Gestational diabetes and nausea: what to eat? replies the dietitian

Dear doctor, I wanted advice on what to eat, I’m almost at the end of the third month and the gynecologist diagnosed me with gestational diabetes which I haven’t had with previous pregnancies. My blood sugar is 97. They told me to follow a diet without pasta, bread and potatoes, various sweets. The thing I wonder how is it possible to have diabetes if I vomit from the first week I lost 10kg!

I’m panicked and scared, usually my diet is a cup of semi-skimmed milk with coffee and 2 biscuits with jam mid-morning a yogurt or fruit lunch a ladle of pasta equal to less than 50 grams, fish or meat and tomatoes or salad or spinach, Dinner with 100 grams of chartreuse or stracchino cheese and a slice of bread but then I don’t
even have time to let it go down in my stomach and I vomit everything.

Thank you.

Very kind, with gestational diabetes you must try to eat 5 meals every day.

So it’s important to have snacks perhaps with fresh fruit or a jar of yogurt, if these foods at this moment give you “annoyance” I suggest you eat a piece of parmesan cheese with 3 or 4 bread sticks or a packet of crackers, as soon as you feel nauseous pass will be able to introduce the foods mentioned above.

At breakfast you should add wholemeal bread or wholemeal rusks with milk, eliminating sugars, honey or jams. A good alternative for breakfast that can help with glycemic control is the consumption of toast, try it, you will see that you will feel better.

For lunch, make one-of-a-kind pasta dishes, with meat, fish or cheese sauces and always combine them with seasonal vegetables.

At dinner you always eat a half portion of pasta with vegetable sauces and a good portion of second course (meat, fish, eggs, cheese) with various side dishes of vegetables and legumes.

In the first 3-4 months it is normal to have severe nausea even with vomiting, however it is essential that you continue to drink water to avoid dehydration, do not give up even if after drinking you vomit immediately  . Is very important.

However, I recommend that you contact a dietician or a specialist doctor who will be able to give you an accurate food history in order to best advise you in a personalized way for  gestational diabetes.