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GESTATIONAL DIABETES DIAGNOSIS DURING COVID-19 FOR

GESTATIONAL DIABETES DIAGNOSIS DURING COVID-19 FOR MOTHERS WHO HAVE HAD PREVIOUS GD PREGNANCIES...
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The NICE guidelines since Feb 2015 have always recommended early self monitoring for mothers who have had previous GD pregnancies OR a GTT
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The current guidance due to COVID-19 is that GTT should be replaced with a HbA1c blood test or fasting test which avoids waiting rooms full of women to be tested, so it is completely understandable
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However, as feared, we are seeing a huge increase in cases where mothers are being told they are negative for GD, yet are experiencing GD related symptoms and/or high blood glucose levels when self monitoring at home, many of which are struggling to get support, diagnosis or treatment 💔
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An email response from the RCOG Covid-19 Support Team was helpful. They agreed that if the mother is experiencing higher than NICE recommended BG levels (BGL at or in eccess of fasting >5.3mmol/L and >7.8mmol/L one hour postprandially), then this should be reported to their diabetes antenatal team and the mother SHOULD receive the support and care she needs for GDM and if they feel their concerns are being ignored then they recommend raising this with other members of the maternity team, or with the hospital Patient Advice and Liaison Service (PALS)
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Many of my ladies are fighting a battle to be diagnosed and supported and we do not want to see an increase in diabetic related birth complications due to misdiagnosis or late diagnosis
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Please do not delay the support and help these mothers need by turning them away to be tested later in pregnancy 🙏🏼
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Please help support these women
Thanks, Jo (GD UK Founder)
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Read email from
RCOG on the Facebook Page (link in bio) and please feel free to share
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#DiagnosedWithGestationalDiabetes #DiagnosingGestationalDiabetes #Covid19Pregnancy #covid_19Pregnancy
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GESTATIONAL DIABETES DIAGNOSIS DURING COVID-19 ⠀

GESTATIONAL DIABETES DIAGNOSIS DURING COVID-19
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I emailed the RCOG Covid-19 Support Team with regards to concerns over diagnosing gestational diabetes as per their current recommendations due to Covid-19 (a HbA1c and/or single fasting glucose blood test) as we are already seeing a huge increase in posts where mothers are being told they are negative for GD, yet are experiencing GD related symptoms and/or high blood glucose levels when self monitoring at home, many of which are struggling to get support, or treatment.
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The email response from the RCOG Covid-19 Support Team was helpful and they said that if the mother is experiencing higher than NICE recommended BG levels (BGL at or in eccess of fasting >5.3mmol/L and >7.8mmol/L one hour postprandially), then this should be reported to their diabetes antenatal team and the mother should receive the support and care she needs for GDM and if they feel their concerns are being ignored then they recommend raising this with other members of the maternity team, or with the hospital Patient Advice and Liaison Service (PALS).
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Please share this wide and if any health care professionals are reading this it would be wonderful if you could share this within your teams as there is only so much support I can offer to these women who are unable to control their BGL with dietary changes alone.
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Many of my ladies are fighting a battle to be diagnosed and supported and we do not want to see an increase in diabetic related complications due to misdiagnosis.
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Please help support these women 💜
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Thanks, Jo (GD UK Founder)
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Read the full email on the Facebook Page (link in bio) and please feel free to share
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#DiagnosedWithGestationalDiabetes #DiagnosingGestationalDiabetes #Covid19Pregnancy #covid_19Pregnancy
#GestationalDiabetes #DiabetesInPregnancy #DiabeticPregnancy #PregnancyDiabetes #GTT #GDUKMums #TeamGDUK #Midwife #Midwives #Diabetic #DiabeticMidwife #DiabeticNurse #DSN #DMW #Endocrinologist #DiabetesTeam #Diabetologist #Obstetrician #pregnancy #pregnant #HighRiskPregnancy #MumToBe #PregnantMummy #InstaPregnancy #MummyToBe #BabyOnTheWay @nhsengland @nicecomms @tommys @babycentre @netmums @kicks.count @mybabagram

