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Lindsay Schwartz
EDUC 690: MNT-Limited Food Budget Meal Plans
○ Disease progression
i. Islet cell function and peripheral insulin resistance reduces insulin
sensitivity and secretory response. The Beta cells are no longer able to
meet the higher insulin needs during pregnancy which increases the
amounts of glucose in the blood. During the first first half of the pregnancy
the mother’s glucose is transferred directly to the fetus and during the
second half of the pregnancy the fetus begins to produce its own
hormones which are greater than that of the glucose coming from the
mother. This then require an increase (double the amount) of insulin. The
Gestational Diabetes Ajee’lon Boyd (TL)
Lindsay Schwartz
EDUC 690: MNT-Limited Food Budget Meal Plans
fetus is constantly exposed to the elevated blood glucose levels and this
causes the fetus to also increase insulin production. This then causes the
fetus to develop hyperglycemia, and possibly macrosomia and
hyperinsulinemia. For the mom, gestational diabetes can lead to
preeclampsia (hypertension), polyhydramnios (complications during
childbirth), delivery via C-section, and preterm delivery. Gestational
diabetes is treated with nutrition therapy or insulin therapy medicine.
2. Detailed description of prescribed diet:
○ How the diet manages the disease symptoms
i. Regulate/normalize glucose, lipid, and amino acid levels by controlled,
regular timed meals which will stabilize these factors. The goal is to
stabilize glucose levels to that of a pregnant non-diabetic women.
1. She can consult with her doctor about using a glucose meter to
monitor her blood sugar levels. Her doctor can also refer her to a
diabetes prevention program, RD, or diabetes educator on how to
properly use the meter and interpret her glucose levels and how
she should be eating to correspond with various glucose level
readings.
ii. Improve growth and development of fetus.
iii. Promote desired/normal weight gain and avoid weight loss of the mother.
1. First trimester-1-2 lbs Second & Third trimester .5-1 lbs/week
2. Pt should follow a low carb diet (minimum of 175g CHO) to
prevent excessive weight gain and control blood sugar levels.
a. 30-35 kcals/kg 20% protein, 40-45% CHO, and 35-40% fat
3. CHO should come from whole grains, one fruit or one serving of
milk at a time.
4. Limit intake of juice, desserts, and sweets.
iv. Control blood pressure
1. A switch from low sodium/processed foods to whole foods can
help reduce the amount of sodium within her diet which can
reduce the blood pressure levels, and thus lead to a decrease of
strain on her body and the fetus. A reduction in blood pressure
levels can also reduce the mothers risk of developing T2DM after
delivery as well.
v. Avoid starvation, ketosis, and diabetic acidosis
1. Starvation should be avoided as the fetus will need nutrients to
properly grow and develop.
2. Diabetic ketoacidosis occurs more rapidly in women with
gestational diabetes. It can cause a delayed diagnosis - which
may lead to difficulty with treatment.
3. Ketosis happens when there is a dearth of carbohydrates. Fat is
metabolized in its place for energy. Pregnant women need a high
energy diet to meet the needs of the fetus, and ketosis means that
her stores of glycogen are depleted. Organ development and
Gestational Diabetes Ajee’lon Boyd (TL)
