stress. Stress releases cortisol which blocks insulin and causes high blood sugar. Both good stress and bad stress do this. Anything you can do to avoid stress or reduce it will be helpful. If most of your blood sugars are in your target range, than you're doing great. The worst that can happen is you will end up on insulin. This is not the worst thing in the world, and is very safe for your baby. As long as you are sticking to your diet plan and logging your data as instructed, then you are doing your job. If a lot of your tests are above the target range, then call your provider and talk to him/her about making changes. That's really all you can do because it's not an exact science due to the many factors at play. Keep up the good work!"

What are some good snacks/small meals to have while I have gestational diabetes? I have got to keep my sugar low and it seems like no matter what I eat, it won't stay below 120 very often. Obviously eating veggies helps, but I can't eat those for every meal? What do you snack on? I have to eat about every two hours so I don't get sick... breads, pastas, potatoes and milk make my sugar jump...

sir diks alot replied: "sugar cubes... hahah just kidding.. dont do that."

Diamond~Due 5*2*2010 replied: "cheese & pepperoni? Fruit..but i guess thats high in sugar to huh?? Smoothies?"

Celestina replied: "Try to make sure to have a little bit of protein with each meal, so that any carbs you may consume won't cause your sugars to jump. Nuts, cheese, meat, and legumes (beans) are all good sources of protein. Also try to stay away from refined flours (white bread, white pasta) and go for whole wheat instead. When it comes to fruits and veggies, choose wisely. Root vegetables (carrots, potatoes) aren't too good to have too often, and tropical fruits like oranges, mangoes, and pineapple have lots of natural sugars. Try leafy green veggies (romaine lettuce, broccoli, spinach) and lower sugar fresh fruits (cherries, strawberries, grapes). With fruits, try to go fresh or frozen instead of canned. Good snack/small meal ideas: whole wheat crackers with cheese, an apple with peanut butter, a tuna sandwich on whole wheat bread, brown rice with salmon and spinach, etc. More than anything, remember to add a little protein with each meal to protect you from the hit of carbs, and to keep your blood sugar stable longer. Hope this helps!"

Elissa replied: "How about a handful of nuts? Lettuce wraps are a fun way to do sandwiches without bread--wrap your favorite filling in a leaf of Boston or bib lettuce. Check some of the nutrition bars that are out there, too. Some have a lot of sugar, but others are much lower. I like Luna bars, personally. My sister-in-law eats Lara Bars. Some people might say "Eww" to this, but I also like jerky. Trader Joe's has several different types, and it's a tasty and high-protein snack."

Anya replied: "I was just diagnosed with diabetes 6 months ago. I eat a lot of nuts (peanuts, pecans, etc.), cheese, diet grape juice (its not as nasty as it sounds!), I do eat vegetables but it looks like you figured that one out :) and i love sweet tea with splenda :) and p.s. my endocrinologist actually recommended splenda, and said most of the bad stuff you hear about it is a major overstatement. Oh, and this new weird kind of sugar called xylinol (or something like that) is supposed to be really good for diabetics, because it is really high in fiber. (I have a weird type of diabetes, CFRD, so it doesn't work for me but my type 1 friend says it's amazing.) And it tastes like real sugar. I'm only 15 so obviously I don't know much about gestational diabetes, but if insulin is available for that it would definitely keep your BG levels down. Also, instead of eating every 2 hours, try eating about 2 saltines every 15 minutes. Your body should be able to handle that small amount spread out like that, and then you won't get hungry or sick. (Again, sorry if this doesn't work for gestational diabetes!) P.S. careful with the veggies!! some, like carrots, celery, potato, corn, and yam are actually high in carbs. Beans, broccoli, cucumber, zucchini and squash are okay though :) Elissa's comment is good too :)"

What can i eat? Gestational Diabetes test later on the day today. I am extremely hungry at the moment and i was wondering if I could have chocolate milk with 2 tbs of sugar and toast with salted butter? Its a 3 hour orange drink test and my appointment is at 1:00 pm! I cant possibly starve myself until then! That's 11 hours from now =[

mrs_blasor replied: "Eat the toast and plain milk. You dont want to have to take the test again, trust me!"

