Category: Women’s Health

Gestational Diabetes

You are twenty eight weeks pregnant! Congratulations, you have made it to your third trimester with a picture perfect pregnancy. You go in to see your obgyn for your appointment and the bomb drops. You have gestational diabetes.

Gestational diabetes is one of the most common pregnancy complications that women face. It is when pregnant women have high blood sugar levels during their pregnancy. It is not really known what can cause gestational diabetes. Some experts say that overweight women have a higher risk of developing gestational diabetes, but there is not much evidence to support this.

What is known about gestational diabetes is that one of the only cures is to deliver the baby. After delivery your blood sugar level will go back down to normal. The common treatment for gestational diabetes has been insulin shots. Just as if you had diabetes when you were not pregnant, you would have to take shots each day. Some women find though that by changing their diet, they are able to manage their gestational diabetes without having to give themselves a shot of insulin.

If you are looking to make dietary changes your doctor will probably refer you to a nutritionist. They will look at several factors when designing a meal plan for you. First they will look at your weight before you got pregnant and how much you have gained since them. Next they will look at your activity level and your blood level. Then they will work with you to design an eating plan that has just the right amount of carbohydrates.

Some of the guidelines you should follow are to spread your carbs out through out the day by eating three small meals and two to four snacks. Breakfast might be a meal where you will want to eat less carbs since they can cause your blood sugar to rise quickly. Instead eat a protein filled breakfast with eggs, or even meat. Giving up sweets is one of the best things you can do if you have been diagnosed with gestational diabetes and will make your meal plan easier to follow.

It is also important to that you do not skip meals or try going on a low carb diet. This is going to cause your blood levels to fall to low levels and can leave you exhausted and legatheric. Chances are you will have to test your blood sugar levels regularly to make sure you are at a safe level. Some women are so sensitive that they can tell when their levels are low and know what steps to take to correct it.

Not taking the steps to keep your gestational diabetes under control not only puts you at a risk of developing type 2 diabetes’s later in life, but you are also putting the life of your baby at risk. Babies born from moms who were diagnosed with gestational diabetes tend to be larger than those who aren’t. Most doctors will not let a women go past her due date if she has gestational diabetes and a few will not even let them go as far as their due date before inducting them. Larger babies could mean more delivery complications and increase your chance of a c- section.

Gestational diabetes is so common these days that no one bats an eye if you say you have it. By eating a healthy diet and watching your sugar level, you will be able to control your blood sugar level and continue with your perfect pregnancy.

Gaining Weight Too Slowly During Pregnancy

Just as gaining too much weight can be harmful to you and your baby, not gaining enough weight can be harmful also. There are some women out there who are so terrified at gaining weight that they eat next to nothing during their pregnancy. Please do not do this, you could be depriving your baby of the vitamins and minerals it needs and you increase your chances of having a small baby. Babies who are underweight at delivery are at a greater risk for health problems than babies who are of average weight at delivery.

If you find that you have gained nothing during your first trimester, do not worry. Some women do not gain anything during those first three months and some even lose some weight thanks to morning sickness. Your baby’s needs are relatively tiny at that point. It is when you are in your second and third trimesters that you should make sure you are gaining weight according.

If you find that you are not gaining as much weight as you should, you should try to fatten up your diet. Increase your fat intake by a serving or too. This will increase your calorie intake but won’t decrease your appetite. Do not increase your fat by more than a serving or two. There are better and healthier ways to increase your weight gain.

If you are one of the lucky few women who do not gain weight easy, you might not want to foods with the lowest amount of calories. You can still eat healthy but you want to up your calorie intake. Try eating avocados and more cheeses along with some beans too. Indulge in some snacks also. Try to add at least three snacks into your schedule. Make sure you have a decent amount of calories but not so many calories that your ruin your appetite for your next meal. If you are not allergic to peanuts, try some apple slices with peanut butter or some whole wheat crackers which some low fat cheese slices.

Take some time out of your busy life to relax. Not gaining enough weight could be a sign that you are doing too much. You could be burning up the calories you eat instead of using them to nourish your baby. Try cutting back on your exercise if you have an exercise routine. You also want to make sure you eat after a workout to replace the calories you just lost. If you are working while you are pregnant and it is a stressful job, make sure you take the time out of your busy day for lunch and snacks.

Throughout all of this, check in with your doctor. Your doctor may want to run some tests to make sure that you do not have a thyroid condition or any other undiagnosed medical problem that might keep you from gaining weight. You may also want to keep track of what you eat so you can show your doctor and talk about any changes that might need to be made to your diet. You may not be eating enough and you may find that you need to eat more.

