At my 28 week appointment, I took the dreaded pregnancy glucose test. Since my pregnancy nausea was still pretty bad at the time, I was most nervous about trying not to throw up for an hour on an empty stomach. I never would have imagined that I would get a call the next day saying I didn’t pass. The following day, I had to do it all over again. This time, I had to drink 2 of the glucose drinks and get my blood drawn 4 times over 3 hours. I was extremely nauseous and faint, but resting in the fact that if I got through those 3 hours, it would all be over.
On Monday, I got the call that I had failed and was officially diagnosed with gestational diabetes (GDM). I was shocked. I didn’t know much about GDM at the time, so I went into full on planning & research mode to figure out how to fix it. I was also scared; my plans all along had been to deliver at a birth center instead of the hospital and I was nervous this diagnosis would risk me out of that option. Plus, what did it mean for the baby and for my own health? How did this happen to someone healthy like me?
That week, I got my glucose monitor and started the 4 times/day finger pricks to test my blood sugars. I researched the gestational diabetes diet recommendations extensively and immediately began following them- mostly adding in more snacks and protein. Because of my continued pregnancy nausea, my diet had not been great (lots more carbs than my diet pre-pregnancy), but I was committed to try my best. I was surprised to find that sticking to the GDM diet recommendations, my blood sugar levels continually tested high. Post-meal levels were okay, but I was only passing around a quarter of my morning fasting levels.
When I went in for my next doctor’s appointment, they were alarmed at my results. I told them I was following the exact diet recommendations given and didn’t know what else to do. Besides recommending a 30-45 minute walk every night after dinner, they didn’t have any other ideas for me. At my pleading, they gave me one week to try to have PERFECT morning fasting levels; if I didn’t, I would be put on medication (glyburide) to control my body’s insulin response. Getting put on medication would officially label me as high risk and guarantee a hospital birth with continuous monitoring and insulin during labor. Plus, after researching the medication, I wasn’t confident it was safe for my baby either. I was devastated.
Pregnancy is certainly a lesson in loss of control. Of course, I’m sure God designed it that way to prepare us for parenthood. I’ve felt out-of-control for my entire pregnancy… nausea I couldn’t fix, diet I didn’t want to be on, hormonal emotions, and now this. I had no idea how emotionally taxing a diagnosis like this could be. You blame yourself. You worry about what it means for the baby you’ve been trying so hard to protect. And the constant blood testing and attention to diet is a continual source of stress and anxiety. And don’t forget, you’re not supposed to be stressed during pregnancy- it’s bad for the baby. Ugh.
I was determined to not let this diagnosis get the best of me. I continued my research. Google-ing “natural ways to lower blood sugar” or similar searches came up with nothing. No one online seems to want to try this; they all just assume that you will end up on medication or insulin and recommend you simply try your best to eat healthy for baby. Finally, I pieced together some different ideas and resources to make a plan.
By a complete miracle, I was able to have perfect blood sugar levels that next week and return to the doctor with confidence that I could continue without medication. But the next week, Thanksgiving came along… I splurged and enjoyed just one holiday meal & dessert and my fasting levels couldn’t recover from it; my levels became unpredictable again. I was defeated as I walked into the doctor’s office the next week, certain they would put me on medication this time. But my midwife was gracious and knew how hard I was working- she said it was probably due to a lack of routine, and once again I was given one last week to try.
Since that visit, I’ve been able to keep my blood sugar levels totally under control. Even the morning fasting ones. Praise God! So, for those of you pregnant mamas diagnosed with gestational diabetes who are looking to stay off medication/insulin and want to control it naturally, I want to share what’s worked for me in hopes that you can have the same success. I can’t point to one particular thing that made the difference; it wasn’t until I did all of these together that I was finally able to bring my levels under control.
- Prayer – I’m listing this first because I truly believe God is the only one who has the power over all of this. I consider it a miracle that He’s kept my levels low when they were SO high and unpredictable to start with. Pray before each meal and each finger prick- that dependence on Him will help calm you and help relieve the never-ending cycle of stress that only causes higher levels.
