Question

Nan has had type 1 diabetes for 15 years. Currently 29 years old and in the sixth week of her first pregnancy, she is referred to a registered dietitian for a review of nutrition recommendations for a healthy pregnancy. She brings her lab work with her and it shows her last A1c level was obtained one month ago and it was 5.5%. Nan is concerned that she won’t be able to use artificial sweeteners and she asks if any have been found to be safe during pregnancy. A diet history shows a fairly high intake of processed foods.

Her preferred meal planning method is carbohydrate counting and she feels comfortable doing this already. Nan asks you for feedback on how she might be able to improve her diet.

1. Discuss the difference between type 1 diabetes and type 2 diabetes. How are these two conditions different in pathophysiology and considerations for treatment?

2. How was Nan’s blood sugar control prior to pregnancy? How are you able to assess this?

3. Are there any artificial sweeteners that may be used safely during pregnancy?

4. What nutrition recommendations do you have for Nan during her pregnancy? Consider meal timing and distribution of carbohydrate intake.

5. Is there a higher risk for complications due to having type 1 diabetes prior to pregnancy? Discuss why or why not.

Answer 1

The blood sugar was normal and the increased blood sugar level is due to the gestational diabetes. During pregnancy the blood sugar level increases.

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The artificial sweeteners that can be used during pregnancy and is safe Sucrolosa ( splenda).

Nan should take enough foods that are full with nutrients. The food should consists of proteins, vitamins, omgea 3 fatty acids, fibres etc. Spinach, lettuce, eggs , griled chicken should be consumed.