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Gestational Diabetes Diet

Get a starting estimate for your daily calories and a simple way to spread carbs across 3 meals and 3 snacks. Your care team's plan always comes first.

Units
At least 175 g; use your dietitian's number if you have one

General information only, not medical advice. Ask your doctor or midwife.

How this works

Formula: Calories = Mifflin-St Jeor (10 × kg + 6.25 × cm − 5 × age − 161) × activity + trimester extra (0 / 340 / 452 kcal). Carbs: at least 175 g a day.

  • Resting energy is estimated with the Mifflin-St Jeor equation, then multiplied by your activity level.
  • Pregnancy adds about 340 kcal a day in the second trimester and 452 kcal in the third (Institute of Medicine).
  • The Institute of Medicine sets at least 175 g of carbohydrate a day in pregnancy. You choose a daily total from 175 g up.
  • The carbs are spread so no single meal is heavy: a smaller breakfast, larger lunch and dinner, and three small snacks. Your dietitian may set a different split.
  • The plate method helps at each meal: half non-starchy vegetables, a quarter protein, a quarter carbohydrate food.

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Questions

What blood sugar numbers should I aim for?

Commonly used targets are under 95 mg/dL fasting, under 140 mg/dL one hour after a meal, or under 120 mg/dL two hours after. Your care team may give you different targets; follow theirs.

Should I cut out carbs completely?

No. You and your baby need carbohydrate. The aim is to spread it out and choose slower carbs, not to cut it out.

Why a smaller breakfast?

Many people with gestational diabetes find blood sugar rises more easily in the morning, so breakfast is often kept lighter. Check what works with your own readings.

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