Resources
Blood Sugar Instability
Normalizing Blood Sugar
What are the benefits of maintaining stable blood sugar levels?
- Feel better and have more energy
- Minimize nausea
- Minimize strain on internal organs and body chemistry
- Minimize chances of hypertension
- Maintain stable internal body chemistry and prevent candida/yeast growth
- Maintain mineral stores. Sugar is associated with depleting minerals like calcium.
- Grow a baby that fits your body better, have an easier labour, increase your chance of spontaneous vaginal delivery without the need for intervention
- Minimize weight gain without “dieting”
- Return to your pre-pregnancy/ healthy weight easier and more naturally
How can I promote normal blood sugars?
Focus on a variety of healthy foods
As always, eat a variety of wholesome foods: fresh vegetables, fruits, grains, beans, quality dairy and meat (unless you are vegan/vegetarian), as well and unrefined oils and fat.
Balance your meals
Foods should be partnered together for taste, enjoyment but also to reduce a glycemic rise. For example, combining carbohydrates with protein (salad and fish, rice and chicken), and fruit with fat (pear with nuts, banana and yogurt). These combinations allow sugars to be released slowly, instead of all at once.
Eat small frequent meals
Eat smaller portions more frequently. Take the food you might normally eat in three meals and divide it into six, evenly spaced throughout the day. This can reduce digestive stress, and allow your meal to digest more easily, as well as keeping your blood sugar from having wide fluctuations throughout the day. Some of us call this a “toddler diet” – eat as you would likely feed a toddler, frequent, healthy scnacks.
Be active every day
Developing a daily exercise program is as important as eating well. Being active helps in two ways. First, every time you exercise, you use up blood sugar and keep levels lower for several hours. Exercising for a few minutes after every meal (even just a ten minute walk around the block), when your blood sugar levels are elevated, is an excellent practice. Secondly, exercise that builds muscle will create more cells that use up blood sugar, even while you are sleeping.
Eat less processed, closer to whole and raw
Eat foods in their natural unprocessed form. For example, whole fruit causes a lower blood sugar rise than fruit juice. Grains cooked until they are mushy cause a greater blood sugar rise than when they are al dente. Processed foods are in a way pre-digested and breakdown much faster than their whole counterparts, thus quickly creating a sugar rise. For example, white rice will digest quicker than brown rice.
Reduce stress
Reduce stress, which causes blood sugar to rise. Meditate, breathe, do yoga, get a massage, take a bath with lavender & Epsom salts, ask for support, or whatever it takes. We know that stress is sometimes out of our control so hopefully these strategies can help you to manage stress.
Take a good quality prenatal supplement
Taking a good quality prenatal supplement helps your body cope with the physiological stress of pregnancy. To help specifically with blood sugar control, choose a prenatal supplement that has about 20mg of zinc and 200 mg of chromium. Both can be toxic in large dosages, so more is not better. B-vitamins and vitamins C and E are also important. Speak to your midwife about accessing prenatal vitamins if you have financial barriers.
At the same time, it is always better to get your nutrients from whole food, so do not count on your supplement to cover gaps if you are skipping meals or eating fast food. Often we have access to food coupons for fresh foods – ask your midwife about this.
Eat some Omega-3s every day
Make sure you get a source of Omega-3 fatty acids every day. These help the insulin in your body work to lower high blood sugar and minimize weight gain. Omega-3 fatty acids are also essential for healthy fetal and infant brain development and for preventing pre-eclampsia and premature births.
Good sources of Omega-3s include:
- a serving of cold water fatty fish such as salmon, halibut, mackerel, or sardines
- 3T of ground flax seeds
- 1T of flax oil
- fish oil supplements (DHA plus EPA)
- Grass fed meat & dairy
Choose healthy fats
Choose cold pressed olive oil, coconut oil, ghee or butter over refined vegetable oils. Reduce the amount of harmful fats you eat, such as “vegetable oils” and fried foods. Also avoid trans-fatty acids and partially hydrogenated fatty acids, which are found in most margarines and commercial crackers, cookies, cereals, and many other processed foods.
Choose lower Glycemic Index carbs
Choose foods with a lower glycemic index [see below]. Only carbohydrate foods raise blood sugar. Protein and fats don’t. But please remember that a diet of all proteins and fats is not healthy; you need the fiber and nutrients of carbohydrate foods.
Avoid food binges
Be aware that binging – eating a lot of carbs at once, especially high GI foods like fruit, bread, and pasta – can cause sharp rises in blood sugar. Whenever you have a sugar craving or an urge to binge, think about whether you have eaten enough protein in the last day – maybe you are just hungry for more nutrients. Also consider whether you might be dehydrated, as sugar cravings can be disguising thirst.
What about low Glycemic Index foods?
Some carbohydrate foods cause a significantly higher rise in blood sugar than others do. Predicting which ones will do this is not easy, so you will need to look them up on tables of what is called glycemic index (GI).
High GI foods
Foods that cause an especially large rise in blood sugar include;
- Any bread, cracker, cookie or pastry made from wheat flour, whether that flour is white or whole wheat. Bread with rye flour as the first ingredient is better, as is bread with a significant proportion of unground grains (such as whole wheat berries or rye berries or cracked wheat), oatmeal, seeds, nuts or barley
- Most commercial breakfast cereals.
- Potatoes, especially the large baking kind. Small new potatoes, slightly undercooked, are much better.
- Watermelon and tropical fruits, especially overripe ones such as bananas with brown spots on the skin. Many other fruits, including cherries, grapefruit, and dried apricots, especially if not overripe are much better. Greenish bananas are okay.
This doesn’t mean that you can never eat these foods again. It would probably be okay to eat small servings of them occasionally (like one slice of bread or one pancake, several times a week), especially when eaten with protein foods or with carbohydrates with a lower glycemic index.
Intermediate GI foods
Rice is an intermediate glycemic index food. Eating it slightly undercooked, rather than mushy, is better. Parboiled and basmati varieties are better than others. Sticky rice, puffed rice cereal, and rice cakes, however, raise blood sugar a lot. You might try substituting barley sometimes, which takes a long time to cook, but tastes great (even for breakfast), and has a very low GI. You can make enough for several days and then heat up portions in the microwave.
Low GI foods
All watery vegetables (as opposed to starchy ones like potatoes and parsnips) can be eaten in unlimited quantities. Beans are a carbohydrate food (also containing good protein) with a very low GI, and so a great food.
Adding fat or protein to your meal will lower the GI index of a higher rated food. For example, a baked potato is a high GI food. When eaten with butter, a salad as a side and a chicken breast, the meal becomes well balanced and wholesome.
Low GI (55 or less) choose most often | Medium GI (56-99) choose more often | High GI (70 or more) choose less often |
BREADS: 100% stone ground whole wheat Heavy mixed grain | BREADS: Whole wheat Pumpernickel Rye Pita | BREADS: White bread Kaiser roll Bagel, white |
CEREALS: All Bran Bran Buds with Psyllium Oat bran | CEREALS: Grapenuts Puffed wheat Oatmeal Quick oats | CEREALS: Bran flakes Corn flakes Rice Krispies Cheerios |
GRAINS: Parboiled or converted rice Barley Bulgar Pasta/noodles | GRAINS: Basmati rice Brown rice Couscous | GRAINS: Short-grain rice |
OTHER: Sweet potato Yam Lentils Chickpeas Kidney beans Split peas Soy beans Baked beans | OTHER: Potato, new/white Sweet corn Popcorn Stoned Wheat Thins Rye crisps Black bean soup Green pea soup | OTHER: Potato, baking French fries Pretzels Rice cakes Soda crackers |