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What are the diet restrictions for gestational diabetes?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 16, 2018
Reviewed AtJuly 18, 2023

Patient's Query

Hello doctor,

My wife is 22 weeks pregnant. It is a dichorionic diamniotic twin pregnancy. Her fasting sugar level is 6.9. The doctor suggested taking insulin injection. Is it safe to take insulin during pregnancy? Could you suggest some tips to follow or any diet recommendations, please? Also, we have noticed that in the ultrasound scan report, there is a comment 'decreased end diastolic flow in the UMA now' for both the fetuses. What does this mean?

Thank you.


Welcome to icliniq.com.

Insulin is safe in pregnancy, but I need some clarification with respect to the fasting blood sugar values. If it is 69 mg %, then it is normal. I would like to see her blood sugar reports of the tests which were done previously or the result of the glucose tolerance test. A decreased diastolic flow in the umbilical artery suggests a decreased flow of blood to the babies. Please follow up with your obstetrician for further monitoring of the fetuses. If she has been diagnosed with gestational diabetes, she needs to follow a sugar restricted diet, rice, sweets, high caloric foods and fruits like mango. She can take flat bread, vegetables, salads, apple, citrus fruits, or digestive biscuits.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

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