33 weeks pregnant mother

Question: Gulcose PP test is 170...what to do

1 Answers
Answer: This test checks for gestational diabetes. Most pregnant women have a glucose screening test between 24 and 28 weeks of pregnancy. The test may be done earlier if you have a high glucose level in your urine during your routine prenatal visits, or if you have a high risk for diabetes. Normal and diabetic blood sugar ranges. For the majority of healthy individuals, normal blood sugar levels are as follows: Between 4.0 to 6.0 mmol/L (72 to 108 mg/dL) when fasting. Up to 7.8 mmol/L (140 mg/dL) 2 hours after eating. if it is high then you need to control your diet When you have gestational diabetes it is important to manage your diet. This will help you to control your blood glucose levels. Here are some important points to follow: 1. All carbohydrate foods turn to glucose when your body digests them. The more carbohydrate you eat at one time, the higher your blood glucose level will rise. Carbohydrates include starchy foods such as bread, cereals, flour products i.e. biscuits as well as some vegetables such as potato, corn and legumes i.e. peas, baked beans, lentils. They also are in foods with natural sugars such as fruit, milk and yoghurt and lastly added sugars such as lollies, sugar, honey, jam, cordial and soft drinks. 2. Eating smaller meals and snacks regularly will help keep your glucose levels more stable. You should wait 2.5-3hrs after your meal before you have a snack. Likewise do not have a snack too close to your next meal (leave at least 1.5 hours). 3. Do not skip meals or try to avoid carbohydrate foods- this will usually mean you will end up very hungry and often would eat more than you usually would at your next meal and generally leads to more unstable blood glucose levels. It is also unhealthy for you and your baby if you eat too little carbohydrate as your baby is relying on a certain amount of glucose energy from you. 4. Eat more vegetables. Salad and other cooked non-starchy vegetables give you lots of vitamins, minerals and fibre- but very little carbohydrate. Include them at your meals and snacks, or eat them as an extra whenever you are hungry! 5. Protein foods don’t turn into glucose and help you to feel full. You can include protein foods (meat, chicken, fish, seafood, eggs, cheese, nuts + nut butters, seeds and tofu) in sensible amounts at meals and snacks or occasionally as an extra. They will not cause your glucose level to rise. 6. Watch your fats! It is important not to gain too much weight in your pregnancy. Eating too much fat makes it easy to gain excess weight. Reduce added fats such as oil and margarine, choose low fat dairy products, choose lean meats and avoid fried foods and high fat snack foods and take-aways. Fat doesn’t directly raise your glucose levels but can make it harder for your insulin to work if you eat high fat foods. Breakfast: 2 slices of multigrain bread or 2 small plain roti (no ghee or oil) + 1 egg or 1 slice of cheese + ½ cup plain low fat yoghurt ± 1 medium size fruit or 1 cup milk + chai or coffee (avoid sugar) + tea or coffee (avoid sugar) Mid Morning: 1 serve of fruit or 2 plain biscuits + 1 glass of low fat milk + 1 fruit Lunch: 2/3 small bowl rice (basmati, no oil) or 2 small plain roti (no ghee or oil) + large serve of vegetables (Sabji) and avoid large amounts of oil/ghee and potato in the vegetable dish + dahl, ¾ cup cooked (limit use of oil) or 1 small potato (aloo) + a small serve meat, chicken or fish curry (avoid fat or skin) OR 2 slice of multigrain bread + 1 egg or cheese + large serve of salad + 1 serve of fruit Mid Afternoon: 1 cup of tea (avoid sugar) + 1 tablespoon of sultanas or raisins or almonds + 4 vita-weats (savoury biscuit) Dinner: 2/3 small bowl rice (basmati, no oil) or 2 small plain roti (no ghee or oil) + large serve of vegetables (Sabji) – avoid large serve of potato (aloo) and avoid large use of oil/ghee + dahl, ½ cup cooked or 1 small potato + a small serve meat, chicken or fish curry (avoid fat or skin) + ½ cup plain low fat yoghurt (raita) + salad Late Evening: 1 serve of fruit or 1 glass of low fat milk or ½ cup custard or ice-cream *Carbohydrate containing foods in bold EXTRAS: Allowed Avoid Non-starchy vegetables Sugar, honey, jam, syrup, Nutella Protein foods i.e. meat/cheese/egg Fruit juice, soft drinks, cordial, sugar cane juice Clear soups i.e. broth, Miso Lollies and chocolates Diet soft drinks/cordials/jellies Cakes and slices including banana bread Water, soda water, mineral water Pastries, donuts, croissants Tea, coffee, herb teas White breads including Turkish bread Garlic, chilli, curry, spices, herbs Jasmine rice Fish sauce, soy sauce, oyster sauce, tomato paste Fast food i.e. McDonalds & KFC Vinegar, Worcestershire sauce, mustards, mayonnaise Creamy pastas and fried foods i.e. samosas, tikki Artificial sweeteners: Aspartame (951), Sucralose (955), Fried bread – e.g. Puri Saccharin (954), Cyclamate (952) Desserts (Mitahi), Indian Biscuits and Namkeen
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