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informed decision making

Induction of labour

Induction

14th March 202221st June 2022 Jo Paterson 5055 Viewsbirth, induction, informed consent, informed decision making, NICE Guidelines, SIGN Guidelines, stretch and sweep, sweep, timing and mode of birth

Induction of labour with gestational diabetes In this post, I share what induction of labour means, look into the evidence-based

hypnobirthing with gestational diabetes

Hypnobirthing

13th July 201617th February 2019 Jo Paterson 1575 Viewsinformed decision making

When Policy Closes a Door, Hypnobirthing Opens a Window Picture hypnobirthing – bring it to life. What do you see

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Factors (other than food & drink) that can cause h

Factors (other than food & drink) that can cause higher or lower levels:-
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⬆️ STRESS will raise blood sugar levels
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⬆️ POOR SLEEP & tiredness can also raise blood sugar levels
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⬆️ HOW OFTEN YOU EAT: in pregnancy, we have found the best way to stabilise blood sugar levels is to eat little & often. If you leave long spaces of time between eating, stored glucose will be dumped into your body which in turn causes high blood sugar levels. It doesn’t have to be much, but ideally 3 meals & 3 snacks is a good target to aim for
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⬆️ ILLNESS, SICKNESS & VOMITING can cause high blood sugar levels. Always seek medical advice if you cannot keep anything down because with the added complication of diabetes in pregnancy, you may need to be admitted to hospital for IV fluids and anti-sickness meds. Don’t sit & suffer!
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⬇️ HYDRATION: being well hydrated helps lower levels, therefore as you may expect, being de-hydrated can cause high blood sugar levels. So drink, drink, drink!
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⬇️ HEAT eg. warmer weather, hot baths/showers can cause lower blood sugar levels (and so those on insulin therapy need to be more wary of hypos and may need to adjust their insulin doses in hot weather)
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⬇️ EXERCISE can significantly lower blood sugar levels those on insulin therapy should be mindful of hypos during and after exercise
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⬆️ STEROID MEDICATIONS can cause very high blood sugar levels (it is for this reason that many mothers with diabetes will be admitted to hospital for observation if they require steroid injections for their baby’s lung maturity and may require a sliding scale - variable rate insulin infusion)
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#GDUKMums #TeamGDUK #BloodSugar #BloodGlucose #GestationalDiabetes #GD #GDM #GestationalDiabetesBreakfast #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #PregnancyDiabetes #GestationalDiabetesSucks #DiagnosedWithGestationalDiabetes #GlucoseToleranceTest #Diabetes #GDDiagnosis #TestingBloodSugar #GestationalDiabetesMeals #RealFoodForGD #RealFoodForGestationalDiabetes #JustEatRealFood #LCHF #LowCarb #LowerBloodSugarLevels #GestationalDiabetesUKMums #GDUK #GestationalDiabetesMealPlan #GestationalDiabetesSupport

What do you want to know about gestational diabete

What do you want to know about gestational diabetes but are afraid to ask?

I’ll try to answer (if I can)👇🏻

#GDUKMums
#GestationalDiabetes
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#TeamGDUK
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#HighRiskPregnancy
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#PregnancyFears
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Here’s a virtual hug from me to you for anyone w

Here’s a virtual hug from me to you for anyone who needs one 🤗 Stay Strong Mamas! Happy Saturday, Jo xxx
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#HappySaturday #GDUKMums #TeamGDUK #GestationalDiabetes #pregnancy #pregnant #PregnancyDiabetes #HighRiskPregnancy #MumToBe #PregnantMummy #Preggo #Preggers #MamaToBe #InstaPregnancy #BabyOnBoard #PregnantLife #BellyBump #FutureMama #Mother #Mummy #Mama #MummyToBe #BabyOnTheWay #Bump #DiabeticPregnancy #Mom #Mammy #Hug #Hugs #SaturdayHug

Struggling to sleep on warmer nights, then try thi

Struggling to sleep on warmer nights, then try this 😘

#YourGDFairyGodmother😉

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After mentioning that I suffered placenta insuffic

After mentioning that I suffered placenta insufficiency yesterday, a few wanted to know more...