Loaded jacket potato 🥔 ⠀ Jacket potatoes can

Loaded jacket potato 🥔
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Jacket potatoes can be tricky to tolerate due to the potato being cooked for so long, therefore breaking it down more therefore making it easier to process and digest quickly. But this recipe heavily pairs the potato to make it more tolerable
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Some of you may have to steer clear of potatoes altogether (yes, even new potatoes with the skin on which are supposedly a ‘better option’) and opt for other forms of starchy carbs that personally suit YOU better
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That’s the thing with these types of starchy carbs and why I don’t advocate ‘carb counting’ for us GD Mummas
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Some of you may tolerate potatoes and rice, but can’t touch bread or pasta with a barge pole. Some may be fine with bread, yet potatoes and coucous are a big no - this is the part that is trial and error, because unless you are very lucky and have mild insulin resistance then it’s highly likely you will find some starchy carbs you can’t go near and others you can manage a healthy portion of (if well paired with protein & natural fats)
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So unless you’ve tried potatoes a few times and really struggled then this heavily paired HALF jacket potato may be worth trying...
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It’s simply a baked potato; pricked with a fork then fully cooked in the oven (mine were on at 200c fan oven for 1hr 15 mins) until crisp on the outside
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Remove from the oven, cut in half, scoop out the middle and mash/crush lightly in a bowl and add your pairings!
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Mine had full fat garlic & herb Philadelphia, chopped ham, baby spinach, topped with grated cheddar
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Then pop under the grill to go golden and bubbling 😋 served with a simple green salad drizzled with evoo & lemon juice, some black olives for extra pairing and just a couple of cherry tomatoes
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Delicious comfort food & an easy recipe as you can just pop your potato in the oven and forget about it until it’s cooked
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Other good pairings for loaded potatoes include:
🐟Tuna
🍗 Chicken
🥓 Bacon
🌶 Chilli (meat/meat alternative)
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Remember you need protein & fats to help pair the carbs from the potato so if making this veggie or vegan you need to think what you can use to increase these without increasing the carbs more - No chickpeas or lentils!
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Can you hear me at the back? ⠀ Needing to take i

Can you hear me at the back?
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Needing to take insulin and/or taking medication for Gestational Diabetes or diabetes in pregnancy does NOT mean you are a failure because you didn’t manage to control by diet alone!
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I completely understand the feelings, emotions, worries and fears when having to start insulin. I too sat in my car crying at the thought of having to inject insulin as I’d ‘failed’ to control my levels through diet alone, even more so as someone with a huge fear of needles.
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The worries of more needles every day on top of the finger pricks, worries about having hypos, worries about driving or being on my own, not knowing what it meant for the rest of my pregnancy, my baby and the birth.
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I also needed insulin from the very early weeks in my second pregnancy and from the first few days after falling pregnant with my third (and I’m still diabetes free 2 years on from having my last GD baby and 11 years on from having my first GD baby!)
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If it gets to the point that you can no longer tolerate small amounts of well paired carbs without seeing over target BG levels, or if you see that your baby’s growth seems to be excessively increasing then you too may be advised to start Metformin and/or insulin to help.
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If this is you, please make yourself a cuppa, put your feet up and have a look at these posts which could help you LOADS!...
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🩺 gestationaldiabetes.co.uk/medication-for-gestational-diabetes
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💊 gestationaldiabetes.co.uk/metformin/
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💉 gestationaldiabetes.co.uk/insulin/
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#Insulin #Metformin #Basal #Bolus #Glibenclamide #Novorapid #Humulin #Insulatard #isophane #aspart #Levemir #Lantus #Humalog
#GDUK #GDUKMums #TeamGDUK #GestationalDiabetesUK #GestationalDiabetesUKMums #GestationalDiabetes #GestationalDiabetesDiet #GDPregnancy #DiabeticPregnancy #DiabetesInPregnancy #HighRiskPregnancy #GlucoseToleranceTest #GDDiagnosis #BloodGlucose #BloodSugar #BloodGlucoseLevels #BloodSugarLevels