- Minimal Carbs – Aim to eliminate carbs completely from your diet. Everyone processes carbohydrates differently, so there’s not really an exact amount that’s “safe.” The nutritionists who write diets for GDM will give guidelines like 25 carbs for breakfast & lunch, 35 for dinner and 15 at two snacks. And they’ll say that as long as you balance with a protein and fat, those carbs will not convert to glucose. If I followed this ridiculous protocol, I would be on medication today. The only thing that worked was when I basically eliminated carbs from my diet; that means no bread (not even multi-grain), no rice, no potatoes, no corn, no oats. It even means avoiding high glycemic produce, like fruit (some can tolerate berries, but I haven’t really been able to).
- Eat High Protein, High Fat & Veggies – Focusing your diet around these items is the best way to avoid blood sugar spikes. Healthy fats are especially great at keeping blood sugars stable and keeping you full. I can’t stomach it with my nausea, but I’ve seen several recommendations that a teaspoon of coconut oil before each meal can help a great deal. I just try to include it in what I make instead. Search ketogenic recipes for meal ideas that fit this diet; I also have quite a few here on my blog – veggie noodles with lemon cream sauce being my fave. My favorite snacks have been: cashews, cheese sticks, Greek yogurt and Graze meat sticks. Breakfast is the hardest on rushed mornings, but I try to alternate between hard-boiled eggs with breakfast sausage links, scrambled eggs with avocado and Greek yogurt with nuts.
- Satisfy Sugar Cravings Safely – I know, pregnancy cravings are real and having gestational diabetes, especially over the holidays, is just the worst. Of course you have to eliminate sugar (and always avoid unsafe sugar-free products), but I’ve found a couple ways to satisfy my intense cravings for sweets: Stevia leaf naturally helps to lower blood sugar, so I’ve been using that in the tea that I drink or to sweeten Greek yogurt a bit. And dark chocolate is also helpful to lower blood sugar- make sure to get a bar that is 75%+ cocoa and soy-free. My go-to nightly snack has been whipped coconut cream (high in good fat!) sweetened with a bit of stevia and topped with a few dark chocolate chips – here’s the super easy recipe.
- Walk After Dinner – Every single day. For at least 30 minutes. This is one of the hardest from a scheduling perspective and because it is uncomfortable when you are hugely pregnant and tired. The first week is the hardest, but I promise your body will start to crave it. It will help with digestion, relieve indigestion/heartburn and is also great at getting your body ready for labor.
- Herbal Supplements – I talked with both my naturopath and the herbalist at my local pharmacy to see if there were any supplements to help with blood sugars that would be safe for pregnancy; they recommended two that I’ve been using these past months. I take Diaplex before meals (started with 2 pills before each meal, but I’ve gone down to just two before lunch now) and Glukokine once in the evening right before bed. Since I had done my research and talked with the right people, my doctor’s office was fine with me taking these; as always, you should check with your doctor before taking any medication or supplements during pregnancy.
- Drink Lots of Water – If you are diabetic, one of the most common symptoms is frequent thirst, so this shouldn’t be a hard one to implement. Hydration is one of the best ways to control insulin response, so you should be drinking around 2 gallons per day. I know you are already peeing every 30 minutes, but this is crucial to stabilizing your levels. Add some fresh lemon slices to your water for even further blood sugar stabilizing benefits. And, more importantly, drink water every time you wake up at night – it’s crucial to not let yourself get dehydrated overnight and I really think this made a huge difference with my fasting levels upon waking.
- Consistency – Ultimately, I’ve found that a consistent routine is key to predictable levels, especially the morning fasting ones. Schedule your meals and snacks to be at similar times each day. Keep a food journal to track what you are eating to see if anything affects your levels. This is not a typical diet where the occasional splurge is okay; you have to stick with it. Wake up at the same time every morning and go to bed at the same time each night. A strict schedule is the last thing I wanted to implement before a baby entered my life, but it’s certainly been worth it.
Note: Don’t be surprised if you stop gaining weight or even lose weight once you put this protocol into place. I was a bit alarmed that I’d only gained 12 pounds by 37 weeks, but my midwife assured me that it is completely normal since it’s all being done in a very healthy way. I’m not crash dieting or exercising too much; it’s safe. Enjoy this one benefit to all your hard work and be excited that you will have less to lose after baby!
Lastly, I want to encourage you mamas not to blame yourself. The diagnosis isn’t your fault. If you are trying everything and still failing your levels, it is not your fault. Your placenta is causing this and sometimes it is not something you can control. Do your best and be at peace with that. I’m so proud of you for trying.
P.S. A great resource I finally found online was a UK website on gestational diabetes. I definitely recommend that you check it out for great information, ideas and encouragement.