GD means that we are at a higher risk of having placenta issues, although other factors can also cause placenta issues such as other types of diabetes, hypertension, anaemia, blood clotting disorders, smoking & drug abuse during pregnancy
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Many terms may be used for gestational diabetes placenta issues such as placenta deterioration, placenta insufficiency, placenta failure, placenta dysfunction, premature ageing, calcification & impaired placenta function
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GD placenta issues can occur when there are problems with blood flow through the placenta. The earlier problems are detected in the pregnancy, the more severe the complications can be for the baby
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Complications linked to gestational diabetes placenta issues:-
▶️IUGR (Intrauterine growth restriction)
▶️SGA (baby grows small for gestational age)
▶️Premature labour
▶️Pre-eclampsia
▶️risk of oxygen deprivation at birth for baby
▶️low body temp at birth for baby
▶️low blood sugar levels at birth for baby
▶️stillbirth
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There can be no symptoms of placenta issues at all, but the good thing with gestational diabetes is that we are monitored regularly at hospital with additional growth scans & checks. If you are not offered additional growth & doppler scans you should call your diabetes team or mw to discuss this
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Symptoms that some may experience include:-
▶️changes in baby’s movements
▶️a sudden drop in blood glucose levels (to very low levels <3.0mmol/L)
▶️frequent hypos in insulin controlled mothers
▶️levels not raising after eating
▶️lack of or slowed growth of baby
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If you suspect placenta deterioration then you should contact a medical professional immediately
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Most will be asked to go to hospital for assessment & depending on the gestation, if following monitoring, dopplers or scans there is any cause of concern you may be admitted for care or assessed daily. A plan of care will be discussed which may involve you having steroid injections to help mature your baby’s lungs & you may be advised to have an earlier birth

www.gestationaldiabetes.co.uk/gestational-diabetes-placenta/

You know you want it 😉 Need help with a hospi

You know you want it 😉

Need help with a hospital bag list specifically for those who have gestational diabetes or diabetes in pregnancy? Including a GD-friendly snack list, then check out gestationaldiabetes.co.uk/hospital-bag-list/

#GDUKMums #GestationalDiabetes #DiabetesInPregnancy #PregnancyDiabetes #Pregnancy #Maternity #Pregnant #HospitalBagList #HospitalBag #HospitalBagEssentials #HospitalBagChecklist #ReadyForBirth #ReadyForHospital #IsMyBagBigEnough #GDUK #GestationalDiabetesUKMums #TeamGDUK