Midweek favourite... Spag Bol 🍝 ⠀ Great for f

Midweek favourite... Spag Bol 🍝
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Great for fussy eaters as you can pack tons of veggies in this one which give it great flavour and lots of extra nutrients & fibre without them even knowing #MumTips
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Even if you’re the self confessed fussy eater, you have to give this one a go and you’ll not go back to using jar sauces again! 👌🏻
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Go on, give it a go! It’s on the website in the free example meal plan, or as a free recipe on its own (link in bio for those on Instagram)
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It’s low carb, sugar free and can be made gluten free, vegetarian or vegan
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#GDSpagBol #JosGDRecipes #SpagBol #GestationalDiabetesFood #MidweekMeal
#GDUKMums #TeamGDUK #GestationalDiabetes #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #PregnancyDiabetes #GestationalDiabetesSucks #DiagnosedWithGestationalDiabetes #Diabetes #GDDiagnosis #GestationalDiabetesMeals #RealFoodForGD #RealFoodForGestationalDiabetes #JustEatRealFood #LCHF #LowCarb #LowerBloodSugarLevels #GestationalDiabetesUKMums #GDUK #GestationalDiabetesMealPlan #GestationalDiabetesSupport #GestationalDiabetesUK

Sometimes you just want to keep it simple, fast &

Sometimes you just want to keep it simple, fast & easy!
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🍤 🥗
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Sandwich fillers (the fresh ones without any added dried fruits) or prawn cocktail with extra added prawns are so quick and easy to add to a simple salad
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What’s your favourite salad that gives you great levels?
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#EasySalad #Salad #EasyLunch #GestationalDiabetesLunch #PrawnCocktail #GestationalDiabetesFood
#GDUKMums #TeamGDUK #GestationalDiabetes #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #PregnancyDiabetes #GestationalDiabetesSucks #DiagnosedWithGestationalDiabetes #Diabetes #GDDiagnosis #GestationalDiabetesMeals #RealFoodForGD #RealFoodForGestationalDiabetes #JustEatRealFood #LCHF #LowCarb #LowerBloodSugarLevels #GestationalDiabetesUKMums #GDUK #GestationalDiabetesMealPlan #GestationalDiabetesSupport #GestationalDiabetesUK

🩸When monitoring blood glucose levels we need t

🩸When monitoring blood glucose levels we need to have clean, dry hands. Not only for obvious hygiene reasons when poking ourselves with a needle, but to also ensure that we get the most accurate possible readings.
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💧Good hand washing means using water and soap to get our hands clean, but did you know that most hand soaps and sanitisers contain GLYCERIN (also called glycerine or glycerol) and this can cause false high BG levels if not washed from the skin before testing.
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👉🏻Therefore it’s extremely important to thoroughly wash any soap from your hands (or just wash with clean hot water), dry and then test.
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😰If you get a strangely high BG level that is unexpected, re-wash your hands in just hot water, dry and re-test to check that it is not a contaminated reading. Then record your results with a note to explain the reason for re-testing for your team to see
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#GDUK #GDUKMums #TeamGDUK #GestationalDiabetesUK #GestationalDiabetesUKMums #GestationalDiabetes #GestationalDiabetesDiet #GDPregnancy #DiabeticPregnancy #DiabetesInPregnancy #PlusSizePregnancy #GeriatricPregnancy #SlimmingWorldPregnancy #HighRiskPregnancy #GlucoseToleranceTest #GDDiagnosis #BloodGlucose #BloodSugar #BloodGlucoseLevels #BloodSugarLevels #TestingBloodGlucose #TestingBloodSugar #WashYourHands #BG #BGLevels #Diabetes #Diabetic #BloodGlucoseMonitoring #BloodSugarMonitoring

