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Dietary
Plan and Nutrition recommendations in pregnant women with Diabetes.
Dietary Recommendation
in Pregnant Women with Diabetes
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RECOMMENDED DIETARY ALLOWANCES
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Distribution of Calories
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Energy - 30-35 K.cal./Kg IBW
Protein - 1.5-2.5 gms / kg / BW
Visible fat - 30 gms / day
Calcium - 1000 mgs.
Dietary fibre - 25 gms/ 1000 cals. |
Carbohydrates - 60-65% of total energy
Proteins - 15-20% of total energy
Fat - 15-25% of total energy |
| Vegetarian |
Non-Vegetarian |
| Morning |
Morning |
| Milk / Coffee / Tea - 100
ml |
Milk / Coffee / Tea - 75
ml |
| Breakfast : |
Breakfast : |
Idli/Dosa/Iddiappam/Appam/Chapathi-4
Upma/Pongal-2cups. Corn flakes-8tbsp
Bread - 4 slices
Sambar/tomato/onion/mint chutney |
Idli/Dosa/Iddiappam/Appam/Chapathi-4
Upma/Pongal-2cups. Corn flakes-8tbsp
Bread - 4 slices
Sambar/tomato/onion/mint chutney |
| Mid-morning |
Mid-morning |
Butter milk/Tea/Coffee/Vegetable
Soup
Lime juice - 200 ml |
Butter milk/Tea/Coffee/Vegetable
Soup
Lime juice - 200 ml |
| Lunch |
Lunch |
Rice-2cups/Roti
or pulka-4/rice 1cup +
Pulka-2 (1cup=50 gms raw wt.)
Sambar or Dhal-1 serving(25gms raw wt.)
Vegetable A-1 Serving (100 gms)
Vegetable B-1 serving(100 gms)
Curd-100 ml/Butter milk-unlimited |
Rice-2cups/Roti or pulka-4/rice
1cup +
Pulka-2 (1cup=50 gms raw wt.)
Sambar or Dhal-1 serving(25gms raw wt.)
Chicken/lean meat/fish-100gms.
Egg Whites - 2
Vegetable A-1 serving (100 gms)
Vegetable B-1 Serving(100 gms.)
Curd-50 ml./Butter milk-unlimited |
Tea:
Milk/Tes/Coffee-100 ml.
Sprouted grams-1 small cup(30 gms)
Sandwich-2 slices/Marie biscuits/
Cream cracker/Salt biscuits-3 |
Tea:
Milk/Tea/Coffee-75 ml.
Sandwich-2 slices/Marie biscuits/
Cream cracker/Salt biscuits-3 |
Mid
Evening
Fruit 1 |
Mid
Evening
Fruit 1 |
Dinner
Same as lunch |
Dinner
Same as lunch |
Bedtime:
Milk-100 ml (+ 3 tsps permitted
Protein supplement) |
Bedtime:
Milk-75ml (+2 tsps permitted
protein supplemented) |
Note: Dietary iron cannot meet
the ICMR recommendations during pregnancy so iron supplements are necessary.
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Vegetable A
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Vegetable B
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Fruits
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| Cabbage, Brinjal |
Carrot, Peas |
Apple |
| Cauliflower, Tomatoes |
Raddish-pink |
Guava |
| Celery, Marrow |
Onion, Mango-ginger |
Orange |
| Lettuce, Cucumber |
Broad-Beans, Cluster Beans |
Sweet-lime |
| Mint, Drumstick |
Drumstick Leaves, Sword
Beans |
Banana (Hill Variety) |
| Spinach, Ladies Finger |
Coriander Leaves, Double
Beans |
Green Banana |
| White Raddish, Capsicum |
Turnip Leaves |
Water Melon-1 slice (200
g) |
| Amaranth, Bottle Gourd |
|
Musk Melon-1 Slice (200
g) |
| Ash Gourd, Green Papaya |
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Papaya - 1 slice (150 g) |
| Bitter gourd,Plantain flower |
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Grapes - 20 nos |
| French Beans, Kovai |
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Pineapple-1 slice (150 g) |
| Ridge-gourd, snake-gourd |
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Pear |
| Fenugreek, Pumpkin, GreenLeafy
Vegetables |
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* -
Artificial sweeteners should be avoided.
* - Oil-use refined
oil for cooking purpose (E.g. Gingelly oil, Sunflower oil, Safflower
oil).
Oil allowance - 15 to 20 gms per day. (3-4 tsps
per day)
Risk
Factors for GDM in Pregnant Women (Indications for doing Glucose Tolerance
Test GTT)
DIABETES, PREGNANCY BIRTH STUDY (1994)
Physical Exercise in Type I (or) IDDM Pregnancy
Physical Exercise in Type II (or) NIDDM &
GDM Pregnancies
Future of GDM Mothers
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