Lindsay Schwartz
EDUC 690: MNT-Limited Food Budget Meal Plans
○ Monday
i. Breakfast: 1 cup yogurt (11g CHO) with ½ banana (23g CHO) and 1
graham cracker crumbled on top (5 g CHO)
1. Breakfast total: 39g CHO
ii. Snack: 1 Tortilla (17g CHO) filled with 1 scrambled egg (1g CHO), ½
cup greens (3g CHO) and ¼ tomato (1g CHO)
1. Snack total: 22g CHO
iii. Lunch: 3 oz Tuna (0g CHO) salad made with 1 Tbsp plain yogurt (1g
CHO) on an English muffin (25g CHO) with 5 celery sticks (2 g CHO)
and ½ banana (23 g CHO)
1. Lunch total: 51g CHO
iv. Snack: 1 Apple (24g CHO) and 2 tablespoons of peanut butter (6g
CHO)
1. Snack total: 30g CHO
v. Dinner: Chicken meatballs (see recipe below, ¼ of recipe) (11g CHO)
with 1 cup spaghetti (37g CHO) and greens (3g CHO)
1. Dinner total: 51g CHO
vi. Snack: 1 oz serving fat free popcorn (22g CHO)
Gestational Diabetes Ajee’lon Boyd (TL)
Lindsay Schwartz
EDUC 690: MNT-Limited Food Budget Meal Plans
○ Tuesday
i. Breakfast: 1 Whole wheat English muffin (25g CHO) with 2
tablespoons of peanut butter (6g CHO) and ½ of a banana (23g CHO)
1. Breakfast total: 54 g CHO
ii. Snack: 3 cups fat free popcorn (22g CHO)
1. Snack total: 22g CHO
iii. Lunch: ¼ recipe (see attached) Chicken meatball (11g CHO) in 1
tortilla wrap (17g CHO) and ½ cup corn (15g CHO) and greens (3g
CHO)
1. Lunch total: 46g CHO
iv. Snack: 3 oz Pudding (20 g CHO)
1. Snack total: 20g CHO
v. Dinner: ¼ recipe (see attached) Lentil ‘sloppy joes’ (39g CHO) on 1
English muffin (25g CHO) with greens (3g CHO)
1. Dinner total: 65g CHO
vi. Snack: ½ banana (23g CHO)
1. Snack total: 23g CHO
vii. Total CHO: 230 g
○ Wednesday
i. Breakfast: breakfast burrito: 1 tortilla (17 g CHO), 1 egg (1g CHO), ½
cup of potatoes (24g CHO), low fat cheese, ½ tomato (2g CHO)
1. Breakfast total: 43g CHO
ii. Snack: 1 ounce serving fat free Popcorn (22g CHO)
1. Snack total: 22g CHO
iii. Lunch: 1 cup of bean soup (20 g CHO) with 1 English Muffin (25g
CHO)
1. Lunch total: 45 g CHO
iv. Snack: 3 whole wheat graham crackers (15g CHO) with 1 tablespoon
of peanut butter (3g CHO)
1. Snack total: 18g CHO
v. Dinner: Spicy chicken meatball (¼ recipe, see attached) (11g CHO)
salad – 2 cups salad (8g CHO), ½ cup of corn (15g CHO), 1 cup low
fat milk (12g CHO)
1. Dinner total: 46 g CHO
vi. Snack: 3 oz pudding (20 g CHO)
1. Snack total: 20g CHO
vii. Total CHO: 206g CHO
○ Thursday
Gestational Diabetes Ajee’lon Boyd (TL)
Lindsay Schwartz
EDUC 690: MNT-Limited Food Budget Meal Plans
i. Breakfast: 1 boiled egg (.5 g CHO) with 1 English muffin (25 g CHO)
with 2 tablespoons of peanut butter (6g CHO) and ½ cup of low fat
milk (6g CHO)
1. Breakfast total 37.5 g CHO
ii. Snack: ½ cup low fat cottage cheese (3 g CHO) and 1 cup fresh fruit
(15g CHO)
1. Snack total 18 g CHO
iii. Lunch: 1 cup Lentil soup (20g CHO), .5 cup low fat cheese (2 g
CHO), ½ cup pinto beans (18 g CHO)
1. Lunch total 40g CHO
iv. Snack:3 whole wheat graham crackers (15g CHO) with 1 tablespoon
of peanut butter (3g CHO)
1. Snack total 18 g CHO
v. Dinner: ground chicken taco: 6 oz ground chicken (0 g CHO) 3
tortilla (51 g CHO) with 1 cup cooked carrots (12 g CHO)
1. Dinner total 63 g CHO
vi. Snack: 3 cups fat free popcorn (22g CHO)
1. Snack total 22g CHO
vii. Total CHO 198.5 g CHO
○ Friday
i. Breakfast: ½ cup cottage cheese (3 g CHO) with 1 English muffin (25
g CHO) 2 tablespoons of peanut butter (6g CHO) and ½ cup of low
fat milk (6g CHO)