I share lots of posts around birth choices with ge

I share lots of posts around birth choices with gestational diabetes and making informed choices around timing & mode of birth
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Whilst 𝗮 𝗱𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀 𝗼𝗳 𝗴𝗲𝘀𝘁𝗮𝘁𝗶𝗼𝗻𝗮𝗹 𝗱𝗶𝗮𝗯𝗲𝘁𝗲𝘀 𝗱𝗼𝗲𝘀 𝗻𝗼𝘁 𝗺𝗲𝗮𝗻 𝘆𝗼𝘂 𝗻𝗲𝗲𝗱 𝘁𝗼 𝗯𝗲 𝗶𝗻𝗱𝘂𝗰𝗲𝗱, there may be certain circumstances for some which indicate that it is best for the baby to be delivered early. I am a prime example of this, where I experienced early placenta deterioration, so it was best for my babies to be delivered early (𝘭𝘦𝘢𝘳𝘯 𝘮𝘰𝘳𝘦 𝘢𝘣𝘰𝘶𝘵 𝘱𝘭𝘢𝘤𝘦𝘯𝘵𝘢 𝘥𝘦𝘵𝘦𝘳𝘪𝘰𝘳𝘢𝘵𝘪𝘰𝘯 𝘰𝘯 𝘮𝘺 𝘸𝘦𝘣𝘴𝘪𝘵𝘦)
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Where an induction is 𝗻𝗲𝗲𝗱𝗲𝗱, here are some tips on having a positive induction with GD:
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1️⃣ Understanding, informed consent & making plans:
•Understand what the process of induction will look like for 𝘆𝗼𝘂 in your hospital. What methods will be used, in what order. What if they are not successful?
•Ask questions & research so that you can make informed decisions & consent to your induction
•Make a clear birth plan
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2️⃣ Comfy clothes & environment
•Pack comfy clothes that you can happily move around in
•𝘈𝘷𝘰𝘪𝘥 𝘱𝘶𝘵𝘵𝘪𝘯𝘨 𝘰𝘯 𝘯𝘪𝘨𝘩𝘵 𝘤𝘭𝘰𝘵𝘩𝘦𝘴 𝘶𝘯𝘵𝘪𝘭 𝘪𝘵'𝘴 𝘣𝘦𝘥𝘵𝘪𝘮𝘦!
•Adjust the lighting & add personal touches to make the space more relaxing for you
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3️⃣ Pack plenty of GD-friendly snacks & drinks
•Be prepared that the hospital food may be things that cause you to have high blood sugar levels (even if they state suitable for diabetes)
•Pack plenty of snacks & drinks so that you can maintain controlled blood sugar levels see our hospital bag list
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4️⃣ Move, move, move
•Once the induction process has started, it is best to be as mobile and active as possible
•𝘚𝘪𝘵𝘵𝘪𝘯𝘨 𝘰𝘯 𝘢 𝘣𝘦𝘥 𝘸𝘢𝘪𝘵𝘪𝘯𝘨 𝘧𝘰𝘳 𝘴𝘰𝘮𝘦𝘵𝘩𝘪𝘯𝘨 𝘵𝘰 𝘩𝘢𝘱𝘱𝘦𝘯 𝘪𝘴 𝘯𝘰𝘵 𝘨𝘰𝘪𝘯𝘨 𝘦𝘯𝘤𝘰𝘶𝘳𝘢𝘨𝘦 𝘵𝘩𝘦 𝘪𝘯𝘥𝘶𝘤𝘵𝘪𝘰𝘯 𝘱𝘳𝘰𝘤𝘦𝘴𝘴
•Try walking up & down stairs sideways, long walks & boucing on a ball
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5️⃣ Be prepared for the potential long haul
•Be prepared that inducing labour may take a long time
•Take plenty of things to entertain you eg. crafts, books, magazines, puzzles, phone/tablet/laptop with charger etc.

Can I eat store-bought quiche with GD? YES! Store

Can I eat store-bought quiche with GD? YES!

Store-bought quiche has white flour short crust pastry on the base (even store-bought ‘crustless quiches’ have it on the bottom 🤨) so treat the pastry as your main starchy carb on the plate and pair it with extra protein and natural fats alongside a big serving of green salad or leafy vegetables and you shouldn’t see any crazy spikes in blood sugar levels. If you get on really well with a meal like this, then you can add some additional carbs to the side next time you have it if you wish

This delicious quiche was a cheese & caramelised onion quiche from @aldiuk
Paired with 2 of my hens boiled eggs, more cheese and salad of romaine lettuce, baby spinach, rocket, 1 medium tomato, cucumber, sweety drop red peppers, pickled red onion with a quick homemade salad dressing of extra virgin olive oil, white vinegar, French mustard, lemon, S&P 👌🏻

If you would like to make a delicious quiche at home then you can also try out my quiche recipes (find them on the website by searching for quiche)