When should you take your fasting levels? ⠀ The

When should you take your fasting levels?
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The majority of women with GD will be asked to take a daily fasting reading
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This is a blood glucose level taken first thing in the morning...
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1. Wake Up 🥱
2. Wee (I’ve added this in because I don’t know a pregnant Mumma who doesn’t need a wee as soon as she wakes up!) 🚽
3. Wash hands 🧼
4. Test 🩸
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If you brush your teeth, have a shower, run around after your kids, have a coffee etc and then test this can impact your fasting level and give a false fasting reading ❌
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You may have noticed your fasting BG level is better or worse depending on different factors, like getting up and having a shower etc.
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Don’t try to manipulate your readings so that you achieve a recorded lower than target reading - this is only cheating your baby! We are gathering this information so that we can truly see what our body is doing when fasting
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Stick to the same rules every day, whether you’re up early for work or on the school run or having a lie in
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Fasting levels are an important level to evaluate as they show an indicator of your true baseline BG levels (what your body is doing when we are not active and when food or drink has been processed)
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For a guide on testing BG levels check out: www.gestationaldiabetes.co.uk/testing-blood-sugar-levels/
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And for help with high fasting levels check out: www.gestationaldiabetes.co.uk/high-fasting-levels/
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#FastingLevels #FastingBloodGlucose #FastingBloodSugar #Fasting #FastingBloodGlucoseLevels #FastingBloodSugarLevels #FastingLevel #FastingPlasma #GTT #TestingBloodSugar #TestingBloodGlucose
#GDUK #GDUKMums #TeamGDUK #GestationalDiabetesUK #GestationalDiabetesUKMums #GestationalDiabetes #GestationalDiabetesDiet #GDPregnancy #DiabeticPregnancy #DiabetesInPregnancy #HighRiskPregnancy #Type2Pregnancy #GDM #GlucoseToleranceTest #GDDiagnosis #BloodGlucose #BloodSugar #BloodGlucoseLevels #BloodSugarLevels
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Saturday night takeaway? 🍕🥘🍗🍟🍔🍜

Saturday night takeaway? 🍕🥘🍗🍟🍔🍜
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Many ladies will still have a treat of a takeaway with gestational diabetes and why not? As long as it’s not everyday then it’s one treat that you can adapt and still enjoy without causing high blood sugar levels.
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Making the right choices with the type of takeaway you choose and sticking our 8 golden rules will help you make better choices when it comes to having a night off cooking and getting a treat but it’s all about being careful with your choices.
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Many Indian or Chinese dishes contain added sugar. There’s the obvious ones to avoid such as sweet & sour, plum & BBQ sauce etc. and be very careful with a takeaway carb overload!
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Be wary of dishes you perhaps didn’t expect having added sugar, like korma and butter chicken, crispy seaweed.
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If in doubt then ask, many restaurants & takeaways will happily make the dishes without the added sugar in them for you, but if you don’t ask you don’t get!
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The reason I’m sharing this post is that depending on what your diabetes team advises, you may try some takeaways and be led to believe that they give you even better results than your healthy GD food cooked from scratch⁉️
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But actually, it all comes down to WHEN you are advised to test your blood sugar levels & the TARGETS used.
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For many meals, a one hour post meal test will give a good indication as to whether you are tolerating a dish or not, however there’s a big exception to this and that’s food exactly like this!
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𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲𝐬 𝐚𝐫𝐞 𝐧𝐨𝐭𝐨𝐫𝐢𝐨𝐮𝐬 𝐟𝐨𝐫 𝐬𝐩𝐢𝐤𝐢𝐧𝐠 𝐥𝐞𝐯𝐞𝐥𝐬 𝐥𝐚𝐭𝐞𝐫 and so that lovely low reading you got at one hour may be BEFORE your levels spike!
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This is due to the high fat content of these types of meals.
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With this in mind it is worth testing your blood sugars at 1hr AND 2hrs post meal.
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If you don’t have a target for these times then the gold standard target to use are the NICE guidelines:
• <7.8 after 1 hr
• <6.4 after 2 hrs
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#GDUKMums #TeamGDUK #GestationalDiabetes #GD #Takeaway #FastFood #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #GestationalDiabetesSucks #Diabetes #TestingBloodSugar

Here it is, my new baked cheesecake recipe! Now li

Here it is, my new baked cheesecake recipe! Now live and available for all Bronze & Silver GD UK Members to get baking this weekend! 👩‍🍳
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It’s low carb, has no added sugar, is nut free and can be made gluten free too
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And if you don’t have membership, please don’t forget that there’s 4 varieties of no-bake cheesecake recipes in the free recipes section of the website too!
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Just search ‘cheesecake’ on the website to pull up all the cheesecake recipes and let me know which one is your favourite, Jo xx
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#Cheesecake #BakedCheesecake #LowCarbCheesecake #NoAddedSugarCheesecake #JosGDBakes #GDUKMembershipRecipe
#GDUKMums #TeamGDUK #GestationalDiabetes #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #PregnancyDiabetes #GestationalDiabetesSucks #DiagnosedWithGestationalDiabetes #Diabetes #GDDiagnosis #GestationalDiabetesMeals #RealFoodForGD #RealFoodForGestationalDiabetes #JustEatRealFood #LCHF #LowCarb #LowerBloodSugarLevels #GestationalDiabetesUKMums #GDUK #GestationalDiabetesMealPlan #GestationalDiabetesSupport #GestationalDiabetesUK

