Can pregnant women with gestational diabetes eat pumpkin?

Written by Chen Xie
Endocrinology
Updated on November 30, 2024
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The general principle for dietary control in patients with gestational diabetes is to manage total calorie intake and to eat smaller, more frequent meals. Eating five to six meals a day can not only help control blood sugar levels but also reduce the occurrence of hypoglycemia. Additionally, it is important for patients with gestational diabetes to eat less of foods that can rapidly increase blood sugar levels, as well as those high in sugar, starch, and fat content since these can easily convert into glucose, causing a rise in blood sugar. Pumpkin, for example, is a food high in carbohydrates and should be consumed in limited quantities. However, this does not mean it cannot be eaten at all. For patients with gestational diabetes, if pumpkin is consumed, it is necessary to reduce the intake of staple foods and rice, treating the pumpkin as a staple food substitute to maintain a balance of total calories and to prevent significant fluctuations in blood sugar, thus keeping it stable.

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Written by Zhao Dan
Orthopedics
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What is gestational diabetes?

The group of people who were diagnosed with diabetes before pregnancy is called gestational concurrent diabetes. Those who were not diagnosed with diabetes before pregnancy, but were diagnosed after becoming pregnant, are referred to as having gestational diabetes. Eighty percent of women are diagnosed with gestational diabetes, while twenty percent have gestational concurrent diabetes.

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Written by Chen Xie
Endocrinology
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Exercise for Gestational Diabetes

Exercise can increase insulin sensitivity and can lower blood sugar independently of insulin. Therefore, patients with gestational diabetes can also exercise appropriately, which is beneficial for the utilization of blood sugar and helps lower it. The exercise for gestational diabetes generally involves regular, rhythmic aerobic exercises, which can include upper body exercises, gymnastics, and previously mentioned activities. The duration of exercise should generally be around 20-30 minutes, and it is advisable to exercise about one hour after meals. The frequency of exercise should be three to five times per week. During exercise, the heart rate should not exceed 120 beats per minute to avoid intense physical activity.

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Written by Xu Dong Dong
Endocrinology
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What to eat for breakfast with gestational diabetes

Patients with gestational diabetes are encouraged to have a balanced diet for breakfast, ensuring sufficient nutrient intake while choosing foods with a low glycemic index. For example, breakfast can include an egg, half a corn cob, a small meat bun, and a cup of milk. About two hours after breakfast, a snack can be added, selecting fruits with a low glycemic index such as strawberries, cherries, plums, apricots, apples, peaches, oranges, and grapefruits. This means that breakfast and the snack should include carbohydrates, vitamins, and proteins. Additionally, avoid eating porridge for breakfast as it has a high glycemic index, which can significantly raise blood sugar levels after the meal. Also, avoid overly greasy foods as they too can cause an increase in blood sugar.

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Written by Xu Dong Dong
Endocrinology
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Can you eat cherries if you have gestational diabetes?

Patients with gestational diabetes can eat cherries. Cherries have a relatively low sugar content and glycemic index, so eating them will not cause significant fluctuations in blood sugar levels. Additionally, cherries are rich in trace elements, particularly high in iron content, and consuming cherries can help supplement iron. Patients with gestational diabetes can eat cherries in moderation, but they should not consume too much at once, and it is recommended to eat between meals. There are also other fruits with low glycemic indices that patients with gestational diabetes can eat appropriately, such as apples, peaches, pears, oranges, and grapefruits.

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Written by Chen Xie
Endocrinology
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Do you need insulin for gestational diabetes?

Gestational diabetes refers to the elevated blood glucose levels found during pregnancy. For patients diagnosed with gestational diabetes, we first need to control diet and exercise to manage blood sugar levels, maintaining fasting blood glucose between 4.0-5.3 mmol/L and postprandial (two hours after meals) blood glucose between 4.4-6.7 mmol/L. If blood sugar control can be achieved through diet and exercise, insulin treatment is not required. However, if blood sugar levels still do not meet the standards through diet and exercise, exceeding the figures mentioned earlier, insulin treatment is necessary. For patients receiving insulin treatment, it poses no harm to either the fetus or the mother. In fact, when blood sugar is well-controlled, it can actually reduce the risks associated with gestational diabetes.