Gestational diabetes mellitus (GDM) is a type of diabetes that develops during pregnancy. Managing blood sugar levels is crucial for both the mother's and the baby's health. A balanced and healthy diet plays a vital role in achieving this, and breakfast is a key meal to set the tone for the day. Eating breakfast consistently can help lower your risk of developing gestational diabetes.
Importance of Breakfast in Managing Gestational Diabetes
Skipping breakfast can lead to increased hunger and less controlled food consumption later in the day, making it difficult to maintain stable blood sugar levels. Research suggests that pregnant women who ate breakfast fewer than 3 times per week had a higher chance of developing gestational diabetes. This was compared to those who ate it daily or most days (5-7 times per week).
Eating breakfast regularly provides an opportunity to consume essential nutrients for a healthy pregnancy. Studies have shown that pregnant people who skipped breakfast had lower daily intakes of protein, omega-3 fatty acids, and essential vitamins and minerals like calcium, iron, and folate.
Nutritional Guidelines for Breakfast
When planning a gestational diabetes breakfast, aim for a combination of high-fiber carbohydrates, lean protein, and healthy fats. Adding vegetables is also beneficial. The Academy of Nutrition and Dietetics recommends people with GDM divide their carbohydrate intake across three meals and at least two snacks per day. These recommendations can help distribute your carbohydrate intake more evenly throughout the day, minimize post-meal blood sugar spikes, and help with insulin dosing.
Carbohydrates
Less than half of your daily calories should come from carbohydrates. Focus on complex carbohydrates, which digest more slowly and cause a more gradual rise in blood sugar. High-fiber, whole-grain carbohydrates are healthy choices. These types of carbohydrates are called complex carbohydrates. Try to avoid eating simple carbohydrates, such as potatoes, french-fries, white rice, candy, soda, and other sweets. This is because they cause your blood sugar to rise quickly after you eat such foods.
Read also: Recipes for Gestational Diabetes
Examples of complex carbohydrates include:
- Whole-grain breads and crackers
- Whole-grain cereals
- Whole grains, such as barley or oats
- Beans
- Brown or wild rice
- Whole-wheat pasta
- Starchy vegetables, such as corn and peas
Protein
Include a source of protein such as lean meat, poultry, fish, legumes, eggs, tofu, nuts and seeds, or dairy products like milk and yogurt to help you feel full and keep blood glucose levels steady. Protein is also an essential nutrient for a healthy pregnancy and provides the building blocks for your baby’s organs and tissues.
Fats
Fats have a similar effect in slowing down the rate of digestion, helping to keep blood sugar levels more steady. They also facilitate the absorption of fat-soluble vitamins such as vitamins A, D, and E. Include small amounts of healthy fats such as nuts, seeds, avocado, oily fish, and olive oil in your meals and snacks. Choose healthy oils, such as canola oil, olive oil, peanut oil, and safflower oil. Include nuts, avocados, and olives.
Blood Sugar Targets
The American Diabetes Association recommends regular blood sugar monitoring for people with GDM. Standard target blood sugar levels are:
- Under 95 mg/dL fasting or before eating
- Under 140 mg/dL one hour after eating
- Under 120 mg/dL two hours after eating
It's also recommended to aim for a hemoglobin A1c (a three-month average of your blood sugar levels) of less than six percent during pregnancy.
Read also: Evidence-Based Review: Low-Carb for Gestational Diabetes
25 Gestational Diabetes Breakfast Ideas
Here are 25 delicious and blood-sugar-friendly breakfast ideas to help you manage gestational diabetes:
- Greek Yogurt Parfait: Layer protein-rich Greek yogurt with berries and muesli or a sprinkling of nuts and seeds. This provides a combination of protein, low GI carbohydrates, and healthy fats to stabilize blood sugar levels and keep you satisfied. Choose plain, nonfat Greek yogurt, and top it with berries and nuts. Add a small amount of high-fiber starch, like muesli, whole-grain cold cereal, or no-sugar-added granola, if it's within your carbohydrate goal.
- Veggie Omelet: Eggs are an excellent source of protein and other essential nutrients such as choline, vitamin B12, selenium, and iodine. Try an omelet with mushrooms, spinach, tomatoes, and a sprinkle of cheese for flavor. Serve with a piece of whole-grain toast for a balanced meal full of protein and fiber. Whip up a flavorful omelet with your favorite veggies and top with some cheese for a protein and fiber-packed breakfast that’s quick to prepare. Pair this meal with a carbohydrate like whole wheat toast.
- Overnight Oats: A great option for busy mornings, simply mix up some rolled oats (avoid quick oats as they have a higher GI), milk, Greek yogurt, berries, and nuts or seeds and leave it to soak overnight. You can even add spices such as cinnamon or some vanilla for extra flavor. A great combination of protein, low GI carbohydrates, and fiber. Combine old-fashioned or quick-cooking oats, milk, greek yogurt, chia seeds, and berries in a jar to soak overnight and soften. There are some delicious diabetic friendly overnight oat recipes for you to try!