Yesterday I posted about insulin controlled mother

Yesterday I posted about insulin controlled mothers being wary over hypos due to the heat, but is there anything else you should be mindful of?...
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💧🥤Stay hydrated! If you become dehydrated you run the risk of higher blood glucose levels & ketones
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😎 Keep your kit cool! Insulin, test strips & your blood glucose monitor can all be affected by extreme temperatures. It is best to keep testing equipment & insulin out of direct sunlight & hot conditions
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😖 Increased risk of hypos for mothers who use insulin as heat can increase the absorption of some fast-acting insulins
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👀⛔️ Signs that’s insulin has been heat damaged & should be disposed of:
•cloudy insulin may look grainy & stick to the sides of the glass in the insulin pen
•clear insulin may become cloudy
•insulin may turn brownish in colour
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⏰ 🍓🥜 Try to eat little & often! Many do not feel like eating much in warmer weather, but going long periods of time without eating means BG levels drop low then the liver dumps glucose into the bloodstream causing spikes. The best way to stabilise BG levels is to keep eating little & often (ideally 3 meals & 3 snacks a day)
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🧢🧴 Stay sun safe! Wear a hat, sun lotion, avoid sitting out at the hottest part of the day & don’t over do it! Diabetics are at higher risk of heat exhaustion
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www.gestationaldiabetes.co.uk/gestational-diabetes-heat/
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#Hypo #Hypos #FalseHypo #FalseHypos #BePrepared #HypoKit #DrinkMoreWater #StaySunSafe #StayHydrated #EatLittleAndOften #Insulin #CheckYourInsulin #KeepYourTestKitCool
#GDUK #GDUKMums #TeamGDUK #GestationalDiabetesUK #GestationalDiabetesUKMums #GestationalDiabetes #GestationalDiabetesDiet #GDPregnancy #DiabeticPregnancy #DiabetesInPregnancy #HighRiskPregnancy #GlucoseToleranceTest #GDDiagnosis #BloodGlucose #BloodSugar #BloodGlucoseLevels #BloodSugarLevels

☀️You may find a big difference in your blood

☀️You may find a big difference in your blood sugar levels in hot conditions and so it’s important to be prepared!
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🩸📉There is a risk of more hypos in hot weather for those taking insulin or Glibenclamide. Heat can increase the absorption of some fast-acting insulin, meaning you may need to test your blood glucose more often and perhaps adjust your dose of insulin
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👩🏽‍⚕️Please note: you should consult a medical professional before adjusting your dose of insulin, unless you have already been given guidance
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🏃‍♀️The body’s metabolism is higher in hot and humid weather as it is working much harder and so if you are taking insulin or Glibenclamide to help control your blood glucose levels then be prepared in case you have a hypo (levels below 4.0mmol/L)
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🧃🍪Know the symptoms and have a hypo kit to hand. To learn about hypos and how to treat them, please take a look at www.gestationaldiabetes.co.uk/hypos/
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🍏🥜Those that are diet controlled or on Metformin and notice low levels only need to eat a GD suitable snack or their next meal to raise levels sufficiently, rather than treating their levels with anything high in glucose. This is because those that aren’t on insulin injections can not drop to dangerously low levels as the body will release glucose to counteract the low. This is known as a false hypo. Find out more at www.gestationaldiabetes.co.uk/false-hypos/
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😖If you struggle to treat a hypo and cannot raise your BG levels sufficiently, or continue to have multiple hypos a day then it is important to seek medical advice
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🚑Frequent hypos can also be a sign of early placenta deterioration/placenta insufficiency and so it is important to get checked out if you notice frequent hypos
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Read more at: www.gestationaldiabetes.co.uk/gestational-diabetes-placenta/
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#Hypo #Hypos #FalseHypo #FalseHypos #BePrepared #HypoKit #DiabeticPlacenta #GestationalDiabetesPlacenta
#GDUK #GDUKMums #TeamGDUK #GestationalDiabetesUK #GestationalDiabetesUKMums #GestationalDiabetes #GestationalDiabetesDiet #GDPregnancy #DiabeticPregnancy #DiabetesInPregnancy #HighRiskPregnancy #GlucoseToleranceTest #GDDiagnosis #BloodGlucose #BloodSugar #BloodGlucoseLevels #BloodSugarLe