Ruth C replied: "you aren't supposed to eat at all for eight hours before the test. Your doctor should have told you. Eating anything raises your blood sugar."

n2mama replied: "Um, sorry, but you're not supposed to eat before that test. I don't know why they scheduled the appointment that late in the day, but don't drink chocolate milk unless you want to do the test again."

starr_jewell03 replied: "I was told to eat light as in plain/buttered toast. Don't drink the chocolate milk and sugar, thats not good for you anyway."

mel c replied: "i had mine a few weeks ago and the only thing you can have is water. and yes you have to starve yourself for 12 hours. thats why i was smart and made my appointment for as early as i possibly could the day i needed to have mine done."

Maggie replied: "Then don't do the test, its that simple. Its your choice to put yourself and baby at risk of not being diagnosed.Or simply stop complaining and get on with the test, like the rest of have done! I threw the whole drink test up twice and had to drink a third lot, as soon as the blood test was done i threw that lot up too. The things we do to keep our babies and our bodies safe and healthy!"

Michelle R replied: "Call your OB When I had the drink test (about 3 weeks ago) they told me I could eat ahead of time, that I didn't have to do anything special. I think the label on the drink itself said that eating sugar within an hour of the test could skew the results. There is a secondary test where you need to fast for hours ahead of time, but I don't think they give that unless the first test comes back positive. But things could be different here - I am in the U.S. So I would call your doctor's office and make certain."

crissy replied: "you cant eat for 8 to 12 hours befor the test good luck"

Nurse Amanda replied: "you are supposed to fast before your 3 hour. if you do have to eat, vegetables, wheat bread. no sugar, no fat etc. if your 1 hour was high, you should consider making changes to your diet anyway. try to cut out the sugars and white carbs."

Gestational diabetes: what to consume and exercises? If the level of glucose be 175 mg/dl from the results of the 1 hr gestational diabetes test, can the pregnant woman consume raisins ,dates,peanuts,almonds wheat malt ,wheat flour ,eggs, fat free milk ,fat free yogurt,fish ,chicken ,asparagus, and unlimited amount of other vegetables? Will walking on the treadmill two times a day for 30 minutes each ,bring the gestational diabetes under control?Which other workouts will be helpful ?

KeltWitch replied: "Try a low carbohydrate (healthy veggies and proteins) diet and cut out soda and especially white bread and potatoes!"

kndykisz replied: "basically avoid things with high sugar, fat and carbohydrate content.....absolutely no fried foods....natural foods such as veggies, legumes, and chicken are good choices as long as they are baked and not fried.......reduce your bread intake or eat whole grain bread......avoid potatoes......and avoid processed sugars...fruit is fine"

Anyone have Gestational Diabetes when you were pregnant? I just went to the Dr. on Friday to get my blood sugar tested. I lost the sheet of paper that they gave me when scheduling this appt. a few weeks back stating what to eat prior to this appt. I remembered reading to eat a "Bland" diet. So, I had a Bagel w/cream cheese and a pint of milk for breakfast. (around 9a.m. my appt. was at 12:45p.m.) I went to the lab before my O.B. appt. and drank that sweet drink. Seen my O.B. Dr. after that, then had to go back to the lab and they drew my blood after 1 hour of drinking that drink. I got a call today saying that my sugar level was high and I have to go back for more testing. I am going to do that, but I just want to know if there is anyone out there that can give me some advice if they went through this too? I just need some comforting reassurance because I am a little scared. What exactly is "Gestational Diabetes" and how does it affect your baby? Please only answer if you have had or know someone who has had this.