Frozen Yogurt Bark, the perfect sweet treat for th

Frozen Yogurt Bark, the perfect sweet treat for this warm weather!
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This Frozen Yogurt Bark recipe is so simple, quick and easy to make, plus you can tweak it to meet your own dietary needs and preferences.
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It’s the perfect sweet treat to snack on and even better in warmer weather when you want something cool to nibble on which won’t cause your blood glucose levels to soar.
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If you don’t like to add sweetener to your diet, then no need to, just get sweetness from low GI summer berries instead. Can’t eat nuts, then don’t add them. Love nuts, use lots and swirls of peanut butter! Can’t or don’t eat dairy, use a dairy-free alternative
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The flavours of Frozen Yogurt Bark shown in the images are:
🍓 🥥 Berries & Coconut (strawberry, raspberry, blueberry & coconut flakes)
🫐🍓🥜🌱Fresh Berries, Nut & Seed Mix (berries, almonds, chia seeds & fresh mint)
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Other flavour ideas:-
🥝🥥Tropical: 1 x passionfruit, 1 x kiwi, peeled and thinly sliced, 1 x lime (zest & juice), desiccated coconut & coconut flakes
🍊🍋Citrus: zest of lemon & orange, half an orange segmented, juice of a lemon and half an orange
🥥Lime & Coconut: coconut yogurt with zest & juice of 1 lime, toasted desiccated coconut to top
🍫🥜Choc Nut: Peanuts (as many as you like) & 30g dark choc melted and drizzled
🍒🍫Black Forest Swirl: handful fresh or frozen cherries with 30g dark choc chips
🥜🌰Granola Crunch: mixed chopped nuts, seeds – mixed with sugar-free syrup to taste sprinkled over the top in clusters
🍌🥜Banana & Peanut butter: 1 small greener banana, finely sliced, 3 tbsp melted peanut butter to drizzle and a handful of peanuts
🍰Vanilla Cheesecake Crunch: 2 vanilla pods (split lengthways and seeds removed), 150ml real dairy double cream or Elmlea Plant-Based Double Cream added to the yogurt and whipped in, topped with 2 crushed digestive biscuits
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⚠️ AVOID using dried fruits, honey, syrups, sugar, milk or white chocolate & higher GI (sweeter) fruits
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Get the recipe now @ www.gestationaldiabetes.co.uk/frozen-yogurt-bark/ (link in bio on Instagram)
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#JosGDRecipes #TodaysMealOnTheWall #MealOnTheWall #GestationalDiabetes #GDUKMums #GestationalDiabetesUK #FrozenYogurtBark #YogurtBark

Following a gestational diabetes diet does NOT mea

Following a gestational diabetes diet does NOT mean:
🍞 🛑 cutting out all carbs
🍽 🤐restricting your food intake so much that you go hungry or starve yourself
🍗🥑 following a keto diet
🥩🥓 eating meat when you normally follow a vegetarian or vegan diet
🥖➡️🧈 replacing carbs with fat
🍫🍦 having no sweet treats
🥡🍕 you can’t eat out or have takeaways
😋👌🏻 you can’t enjoy good food

A gestational diabetes diet IS making a few smart tweaks so that you can STILL enjoy food whilst maintaining lowered and stabilised blood sugar levels. With my #8GoldenRules and #GDFoodPairing you CAN do this!

You don’t need to sign up for an expensive coaching plan learning what and how to eat with GD. ALL my information on how to achieve better blood sugar levels is available for FREE for all to use. Only pay for an optional recipe subscription for extra recipes if you want to. Note: there’s 100s of free recipes on my website too!!

Give GD UK diet tips a go and see how you get on. I’ve proudly supported thousands of people with gestational diabetes since 2014, so don’t miss out on these basic hints and tips that could really help you!

