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Breakfast ideas to keep in glucose range in early pregnancy

S

seawaves

Member
Hi,

Its taken me 8 years from my first appointment with my diabetes team when I discussed wanting a family to get to my first positive test this weekend (including 1 round of clomid and 3 rounds of IVF).

I am on Novorapid, Levimir and metformin and high dose folic acid. I am an unusual diabetic as its caused by another (rare) endocrine disorder called partial lipodystrophy related to how I process and store fat (diagnosed last year after 20 years of being an "odd ball diabetic") so its going to be challenging as I cant use fat to help with reducing blood glucose ( I'm limited to 50g of fat a day). I have been advised by my diabetes team to inject 15 minutes ahead of meals which has really helped lunch and evening meal be in target but struggling with breakfast although ive upped my dosage of insulin. What do you eat for breakfast that's not high fat? I can do eggs and a small amount of nuts. I would love to here your ideas..
 
Congratulations @seawaves 🙂 I have cereal for breakfast and did all through my 3 pregnancies. For breakfast when not pregnant, I have to inject more in advance than for lunch and tea* That’s very common. So, consider moving your bolus time more in advance 5 mins at a time slowly and cautiously.

If part of your problem is a rise when you get up, then a tiny amount of insulin (without food) can help with that, which will then improve your breakfast results.

*Edited to add - and that happens even more so during pregnancy, so finding the best time to inject is crucial. As the pregnancy progresses and insulin resistance kicks in, you might have to inject even more in advance (I did).
 
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Chia pudding? Chia seeds and soy milk (or any milk) stirred and left overnight in the fridge, top with mixed berries and seeds, a swirl of agave nectar on top if you're up to working out the additional bolus! It's lowish carb and low fat and very nutritious.
 
Inka said:
Congratulations @seawaves 🙂 I have cereal for breakfast and did all through my 3 pregnancies. For breakfast when not pregnant, I have to inject more in advance than for lunch and tea. That’s very common. So, consider moving your bolus time more in advance 5 mins at a time slowly and cautiously.

If part of your problem is a rise when you get up, then a tiny amount of insulin (without food) can help with that, which will then improve your breakfast results.
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Hi thank you for your quick reply - unfortunately I get too steep a peak if I eat cereal even pre-pregnancy and have even tried granola I have made myself that's low sugar. So I currently eat a porridge that's half oats, ground almonds and berries with plant based milk. I get a very gradual peak up to mid 9s but it doesn't come back down quite quick enough. So I am wandering if I use your bolus suggestion and move it back a further 5 minutes to see if this would help. May also try counteracting the initial peak when I first wake up with a tiny bit of insulin as that definitely happens to me.
 
Lauren said:
Chia pudding? Chia seeds and soy milk (or any milk) stirred and left overnight in the fridge, top with mixed berries and seeds, a swirl of agave nectar on top if you're up to working out the additional bolus! It's lowish carb and low fat and very nutritious.
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Good suggestion I have tried it but I get quite a peak from chia pudding and I am told it is too much fat for me so unfortunately this wouldn't work. However my body is a bit quirky as some pulses and grains I am great with and others I get huge peaks from. My body processes all beans as carbs as an example so have to be really careful with those but could eat loads of lentils with no problems.
 
I’d count your oaty mix as cereal @seawaves 🙂 I use plant-based milk too. I found breakfast needed by far the biggest advance bolus. Go cautiously. Try a time for a few days before judging whether you need to move it again.

If it’s not coming down quick enough, then a tiny bolus on waking might help, as I mentioned. What I did was judge on my blood sugar - ie I chose the amount to have according to what my blood sugar was. Not as a correction but as a starting level. Getting that tiny bit of insulin in then means it’s working to reduce and shorten any spike from breakfast. You might even find that you can then reduce the amount of your breakfast bolus.

Everything in pregnancy is a juggling act due to the need for tight control. The hormones have a massive effect. I found just knowing that helped me.
 
M&S do a grain free fruit and nut granola which is only 9g carbs per 100g.
There are also high protein yoghurts which are low carb and low fat.
 
Leadinglights said:
M&S do a grain free fruit and nut granola which is only 9g carbs per 100g.
There are also high protein yoghurts which are low carb and low fat.
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ooo I may have to see if I can track that granola down and try it. High protein yogurts are fantastic for me and are my go to dessert at the moment so I could combine one of those with a low carb granola and see what happens! Cows milk seems to spike my blood glucose so I find nut based milk is much better or yogurt.
 
I found Skyr yoghurt (high protein, low fat) and a few berries plus about a tablespoon of granola worked well when I was pregnant
 
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