Chinchilla replied: "You are going to have to watch your diet. The main impact is that your baby will grow faster than normal. Hence you may deliver early by a couply of weeks. Just follow you doctor's instructions and most probably everything will be just fine!!!! It happens quite a bit, so please DO NOT WORRY!!!! Be happy since being happy will be best for you and your baby! :)"

mandi_090 replied: "i was borderline, so they had me on a strict diet, i was pretty far along when they had me start, but i can tell you dont eat fried foods, or drink sugary drinks, no candy, no nothing! you have to limit fresh fruit, cause even naturals sugars can be too much. lots of water, veg, you can do it, its not the most fun, but its do-able. its in the best interest of you and your baby. i am not to sure what all it does to you and the baby, i really didnt pay much attention to that, i just did what they said, like i said, it was a short time, like 2 weeks i had to do it.... good luck!!! go on babycenter, and go onto the bullitens, there are tons under pregnancy. you will get lots of answers on there!!!"

Tammy B replied: "I had gestational diabetes, and also had a premature birth. Not sure if they were connected, but you should be careful and follow the instructions your dr. gives you. It can make your baby a little too large, which could result in you needing a c-section birth. But be assured, if you follow your diet and take care of yourself (try to reduce your stress level as much as possible) then both you and your baby should be a-okay. Hope I helped you, if only a little."

P C replied: "Do not be afraid... this is very common. I didn't have gd, but my sisters did. One sister had this with her third child. She did NOT follow the OB/GYN directions for her diet during the pregnancy, which was bad, and my nephew was huge (12.5 lb.). She just ate whatever she wanted (she is a nurse, and of course, didn't make the best of patients.) You must wait until the follow up test before getting instructions on any special diet/etc. from your OB/GYN. Be sure to follow their instructions for what to eat/what not to eat before your next test, this time. Good luck. Edit: PS..my nephew is now a big pain-in-the-butt GREAT teenager. Your's will be great, too!"

shannon_milburn replied: "I have had it 2 times and after the babies are born, it typically just goes away on its own. Your doc will tell you to watch your diet as in watching your "sugar" weight, because the G.D. indicates too much sugar in your body which passes along to the baby and makes the baby gain weight too. The baby could get too big to deliver vaginally and if too big, baby would require a c-section. I had 2 normal and healthy deliveres with G.D. Don't worry too much, just follow your docs orders and test your blood sugar daily and you and your baby should be ok. I did not stick to the strict diet that I was given, I just cut down on my sugar foods and drinks. Basically if your are gaining too much weight from too much sugar, your baby is too. The whole key is that the doc does not want the baby to get too big on sugar and put the baby at risk for not having a normal vaginal delivery. It isn't really anything to be scared about, just be well informed from your doc /and/or a nutritionist and it should be OK. It is managable."

Mama Loc's replied: "The bagel was a bad idea. White foods have refined carbohydrates that act as sugar and raise your blood sugar naturally. I've had GD with each of my pregnancy's and I'm currently pregnant. You will have to modify your diet and maybe take Metformin. This will help your body use your insulin more effectively. Good luck, it's not the end of the world, you'll just need to take some extra care of yourself. And there's still a chance you'll pass your 3 hr test. It will probably be fasting, but the day before I'd limit carbohydrates, sugars, and fruit. Focus on eating good carbs (whole grains, veggies), fiber (it helps your body use carbs) and drink plenty of water. Stay away from white food (bread, rice, flour, sugar)!"

mikesalleykat replied: "I had gestational diabetes with my first child. Mine was controlled totally by diet.My husband and I went to the Diabets clinc in the Hosptial where my daughter was born they showed us how to check my sugar levels whicj i had to do 4 times a day I aslo had to pee on a stick twice a da y to make sure there was no protien in my urine. I aslo met with a dietition who helped me with my diet Instead of 3 bigs meals a day I had 6 small ones. Don't worry everyting will be explained to you . After my daughter was born they tested me again and the was no sighn of diabetes and 5 years later still no sign .and i did not have it with my second child. My first daughter wieghed 7lbs 7oz at birth which is large for me as I am 5 foot 3 and wieghed about 127 pound when i delivered . Your Docotor your will not let you go past your due date they may even have you deliever a couple of weeks early . good luck. Hope this helps"

Michelle S replied: "I don't think you are supposed to eat before you take the glucose test. So try not to eat before the next one and maybe you'll do fine. I had gd with my two youngest and it was not a problem, just had to watch what I ate."

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