@ www.gestationaldiabetes.co.uk/gestational-diabetes-diet/

#GestationalDiabetesUK
#GDUKMums
#GestationalDiabetes
#GestationalDiabetesDiet
#GestationalDiabetesFood
#FoodForGestationalDiabetes
#DiabeticPregnancy

New downloads of my GD shopping lists are now avai

New downloads of my GD shopping lists are now available on the shopping list post! 🛒 🛒 🛒

Go to the link in my bio @gestational_diabetes_uk

🇬🇧 These lists are based on UK products & ingredients, although many things are generic and can be found worldwide 🌍

This includes:
🫙☕️ Store Cupboard Essentials
🥚 🧀 Fresh Groceries
🫐🥦 Fruit & Veg
🧊 🍓 Frozen Foods

Further to these shopping lists are UK product recommendations for known better-tolerated products. This takes a lot of guess work out of trying to find products, spending hours reading labels in the supermarket. I’ve done the comparing over the years, so you don’t have to!

💭Please remember, insulin resistance varies from person to person and what works for one doesn’t for another. The ideas I share are based on what works for a majority, but it still means trying things and seeing what works for YOU 🫵🏽

🔔Please note: These lists & recommendations are NOT sponsored or affiliate links, the information shared is to benefit you, not me. I make no financial gain from suggesting any of these products or brands

All ideas shared are based on Gestational Diabetes UK Diet #8GoldenRules and #GDFoodPairing

You can find out more about food pairing from the link in my bio #NeverEatANakedCarb

Sweet Apple Nachos 🍏 1 Granny Smith apple core

Sweet Apple Nachos

🍏 1 Granny Smith apple cored, then sliced with the skin on
🥜 a good scoop and drizzle of no added sugar peanut or almond butter
🫘 a good sprinkle of chopped almonds, pumpkin seeds & dried quinoa
🍫 1 tablespoon of choc chips

Make a plate and get stuck in! This is #GDFoodPairing (by adding extra protein & fats to the apple, it slows down the absorption of sugar from the carbs in the apple & chocolate which helps achieve lower and more stabilised blood glucose)

All part of my simple #8GoldenRules for eating with #GestationalDiabetes

2022 UPDATE 🔔 🐟 May 2022 there was an outbr

2022 UPDATE 🔔
🐟 May 2022 there was an outbreak of listeria from smoked salmon, therefore it is now advised that smoked salmon is cooked before eating if you are pregnant

When posting food ideas & recipes I always recommend foods which are safe to be eaten in pregnancy - this is according to current guidance for the UK (please note: guidance may be different in other countries)

Tag a pregnant Mum ⬇️
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Here are foods that are commonly questioned whether they are safe to be consumed in pregnancy but you may not realise:-
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1. Stilton; it is pasteurised & therefore safe to eat (SOFT BLUE cheeses such as Danish Blue, Gorgonzola & Roquefort should be avoided unless cooked until steaming hot, this is due to the higher moisture content of these type of soft blue cheeses which can harbour listeria)
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2. Baked Camembert; although soft white cheeses with a white coating (such as Camembert, Brie, Chèvre) should be avoided uncooked, they are safe to be eaten if cooked until steaming hot
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3. Soft Cream Cheese; like Philadelphia, ricotta, and cheeses like cottage cheese, mozzarella, feta, paneer, halloumi & cheese spreads are pasteurised & therefore safe to eat
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4. Runny, partially cooked or raw egg yolks & foods made with them such as fresh mayonnaise; these are safe to eat if they are British Red Lion stamped eggs
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5. Peperami; original & snack-size Peperami are pasteurised therefore are safe to eat. Note: the mini snack packs containing cheese are not pasteurised so should be avoided unless frozen. Salamis & other cured meats eg Parma ham, chorizo etc can be eaten if frozen before consumption or if they are cooked
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6. Black Pudding; it should be cooked thoroughly
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7. Prepacked Cooked meats eg. ham, corned beef, turkey; these are cooked & packaged & are safe to eat in the UK
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8. Cooked shellfish such as prawns, mussels, crab, lobster, clams & scallops including cold precooked prawns
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9. Peanuts & other nuts; you should only avoid eating nuts in pregnancy if you have a nut allergy
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🍴🧀🍳🍤🥜🦀🦐🦞🦪🐟🥓🍱🍽
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#GDUKMums #TeamGDUK #GestationalDiabetes #pregnancy #pregnant #PregnancyDiabetes