And it’s live! The new membership recipe for a n

And it’s live! The new membership recipe for a nut free and vegan version of the GD UK Membership Millionaire’s Shortbread... the new Caramel Slice!

Please search for ‘caramel slice’ after logging in on the GD UK website
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#Vegan #DairyFree #EggFree #GlutenFree #NutFree #JosGDBakes #JosGDRecipes #GDUKMembershipRecipe #GestationalDiabetesCake
#GDUKMums #TeamGDUK #GestationalDiabetes #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #PregnancyDiabetes #GestationalDiabetesSucks #DiagnosedWithGestationalDiabetes #Diabetes #GDDiagnosis #GestationalDiabetesMeals #LCHF #LowCarb #LowerBloodSugarLevels #GestationalDiabetesUKMums #GDUK #GestationalDiabetesMealPlan #GestationalDiabetesSupport #GestationalDiabetesUK

The same day I cracked the vegan & nut free Millio

The same day I cracked the vegan & nut free Millionaire’s Shortbread tweaks I also cracked this beauty!!
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I’m a huge fan of my no-bake cheesecakes (which are all available in the free recipes) because they’re yummy and so quick & easy to make!
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But I wanted to attempt a sugar free, low carb baked cheesecake for the membership recipes, especially since my no-bake cheesecakes were all membership recipes which I’ve now made free so wanted to replace them with something
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I think this one should go down well, it’s a long bake but is definitely worth the wait!
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Once again, I need some time to type up the recipe, so watch this space 👀 and I’ll let you know when it’s launched!
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#JosGDBakes #JosGDRecipes #NewGDCheesecake #BakedCheesecake #NewYorkCheesecake #LowCarbCheesecake #SugarFreeCheesecake #GDUKMembershipRecipe #GestationalDiabetesCake
#GDUKMums #TeamGDUK #GestationalDiabetes #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #PregnancyDiabetes #GestationalDiabetesSucks #DiagnosedWithGestationalDiabetes #Diabetes #GDDiagnosis #GestationalDiabetesMeals #LCHF #LowCarb #LowerBloodSugarLevels #GestationalDiabetesUKMums #GDUK #GestationalDiabetesMealPlan #GestationalDiabetesSupport #GestationalDiabetesUK

Safe to say the GD UK Membership Millionaire’s S

Safe to say the GD UK Membership Millionaire’s Shortbread has gone down a storm with ladies, but what if you can’t eat nuts or you need it to be dairy free or vegan?
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Well ladies, I’ve been playing around with ingredients and have managed to re-create tweaks which mean it can now be made nut free and/or vegan too!!!
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I need to type up the recipe tweaks but I’ll let you know when I launch them so watch this space 👀
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#Vegan #DairyFree #EggFree #GlutenFree #NutFree #JosGDBakes #JosGDRecipes #GDUKMembershipRecipe #GestationalDiabetesCake
#GDUKMums #TeamGDUK #GestationalDiabetes #GestationalDiabetesDiet #8GoldenRules #GDFoodPairing #DiabetesInPregnancy #PregnancyDiabetes #GestationalDiabetesSucks #DiagnosedWithGestationalDiabetes #Diabetes #GDDiagnosis #GestationalDiabetesMeals #LCHF #LowCarb #LowerBloodSugarLevels #GestationalDiabetesUKMums #GDUK #GestationalDiabetesMealPlan #GestationalDiabetesSupport #GestationalDiabetesUK

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GD Basics

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