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Therapeutic diet

Pregnancy nutrition plan

Support a healthy pregnancy alongside an existing medical condition.

Gestational diabetesPre-existing diabetesHypertension in pregnancyAnaemia

Principles

  • Folate, iron, iodine, calcium and vitamin D are the priority nutrients
  • Spread carbohydrate across meals and snacks in gestational diabetes
  • Food safety to avoid listeria, toxoplasma and high mercury
  • Appropriate weight gain for your starting BMI, not 'eating for two'

Include

  • Iron-rich foods with vitamin C
  • Dairy or fortified alternatives daily
  • Two portions of fish weekly, one oily
  • Wholegrain carbohydrate in measured portions

Avoid or limit

  • Alcohol; caffeine above about 200 mg daily
  • Unpasteurised dairy, soft mould-ripened cheese, pâté, raw egg and meat
  • Shark, swordfish, marlin; limit tuna
  • Liver and vitamin A supplements

A sample day

  • BreakfastEggs on wholegrain toast, milk
  • SnackYoghurt with berries
  • LunchLentil salad with greens, wholegrain bread
  • SnackApple with peanut butter
  • DinnerSalmon, sweet potato, broccoli
  • BedtimeMilk and an oatcake

Cautions

  • · Pre-existing diabetes needs specialist preconception care and much tighter targets.
  • · Severe vomiting needs medical treatment, not dietary advice alone.

Afya Companion offers education and self-help support. It does not diagnose, treat or replace care from your doctor, nurse, psychologist or dietitian. If something in your health changes, speak to your care team.

Afya CompanionYou are not alone in your care journey. Education and self-help support; not a substitute for professional medical care.