Another example. Here is a healthy dinner... ⠀ P

Another example. Here is a healthy dinner...
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Packed with heart healthy lentils, this lentil dhal maybe a popular choice for many. However a curry like this served with a big helping of plain boiled rice & roti breads is very high in carbs and doesn’t contain enough protein & fat to help pair them
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With meals like this it’s important to increase the protein & fat. If you don’t eat meat then try adding additional protein in the form of tofu, Quorn, or other soya based meat alternatives. Pulses such as lentils & chickpeas do contain protein but not enough to help pair and they also contain carbs themselves which adds to the problem
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Fat helps slow down the absorption of glucose into the bloodstream and also slows gastric emptying. This means that eating fat alongside better carbs and some protein means that blood glucose levels do not spike so high or so rapidly. This is ‘GD Food Pairing’
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Therefore this low carb tikka masala recipe which contains more fat & protein means it is a lower carb curry option. Then serve alongside cauliflower rice and a wholemeal roti or lower carb wrap instead of additional carbs in rice AND bread. If you prefer rice to bread, opt for brown rice or brown basmati and keep the serving small. A good starting point is 3 heaped tablespoons of cooked rice. If you tolerate this well then it can be increased the next time you have the meal
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I have lots more posts similar to this on my Instagram page, please scroll through past posts for more tips just like this @gestational_diabetes_uk
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#GDUKMums #TeamGDUK #GestationalDiabetes #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #PregnancyDiabetes #GestationalDiabetesSucks #DiagnosedWithGestationalDiabetes #Diabetes #GDDiagnosis #GestationalDiabetesMeals #RealFoodForGD #RealFoodForGestationalDiabetes #JustEatRealFood #LCHF #LowCarb #LowerBloodSugarLevels #GestationalDiabetesUKMums #GDUK #GestationalDiabetesMealPlan #GestationalDiabetesSupport #GestationalDiabetesUK #GDUK

I thought it would be helpful for many of you, to

I thought it would be helpful for many of you, to share a comparison post on a slimming world (SW) style meal
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The reason for doing this is that SW is a very popular diet that many follow. It is also a diet which is supported by the RCM so is deemed as suitable in pregnancy. SW also have support leaflets for people with diabetes and so some may feel it is suitable for gestational diabetes
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Whilst SW can be followed with GD, it can be very hard to restrict the carbs enough and pair foods with only having limited dairy (Heathy Extra A) and a certain amount of syns to use a day. SW is a fairly high carb diet with many free foods being high in carbs (such as potatoes, pasta, rice & fruit)
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I’m sharing this as a previous SW member (I’ve followed the diet several times, but no longer choose to follow this style of diet)
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For a meal comparison, I’ve opted for breakfast as I know it’s a filling meal that many enjoy. It can also be a fab choice for GD, but with a few tweaks by lowering the carbs & increasing the fat (remember: it is the fat that helps slow down the absorption of glucose into the bloodstream, slows gastric emptying, meaning we achieve lower & more stabilised blood glucose levels)
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Whilst the Heck chicken sausages are lower in carbs, so a great choice with GD, they are also much lower in fat, therefore for the GD version I have switched to high meat content pork sausages instead
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Similarly the lean bacon medallions are great on a GD diet as they are low carb, but I’ve opted for streaky bacon on the GD version to increase the natural fats (and because it’s so much tastier 😉)
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*Before I get shot down, I know that I have used some syns on my SW breakfast which are also carbs & could be left off the plate, but many may also add potatoes chopped & fried in fry light for a syn free version that still contains the carbs. I know that some may also add the spinach to the SW plate too, however this does not alter the carbs, fat or syns (please bear in mind I also had to use what I had available in my house for the pics)
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Read more @ www.gestationaldiabetes.co.uk/slimming-world-gestational-diabetes/
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