Healthy lifestyle & nutrition help managing gestational diabetes within a healthy range.
CASE STUDY & SUCCESS STORIES
Age: 32 years old
Case history: Ishwarya came to us when she was in her 5th month of pregnancy. Her routine medical check-up showed elevated fasting sugars for pregnancy. It was between 104 and 110 mg/dl. Ideally, pregnant women should have blood sugar levels below 95 mg/dl and since she has a family history of diabetes, she knew that it was not a one-off reading. She knew she had to take better care to ensure her sugar levels come within the range otherwise her obstetrician would put her on insulin.
Her doctor gave her 10 days to reduce her fasting sugar within the safe pregnancy range. She was advised by her doctor to focus on her diet to reduce her blood sugar levels.
Analysis & Approach by top online nutritionist: We first analysed her dietary choices, which clearly indicated that she was consuming fruit juices like orange juice to improve her vitamin c and immunity, ABC juice to give her more energy, which caused her blood sugar levels to spike up. We educated her on the fact that fruit is not equivalent to fruit juice. Fruits have vital antioxidants, fibre and need to be consumed as a whole from nature as possible. Fruit juices on the other hand are mostly sugar as all the pulp is taken out to make it juice. Similarly, ABC juice has a lot of sugar even though beetroot and carrots are vegetables but are tuber vegetables and have a lot of sugar, hence while they provide vital nutrients, they should be consumed as a whole as possible.
We gave her a nutrition plan as per the NIN recommended calorie intake for pregnant women, with balanced carbohydrates, vital vitamins and minerals, adequate protein, good fats, and calcium-rich food.
Gestational diabetes women and women with insulin-generating body types can gain excess weight during pregnancy but in her case, she was within the normal pregnancy norms.
Results: Within the first 10 days, her blood sugar levels dropped down to 70 mg/dl (laboratory measures), and 88mg/dl when measured at home and her fasting blood sugar levels were within the safe pregnancy range till a couple of weeks before the pregnancy. In the final few weeks before her delivery, her blood sugar levels were between 100 & 105. Her gynaecologist suggested an intake of 5 units of insulin to be on the safe side.
Women with gestational diabetes and insulin-producing body types can gain excess weight during pregnancy, but she gain weight in accordance with normal pregnancy norms, delivered a healthy baby, and maintained their blood sugar levels without complications. The baby’s weight was also within the healthy range.
Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach, and co-founder of Fit4Life India, an integrated nutrition and wellness organization for Indians that provides complete solutions, addressing health and wellness challenges of individuals by working on their overall well-being. Deepika, the best nutritionist in Hyderabad for weight loss and online dietician can be contacted via email - firstname.lastname@example.org or Mobile +91 9491011202