When I was pregnant with my first daughter, Eden, I was handed the diagnosis of “borderline gestational diabetes” after I did the ‘sugar test’ and was told to watch my diet.
When I was pregnant with my second daughter, Jade, right from the very outset I was told to “watch my diet”. My midwife helpfully talked about the Glyceamic Index and proteins and reducing processed foods because these are bad to our general health and thus bad for our pregnancies. This nutritional counselling gave me a whole different outlook on my pregnancy. Much in contrast to the stereotype of sit back and eat all the foods that you like because your body craves it, and give up exercise because you can, my body became my temple and when it came round to the gestational diabetes test, firstly I was told I had the choice whether I wanted to take it or or not, and secondly reassured that should I get the diagnosis, it didn’t really matter because I should be eating the kind of foods that were low on the Glyceamic Index anyway because high GI foods lead to higher levels of glucose in the blood and these can be passed onto baby.
Recently I came across a wristband that is soon going to be reading sugar trends in our blood. It already reads blood pressure, which has been incredibly helpful to me because I’ve always had quite low blood pressure and suffer for it. I realised this would be a very useful tool in pregnancy, both for blood pressure and blood sugar and could even rule out the sugar test completely, because right from the get go of your pregnancy you would be able to see how the foods you are eating are affecting your sugar level trends.
I checked in with my beautiful Midwife, Glenis Paulette, to guest blog on Gestational Diabetes from her perspective and the nutrition that can prevent it, so you can make your own minds up as to the best way for you to manage your levels of glucose in the blood. Ultimately, the levels of glucose in your blood are what is passed on to baby.
Read on for Glenis’ Guest Blog to understand more, it was very eye opening to me. You can read her bio and see her contact details at the bottom of the page. She is also a great Homeopath and Acupuncturist, who has been of great support to me and my girls up to this day!
If you’re interested in learning more about the wristband to read sugar trends in the blood (non-invasively I might add!), please contact me. You might also be interested to read my Homebirth Story with Jade and Glenis and/or learn more about Essential Mum! If you have any questions for me or Glenis, do not hesitate to drop them in the comments below.
Much Love x x
Gestational Diabetes Diagnosis in Pregnancy
The test for Gestational Diabetes (GD) in pregnancy is often considered routine and offered to women without counselling, explanation or consent. Many women are not even aware that they can refuse it. The diagnosis of GD is made by evaluating the level of a blood result taken from the woman after she has fasted for 8 hours and then given a sugary drink. Her blood is tested one and two hours after she has been given the drink to see how well she has been able to metabolise the sugar. If the woman fails the test she is then labelled with GD and her pregnancy is treated as high risk. The levels above which the woman is considered diabetic are arbitrarily defined by different health bodies and there is little consensus throughout the world what this level should be.
Studies show that the tests are unreliable and often give significantly different readings when repeated a week apart. Women who already have a good diet with minimal sugar in it also probably have difficulty metabolising such a sugar hit when it vastly exceeds what they are used to consuming. Also the same sugar load is given to all women irrespective of her weight, meaning it is much more of a load for a 60kg woman than one who is 85+kg.
There is also little evidence to show that this classification and the resulting treatment actually prevent the supposed risks of harm or mortality to the baby. Babies of GD mothers are at risk of being larger and at slightly increased risk for shoulder dystocia, a condition where a baby’s shoulders become stuck at birth preventing their body from being born. These babies can also suffer from low blood sugar levels after birth and be more at risk of being overweight and suffering from diabetes later in life. However, if they are medically managed by a hospital diabetes team they are more likely to be induced and subjected to the resulting cascade of interventions, more often resulting in a caesarean section. The resultant stress on the mother of having a ‘high risk’ classification also impacts negatively both on her and the baby. Obesity and excessive weight gain in pregnancy are more likely to lead to adverse effects for the mother and baby than a diagnosis of GD, although the two can go hand-in-hand.
GD is in fact a mild condition, without symptoms, that develops in the last few months of pregnancy. It is not the development of a serious disease. The level of glucose in the blood may remain higher for longer in pregnant women so that the developing fetus has an adequate and stable supply of nutrients to optimize their growth and well-being.
Managing this increased demand by the fetus can be optimised by giving the same practical advice to women diagnosed with GD as to all pregnant women.
Nutritional counselling should focus on the quality of carbohydrates they consume rather than the quantity. The most useful way to rank carbohydrates is according to their glycaemic index (GI). Pregnant women would do well to avoid or reduce those foods high on the GI as their metabolism leads to higher levels of glucose in the blood. These foods include simple sugars and honey, soft drinks, many processed breakfast cereals, white rice and white bread. Chemical sweeteners are also not good for the body. Many processed foods include excessive sugar, low quality carbohydrates and oils. A healthy diet is one containing fresh whole foods and complex carbohydrates because they are digested more slowly by the body and provide a steady source of energy and also more fibre. Examples include wholemeal breads and pasta, plenty of fresh fruit and vegetables, and breakfast cereals based on oats, barley, nuts and seeds. Adequate oils and protein are also important.
Regular exercise is also advised as this helps the body burn up glucose and increases the effectiveness of insulin.
The best thing to prevent low blood sugars in the newborn is to ensure that they are breastfed early and regularly.
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