- Avocado and Egg on Toast: Avocado is an excellent source of healthy fats and fiber, and along with an egg and some whole-grain toast, provides a nutrient-rich and filling breakfast for gestational diabetes. Just make sure the eggs are cooked through. Avocado toast on whole wheat bread with hemp seeds and everything bagel seasoning. Spread half an avocado on multigrain, whole grain, or sourdough bread. Season with salt, pepper, and everything bagel seasoning for a satisfying breakfast. This hearty breakfast of avocado toast with fluffy scrambled eggs provides a yummy source of protein, fats, and fiber giving you a tasty and balanced start to your day.
- Fruit Smoothie: Blend banana, berries, spinach, Greek yogurt, and milk for a quick and easy, balanced breakfast. Blend up refreshing fruits and greens with some Greek yogurt for a filling and energizing breakfast packed with vitamins and antioxidants. Smoothies are a quick and easy way to pack in nutrients, and the possibilities are endless when it comes to flavor combinations. When making smoothies, it’s important to be mindful of sugar content and calories. Limit fruit to about 1-2 cups which is about 15-30g of carbohydrates, and be mindful when adding sweeteners like honey or maple syrup. To help balance out the sugars and keep you fuller longer, consider adding protein powder or Greek yogurt to your smoothie for extra protein and creaminess. Don’t forget about healthy fats like nut butters, seeds, and avocados.
- Chia Seed Pudding: Chia seeds are full of protein, fiber, iron, and omega-3 fatty acids, all important nutrients during pregnancy. And because they swell up to over 10 times their size when mixed with liquid, they make a delicious and super easy ‘pudding’. Just mix a tablespoon of chia seeds with 1/2 cup of milk of your choice, add a dash of vanilla extract and a little maple syrup or honey if you like, then give it a good stir and leave it in the fridge to set overnight. Then top with berries and chopped nuts and it’s ready to go! Start your morning with a balanced breakfast of chia seed pudding topped with fresh strawberries and the zero-sugar Greek yogurt of your choice. This starts your day with a filling breakfast of fiber and antioxidants.
- Spinach and Cheese Pancake: Pancakes don’t have to be sweet! These spinach and cheese pancakes are a great savory breakfast option with a balance of low GI carbs and protein. They’re also a good source of folate thanks to the spinach.
- Peanut Butter on Toast: The original and the best, PB on toast is hard to beat for a quick, easy, nutritious, and balanced breakfast. Go for wholegrain toast as it’s lower GI than white and contains more nutrients. Using a whole grain wrap, make a delicious peanut butter and sliced banana for a satisfying breakfast on the run.
- Cottage Cheese with Fruit: Cottage cheese is an excellent source of protein and calcium and goes well with fruit such as banana, peaches, pears, or berries for a super simple breakfast. Go for store-bought cottage cheese which is pasteurized and sealed, then store in the fridge and eat within 2 days of opening. Creamy cottage cheese paired with fresh fruit with a side of whole grain toast is a simple and balanced breakfast of protein, fiber, and vitamins.
- Scrambled Eggs on Toast: An easy source of protein and low GI carbs. Choose a whole grain bread and make sure eggs are cooked through. Eggs with Whole Grain Toast: Eggs are a protein-packed option. Pair them with a piece of multigrain or whole wheat toast.
- Mini Frittatas: Mini frittatas are an easy make-ahead breakfast option and great if you don’t have much time in the morning. You can also add whichever vegetables you like - spinach, capsicum, tomato, mushrooms, asparagus, corn, and zucchini all work well. Handy bitesize breakfast cups that you can make in advance and eat cold or re-heated. Breakfast Cup Omelettes, so easy and quick to make.
- 3 Ingredient Banana Pancakes: Super easy and a more nutritious option compared to standard pancakes, these 3 ingredient pancakes are made with banana, egg, and wholemeal flour and make a balanced, nutritious breakfast. Serve with nut butter for an extra boost of protein and healthy fats.
- Tofu and Veggie Scramble: Tofu provides a good source of protein, iron, and calcium which are all important nutrients during pregnancy. Tofu scramble has a similar texture and appearance to scrambled eggs and makes an excellent savory plant-based breakfast option with some whole grain toast. If you’re not an egg fan or prefer a vegan option, try scrambled tofu with onions and peppers.
- Apple and Cinnamon Porridge: Take porridge to the next level with some stirring through some chopped apple and a sprinkling of cinnamon before cooking. Add some toasted nuts and seeds for extra protein and healthy fats.
- Smoked Salmon Omelet: Yes, you can eat smoked salmon during pregnancy as long as it’s well-cooked! Jazz up your omelet with a little smoked salmon which offers important nutrients such as protein, omega-3 fatty acids, and iodine.
- Muesli and Yogurt: Simple, quick, easy, and nutritious. If you love a good old bowl of muesli and yogurt, go for it. Just choose muesli with no added sugar and plain Greek yogurt. Top with berries for an extra nutrient boost if you like!
- Poached Eggs on Toast with Mushrooms, Spinach, and Tomato: One of my all-time favorite savory breakfast options is simple poached eggs on wholegrain sourdough with sauteed veggies on the side - nutritious, delicious, and filling. Once again, just make sure the eggs are cooked through.
