I need some help for a friend!
sweetteadrinker2
Posts: 1,026 Member
I have a friend who's having twins, is 37, and wheelchair bound. She's just been diagnosed with gestational diabetes.
She needs 3300 calories per day, 1000 mg or less of sodium(severe water retention issues), and 225g or less of carbs. Additionally, she's on a blood thinner so can't have dark green veggies. The only way I see this working is with tons of fat in her diet. What are some recipes and or sites I could give her? She's not standard lc, but you guys are so good at working with dietary restrictions I thought I'd ask for some help!
She's agreed to try anything to get her calories up, she's 3 days into her diagnosis and her blood sugar is in the high 200s and eating only 1400-1600 cals a day because she doesn't know what to eat.
Thank you!
She needs 3300 calories per day, 1000 mg or less of sodium(severe water retention issues), and 225g or less of carbs. Additionally, she's on a blood thinner so can't have dark green veggies. The only way I see this working is with tons of fat in her diet. What are some recipes and or sites I could give her? She's not standard lc, but you guys are so good at working with dietary restrictions I thought I'd ask for some help!
She's agreed to try anything to get her calories up, she's 3 days into her diagnosis and her blood sugar is in the high 200s and eating only 1400-1600 cals a day because she doesn't know what to eat.
Thank you!
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Replies
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With the blood thinners, I'd lean heavily toward keto stuff, and any veggies and fruits should be low salicylate (the active ingredient in aspirin) and high salicylate ones should be treated with the same regard as aspirin.
Here are some resources:
http://cavemanketo.com/
http://www.ruled.me/keto-recipes/
http://www.everydaywithadhd.com.au/user-assets/info_sheets/salicylate_food_chart.pdf0 -
I don't have anything to add for the food, but prayers for your friend. I could offer some tips on having twins (mine are 15 today) but my diabetes didn't start until they were about 5 or so.0
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225g of carbs is way too many. She'll be lucky to keep off insulin.
I had GD but not the other issues she had. I recommend keto as well. She should just carb count and eat until she's satiated. (Following the low-salicylate guidelines as Dragonwolf said above.) Pregnancy isn't really the time for stringent calorie restriction. I did lose about 10lbs during, likely all water weight, but then I was already quite hefty anyway.
If she's shy of going keto, my next recommendation would be to keep it at or under 100g. She'll have decent blood glucose control, but not be as restricted.0 -
They immediately put her on insulin, and she still can't get below 200. And she's not looking to calorie restrictive at all, the 3300 is a minimum to grow twins and keep her going. Thanks for the links!0
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Eat ALL the butter!
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sweetteadrinker2 wrote: »They immediately put her on insulin, and she still can't get below 200. And she's not looking to calorie restrictive at all, the 3300 is a minimum to grow twins and keep her going. Thanks for the links!
Gotcha. Sorry. I misread the last part of the post where you mentioned her only getting 1400-1600 cal. My bad.0 -
Dragonwolf wrote: »Eat ALL the butter!
Lol, that was my answer to not enough calories. "Are you putting butter on your food?" "No..." "All the butter belongs on your food."0 -
My favorite sites are:
I Breathe I'm Hungry
Nom Nom Paleo (I could live off of cracklin' chicken)
Other sites I've used:
http://ketogenicwoman.com/
Ruled.me/keto-recipes
Cavemanketo.com
http://www.wickedstuffed.com/category/keto-dinner-ideas/
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This is fun to play with: https://www.eatthismuch.com/0
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Increasing water intake will help with some of the edema. Water can flush some of the sodium out and help with the swelling. But yes, her carb intake should be decreased with the usual keto intake of fat and protein. I hope she can get this under control!0
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My Dad's diabetic. Hasn't been able to control his blood sugar with all the insulin in the world while eating carbs. The ONLY time he ever got his sugar levels down to a normal range is when he ate strict Keto.
225g of carbs is WAY too high.0 -
Most likely she's taking Coumadin, so she would have to avoid green leafy veggies because they are high in vit k, which is the antidote for Coumadin, is she taking any steroids? They have a tendency to increase blood sugar levels. If she still isn't able to get her blood sugar below the 200's her doc may add a long acting insulin like lantus that she would take before bedtime and every morning. Is she checking her blood sugars before she eats?0
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Forgot to add...her doc should refer her to a dietician. How's her BP?0
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I wish I could find the zero carb link someone posted a while back about pregnancy, but it was some awesome info. I didn't specifically address this, but that woman had some great info on there.... I am not suggesting that level of extreme for any reason, but it made a lot of things click in my head... Sending tons of good thoughts!!!
And I was wondering, if she is wheelchair bound, is she in physical therapy? If not, could she get a referral? This could help a lot with the edema and such....0 -
Well, I can't add much because everyone else already has, but why is she wheelchair bound? Due to the pregnancy, or another issue? The edema is of huge concern, esp. if it is severe. Has her heart been checked (I mean with an echo-cardiogram) and her kidney function? After that, all else is just details.
I agree that 225 g carbs seems high for someone with GD, and it also seems like 3300 cals is high, but I don't know her stats (height, age, etc.). For someone in a wheelchair, even growing twins, that sounds like a recipe for serious weight gain. How much do they want her to gain?0
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