Back to Ask the Diabetes Team Ask the Diabetes Team

From Sacramento, California, USA:

I was diagnosed one month ago, at the age of 28, with type 1 diabetes. My husband and I were trying to conceive at the time and were sent to the perinatology department of our HMO. (We are currently preventing pregnancy until my blood sugar is in tight control.) The perinatologist wants me to follow their diet for gestational diabetes, which is quite strict, necessitates eating six times a day from specific food groups, and allows no sugary foods ever. Everything I'm reading about type 1 seems to indicate that special diets are not necessary, just good carbohydrate counting and proper insulin dosing. Is this not also true during pregnancy? Is there any reason a type 1 diabetic needs to follow the same diet as a gestational diabetic?


An essential part of managing diabetes in pregnancy is good glucose control. This is achieved through both diet and insulin management. The basis of a good diet is a balance of protein, carbohydrates and fats. For a diet to be reasonable, it has to be palatable. My experience is that if the diet is not tolerable, then it will not be followed. Thus, I feel that reasonable guidelines for a diet along with carbohydrate counting and frequent blood sugar testing achieves the best results. I will emphasize the importance of good glucose control prior to conception to minimize the risk of fetal abnormalities. I would also recommend folate supplementation (5 mg/daily) to reduce the risk of spina bifida.


Original posting 23 Jun 2007
Posted to Pregnancy and Meal Planning, Food and Diet


  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: (none)
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.