1. Breakfast total 40 g CHO
ii. Snack: 3 oz pudding (20 g CHO) ½ cup fresh fruit (7.5 g CHO)
1. Snack total 27.5 g CHO
iii. Lunch: 3 oz Tuna (0g CHO) salad made with 1 Tbsp plain yogurt (1g
CHO) on 1 tortilla (17 g CHO) with 5 celery sticks (2 g CHO) and ½
banana (23 g CHO)
1. Lunch total: 43g CHO
iv. Snack: 3 whole wheat graham crackers (15g CHO) with 1 tablespoon
of peanut butter (3g CHO)
1. Snack total 18 g CHO
v. Dinner: 1 medium sized baked potato (39g CHO), ½ cup pinto beans
(18 g CHO), .25-.5 cup low fat cheese (1-2 g CHO) and ¼ cup salsa
(3g CHO)
1. Dinner total 62 g CHO
vi. Snack: 8 carrot sticks (8g CHO) 5 celery sticks (2g CHO) 2 Tbsp of
peanut butter (6g CHO)
1. Snack total 16g CHO
vii. Total CHO 206.5 g CHO
Gestational Diabetes Ajee’lon Boyd (TL)
Lindsay Schwartz
EDUC 690: MNT-Limited Food Budget Meal Plans
○ Saturday
i. Breakfast: ½ banana (23g CHO) with 2 Tbsp of peanut butter (6g
CHO) on 1 tortilla (17 g CHO)
1. Breakfast total: 46 g CHO
ii. Snack:3 cups fat free popcorn (22g CHO)
1. Snack total 22 g CHO
iii. Lunch: Ground chicken lettuce wraps: 6 oz ground chicken (0g
CHO) 4 medium/large lettuce leaves (2 g CHO) 4 tomato slices (1g
CHO) 1/2 cup salsa (6g CHO) ½ cup corn (15g CHO) ½ cup pinto
beans (18 g CHO)
1. Lunch total 42 g CHO
iv. Snack: 5 celery sticks (2g CHO), 1/2 cup fresh fruit (7.5 g CHO)
and 2 Tbsp of peanut butter (6g CHO)
1. Snack total 15.5 g CHO
v. Dinner: Taco salad: 6 oz ground chicken (0g CHO) 10 medium-large
lettuce leaves (5 g CHO) 4 tbsp dressing (4g CHO) 1/2 cup corn (15g
CHO) and ½ cup cooked carrots (6g CHO) 1/2 cup salsa (6g CHO) ½
cup of low fat milk (6g CHO)
1. Dinner total 42 g CHO
vi. Snack:3 oz pudding (20g CHO)
1. Snack total 20g CHO
vii. Total 187.5 g CHO
Banana: $0.50
Pudding: $0.99
Tortilla: $1.79
Potato: $0.50
Egg: $1.89
Tomato: $0.50
Cottage cheese: $1.79
Carrots: $1.79
Directions:
https://minimalistbaker.com/vegan-sloppy-joes/
Gestational Diabetes Ajee’lon Boyd (TL)
Lindsay Schwartz
EDUC 690: MNT-Limited Food Budget Meal Plans
Breakfast Burrito
Serves 4, cook time 30 minutes
Ingredients:
● 4 tortillas
● 4 eggs
● 2 tsp oil
● 2 potatoes
● 1 cup low fat shredded cheese
● 1 tomato, chopped
● 1 cup spinach, sauteed (optional)
● ¼ avocado (optional)
● 1/2 cup salsa
● 2 tsp chili powder
● 2 tsp paprika
● 1 tsp pepper
Directions:
1. Cook potatoes in boiling salted water until tender, about 10 minutes.
2. Whisk eggs with pepper. Heat saute pan over medium heat with 1 tsp oil. Cook egg
mixture until cooked through, about 5 minutes. Set aside.
3. Add the remaining tsp of oil in the saute pan and heat the potatoes. Add the paprika and
chili powder.
4. Heat tortillas in microwave.
5. Place all ingredients in the tortilla. Serve warm.
Gestational Diabetes Ajee’lon Boyd (TL)
Lindsay Schwartz
EDUC 690: MNT-Limited Food Budget Meal Plans
Chicken Meatballs
Serves 4, 12 minutes to prepare
Ingredients:
● 1 lb ground chicken
● 1 egg
● ¼ cup grated cheese
● ½ cup bread crumbs
● 1 garlic clove, minced
● 1 tsp olive oil
● 2 tsp dried Italian seasonings
Directions:
1. Knead together all ingredients except the olive oil.
2. Form 1 inch balls with the mixture.
3. Heat a nonstick pan over medium high heat, add the olive oil to the pan.
4. Add the meatballs to the pan and cook on all sides until seared and brown,
approximately 8 minutes.
5. Ensure that the temperature of the meatballs is at or above 165 F.