• Fasting blood sugar: 72 mg/dL - normal by that lab range
• Post-meal blood sugar: 82 mg/dL - normal by that lab range

1. Contact the obstetrician/gynecologist promptly with the OGTT report.
2. They will usually advise a pregnancy-specific meal plan, physical activity if safe, and home blood-glucose monitoring.
3. Common glucose treatment targets are fasting <95 mg/dL, 1-hour after meals <140 mg/dL, or 2-hour after meals <120 mg/dL, though the treating clinician should set the exact plan. - Goldman-Cecil Medicine, p. 2481
4. Do not start diabetes tablets or insulin without the pregnancy clinician’s prescription.

Simple eating pattern

• Eat 3 small-to-medium meals plus 2-3 snacks at roughly regular times.
• Do not skip meals or stay hungry for long.
• At each meal:
  ½ plate non-starchy vegetables + ¼ plate protein + ¼ plate carbohydrate.
• Choose whole, high-fiber carbohydrate foods and keep portions consistent.
• Combine carbohydrate with protein or healthy fat. For example, fruit with nuts, or roti with dal/egg/vegetables.
• Drink water. A 10-15 minute easy walk after meals may help if your obstetrician says activity is safe.

Foods to choose more often

• Palak, methi, gourds, cucumber, tomato, beans, cauliflower, cabbage, okra, brinjal, carrot, broccoli.
• Aim for plenty of cooked vegetables or salad, washed safely.

• Dal, chana, rajma, sprouts, soy/tofu, paneer in moderate portions
• Eggs, chicken, fish, lean meat
• Plain curd/Greek yogurt or milk, if tolerated

• Whole-wheat roti/phulka
• Brown rice, hand-pounded rice, millets such as jowar, bajra, ragi, or oats
• Dalia, vegetable upma, idli with sambar, dosa with a protein-rich side
• Beans, lentils, and chickpeas also provide carbohydrate, so keep the serving moderate.

• Have whole fruit, not juice. A small serving at a time is better: apple, guava, orange, pear, berries, or a small bowl of papaya.
• Pair fruit with a few nuts, roasted chana, or unsweetened curd.
• Avoid taking a large fruit serving at once, especially fruit juice, mango shake, or banana shake.

• Nuts, seeds, avocado, and modest amounts of oil/ghee can help fullness. Avoid large portions because they are calorie-dense.

Foods and drinks to avoid or keep for rare occasions

• Sugar, jaggery, honey, syrups, sweets, laddu, halwa, cakes, biscuits, pastries, chocolates
• Soft drinks, sweet tea/coffee, packaged juices, fruit juices, energy drinks, milkshakes
• Sweetened curd, flavored yogurt, ice cream
• Large portions of white rice, white bread, poha, noodles, potatoes, bakery foods, chips, and namkeen
• Breakfast cereals with sugar
• Large servings of dried fruit, dates, grapes, mango, chikoo, or banana. These need not be permanently banned, but should be small portions and checked against your glucose readings.
• Do not use “diabetic” packaged foods as a free food. They can still raise glucose.

One practical Indian-style day

• Breakfast: 1-2 small vegetable besan chillas or 1-2 idlis with sambar + egg/paneer, with unsweetened tea or milk.
  Avoid sweet tea, sweet cereal, and juice.
• Mid-morning: Small apple or guava + handful of nuts/roasted chana.
• Lunch: 1-2 phulkas or a small bowl rice + dal/chicken/fish/paneer + plenty of sabzi + salad + plain curd.
• Evening snack: Sprouts chaat without sweet chutney, boiled egg, roasted chana, or unsweetened curd.
• Dinner: Similar to lunch, often with a smaller carbohydrate portion if your post-dinner readings rise.
• Bedtime snack: Only if advised by your clinician, for example milk without sugar or a small whole-grain cracker/roti with paneer or nuts.

Use your meter to personalize it