Gaining Weight Too Fast During Pregnancy

Any obgyn will tell you that the recommended weight gain for pregnancy is 25-30 pounds. Some women will gain more, some will gain less. But how can you tell if you are gaining too fast during your pregnancy. Too much weight gain can increase your chances of a c section and put you at risk for being overweight after.

Some doctors say that if you put on more than 3 1/2 pounds in your first trimester and are of a normal weight you are putting weight on too fast. If you are overweight and put on more than 2 pounds, you are gaining too fast. Keep in mind though that even if you gain a lot in your first trimester, it doesn’t necassararily mean you will gain a lot your whole pregnancy.

Some women gain a lot in the first trimester because morning sickness has them only able to eat carbs and nothing else and still end their pregnancy gaining no more than 25 pounds. If however you find that your weight gain is still not slowing down once you enter your second trimester, there are some tips you can try to help slow it down.

First, cut out the useless calories. It is never a good idea to diet while you are pregnant but if you are gaining too much you do need to slow down the rate at which you are gaining. Apply some basic calorie cutting strategies such as using skim milk instead of whole milk, taking skin off your chicken and grilling or broil instead of frying or sauting. You will also want to cut out most of your sweets. These are empty calories that are providing no nutritional value to you or your baby.

Next, cut down on the fat you are taking in. Look at what you are eating and how it may have hidden fat in it. Some salad dressings can be loaded with fat, so you might want to try putting your dressing on the side. Watch how much oil you use when you are cooking or when you are going out to eat and stick to good oils such as extra virgin olive oil.

Get active! You could be gaining weight faster because you are not active. As long as your doctor gives you the go ahead, start a walking program. Walking is one of the best things you can do for your body and your baby. Not only does it help with your weight gain, but some women and doctors swear that walking through out most of your pregnancy could help ease the pains of childbirth. If you can not walk due to weather conditions you might want to look into joining a prenatal exercise class.

Lastly pay attention to what you are eating. So many people don’t pay attention to what they eat and find that they are overeating without even realizing it. How many times have you sat on the couch watching a movie and decided to have some potato chips only to realize that you have eaten the whole bag? Try to keep all your meals at the table and take your time while eating.

Even though you are eating for two, gaining just enough weight will not only make delivery and recovery easier for you, it will also make getting the weight off after pregnancy come off that much faster.

Foods to Avoid While Pregnant

Almost every woman knows the basic of what they should and should not do during pregnancy. They know that caffeine should be cut back; they should not smoke, drink alcohol or spend time in any hot tubs. However more and more studies are being done to see if pregnant women should avoid certain foods for the duration of their pregnancy.

It is essential that pregnant women eat a well balanced meal at all times to provide their growing baby with the vitamins, nutrients and minerals that the baby needs to grow. There are some foods though that needs to be avoided due to the risk they pose to not just to the mother, but also to the growing baby.

For starters, raw meat needs to be avoided due to the risk of toxoplasmosis and salmonella. This means no more rare steaks, or rare burgers. Pregnant women should take caution and make sure that all of the meat they eat is cooked well done. Cold deli meat should also be avoided because of the risk of listeria. Listeria can cross the placenta and can cause an infection or blood poisoning to the baby. Keep in mind though that deli meat can be reheated until it is steaming and this will help reduce the risk.

Speaking of listeria there are other foods that can contain this bacteria. Some soft cheeses such as brie, feta, and gorgonzola. These cheeses are commonly made with unpasterized milk. Unpasterized milk often contains listeria, so pregnant women need to make sure that any soft cheeses they are going to eat are made with pasteurized milk.

Fish has always been a subject of debate for pregnant women. While some forms of fish contain essential nutrients that are needed by the baby, others contain a high level of mercury. Any fish with a high level of mercury such as shark, swordfish, king mackerel, tilefish and fish used in sushi should be avoided through out pregnancy. Studies have linked mercury to developmental delays and in some cases brain damage. Tuna also contains a lot of mercury but canned, chunk light tuna has a lower amount of mercury and can be eaten in moderation. Raw shellfish also should be avoided through out pregnancy.

Raw eggs or anything containing raw eggs is a no no during pregnancy. There is a potential exposure to salmonella. This means no raw cookie dough, no brownie mix, and some homemade sauces such as hollandaise, Caesar dressing and blue cheese dressing. When dining in a restaurant, it would be wise to ask any sauces or dressings contain any raw eggs. Most restaurants should be using pasteurized eggs in any raw egg recipe but one should still double check.

There has never been a more important time to be careful what a woman eats then when she is pregnant. Some of the above foods have been linked to miscarriages and other birth defects. If you are pregnant and you have already indulged in a few of the foods you should not have, do not panic. Chances are, you and your baby are fine but take extra care to avoid these foods in the future.