CASE STUDY & SUCCESS STORIES
Age: 32 years
Case History: Bhavya is a young bureaucrat. She was 24 weeks pregnant and was detected with gestational diabetes. She had a family history of diabetes and her body was insulin resistant. She was also diagnosed with gluten intolerance. Her blood reports showed a GTT of 135mg/dl with vitamin D and iron deficiency. The diet that she was following showed a slow and steady increase in sugar, which left her tired, and fatigued and gave her a lot of sugar cravings. She wanted a nutrition program that managed her sugar levels, reduced her cravings, provided her with healthy alternatives and keep her energy through the day. Hence, she approached us to help her in the management of gestational diabetes ensuring a healthy pregnancy.
Approach by the best diabetic dietitian, Hyderabad, Telangana, India: We provided her with a personalized meal plan which supported her health goals and helped reduce insulin resistance in the body. Sufficient protein was given to her at the start of the day along with a low glycemic load of food options that started her day with energy. Soft fibrous food was given to her to ensure she was able to eat larger portions to ensure complete nutritional requirements for the baby and her as well to ensure sugars were maintained. Micronutrients were given to help her with the optimum growth and development of the baby along with meeting the requirements of the mother. Energy-dense and efficient complete protein foods like eggs, chicken, tofu, etc. were recommended to meet her calorie demands. An appropriate grain-to-vegetable ratio was given which supported her gestational diabetes condition. Healthy and nutritious replacements for gluten were suggested such as millets like jowar and bajra and ragi. We recommended almond flour and coconut flour-based desserts which did not increase her sugar levels. A variety of foods were given such as seasonal fruits, vegetables and whole grains were given to reduce her dependency on supplements. Casein-based dairy products like paneer hung curd and cheese were suggested to meet the calcium requirements as per NIN as she was diabetic. Deep sea fish like mackerel and salmon were recommended to help her keep up to the required omega-3 levels required for a healthy pregnancy. Her protein and micronutrient intake were increased and modified gradually as and when she progressed in her goals and pregnancy. Appropriate healthy and safe lifestyle changes were made to support cravings, pleasure food, and social events step by step to support her pregnancy journey without compromising the health of the baby.
Her fasting sugars which were over the range of 95 most of the time reduced between 85 – 90 and post-prandial to 110 thereby delaying the introduction of insulin. She was able to continue for 7 weeks in the same manner. In the 32nd week, 5 units of insulin were added as she had gained weight due to excessive late-night social events and family rituals. The same continued till her delivery. She had a healthy baby with a normal weight and all her health parameters including liver and sugar readings were within range. She did not need to take any diabetic medications to post the delivery.
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, best nutritionist in Hyderabad for weight loss and online dietician can be contacted via email email@example.com or Mobile +91 9491011202
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