- Frittata with spinach and sweet potato: Another great make-ahead breakfast, frittatas are super easy and a nutritious breakfast, lunch, dinner, or snack option.
- Mexican Baked Eggs: A great choice for a hearty vegetarian breakfast, Mexican baked eggs combine beans, tomato, and eggs for a nutrient-packed and super tasty dish full of fiber and protein. They also make a great lunch or dinner option and can be served with a slice of whole grain toast or a whole grain tortilla for a more filling option.
- Quinoa Porridge: If you’re looking for something a little different to your standard oat porridge, give quinoa porridge a try. Quinoa (which is actually a seed!) offers a good balance of low GI carbs and protein and is even a source of iron. This quinoa porridge makes for a great alternative for those craving traditional porridge but just can't tolerate it.
- Smoothie Bowl: Some people prefer to eat their breakfast than drink it…enter, the smoothie bowl! Basically just a thick smoothie in a bowl, but the bonus is you can add toppings such as chopped fruit, nuts and seeds, and coconut flakes.
- Peanut Butter and Banana Wrap: Take a small wholegrain wrap, spread it with peanut butter, place some chopped banana in the middle, wrap it up, and you’ve got yourself a peanut butter and banana wrap. Great for breakfast on the go and a nutritious balance of low GI carbs and protein.
- Hard Boiled Eggs with Soldiers: Next to porridge, this has to be one of the ultimate comfort food breakfasts. Just hard boil a couple of eggs, pop them in egg cups, and serve with slices of whole grain toast. And while you’re at it, boil up some extra eggs as snacks for the coming days.
- Breakfast Burrito or sandwich: Make ahead and store in the freezer A breakfast burrito is a savory and balanced breakfast for GDM. A whole grain wrap filled with scrambled eggs and your favorite vegetables like tomato, onion, spinach, and peppers with cheese is a protein and fiber-packed way to start your day. Use corn or low-carb tortillas and fill them with a fried egg, cheese, sour cream, and salsa.
- Dinner Leftovers! We might look to traditional breakfast foods as our first meal of the day, but I’m a big fan of eating dinner for breakfast if you feel so inclined! Often dinner is our most nutritious meal of the day, so having it twice a day is even better. Just make sure you’ve got a balance of protein, low GI carbs, and plenty of vegetables. A great way to use leftovers.
Breakfasts to Avoid
Many "typical" breakfast foods are high in carbs and sugar, which can cause blood sugar spikes. They are also often lacking in protein, which is essential for balancing blood sugars and providing nutrients during pregnancy.
Breakfast foods to avoid with GDM include:
- White bread, rolls, and toast
- Most breakfast cereals
- Biscuits
- Cereal bars
- Waffles, pancakes, crepes, and French toast
- Croissants, danishes, donuts, and other pastries
- Fruit juices
- Fried potatoes or hashbrowns
Tips for Eating Breakfast During Pregnancy
Nausea and vomiting are often stronger in the mornings and can make it difficult to eat breakfast during pregnancy.
- If being around food makes you nauseous in the morning, try prepping your breakfast meals a few days in advance to minimize your time in the kitchen.
- Consider cold breakfast options, like overnight oats or a yogurt parfait, if the aroma of hot food triggers your nausea. This also makes it easy to grab and go if you're in a rush.
- Try eating breakfast right when you wake up. Doing this may help prevent nausea from escalating.
- To manage nausea that lingers throughout the day, focus on small frequent meals with protein throughout the day.
- If you’re dealing with nausea in the first trimester, try eating smaller, more frequent meals. A light morning snack, like a small serving of whole grain crackers or toast with peanut butter, may be easier to keep down than a larger breakfast.
- Aim for high calorie, low volume foods like peanut butter, full fat dairy, avocado. Add oil or butter to whole grain toast. Pair these with good quality protein sources.
- Skip sugary cereals, pastries, or sweetened yogurt, as these can cause rapid blood sugar spikes.
- Drinking water or sipping on herbal teas can help settle your stomach.
- If you’re experiencing food aversions to meat, spicy or aromatic/ strong odor foods, certain cheeses or dairy products, there are alternatives you can try. Stick to bland, easy-to-digest foods like crackers, toast, or applesauce to keep your energy up without upsetting your stomach.
- If spicy or strong-smelling foods are off-putting, try milder options like bland grains, cooked vegetables, or simple proteins like chicken or tofu.
- If meat is off-putting, consider plant-based proteins like beans, lentils, quinoa, or nuts.
- Always take your prenatal vitamin especially if you are having trouble taking in adequate amounts of food. This will help provide key nutrients needed during this period.
Conclusion
A balanced breakfast of proteins, fats, and fiber is essential for managing blood sugar and meeting nutritional needs when you have GDM. Don’t be afraid to experiment with different ingredients to find what works best for you. Starting your day off right with a nutritious breakfast is essential for managing gestational diabetes. A balanced breakfast helps stabilize blood sugar levels and sets a positive tone for the day ahead.
Read also: Managing Gestational Diabetes with Diet
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