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Gestational diabetes meal plan, carbs spread all day.

A week of meals for gestational diabetes, with carbs spread across four meals and about 2,000 to 2,200 calories a day. Every food here follows pregnancy food safety advice. Alma can fit it to your goal.

Built from ADA Standards of Care and ACOG advice.

A clay plate of baked salmon, sweet potato, quinoa and broccoli with a glass of milk and a small bowl of berries

The rules

Three habits do most of the work

  • Spread carbs over the whole day

    Four meals here, each with protein. Ask your care team if you need a bedtime snack.

  • Protein and fiber at every meal

    Each meal pairs its carbs with protein and fiber, which slows the rise.

  • Keep breakfast smaller

    Morning readings run higher, so breakfast carries fewer carbs than dinner.

Sample week

Seven days of gestational diabetes meals

About 2,020 to 2,160 calories a day, 170 to 220 g of carbs. Scale portions to your needs. Find your number

Your care team sets your blood sugar targets and any insulin plan. Check your blood sugar as they direct, and ask them before you change how you eat.

  1. Day 1Monday

    • BreakfastTwo-egg scramble with avocado and toast2 eggs scrambled in a nonstick pan, ½ avocado, 1 slice whole-grain toast, sliced tomato
    • LunchChicken and white bean soup with bread3½ oz cooked chicken breast, ¾ cup white beans, carrots and celery, 2 tsp olive oil, 1 slice whole-grain bread
    • SnackGreek yogurt with granola and strawberries¾ cup 2% Greek yogurt, ¼ cup granola, ½ cup strawberries, 1 tbsp walnuts, 1 cup 1% milk
    • DinnerSalmon with sweet potato and quinoa4 oz baked salmon, 1 medium sweet potato, ¾ cup cooked quinoa, 1½ cups broccoli, 2 tsp olive oil

    About 2,070 kcal198 g carbs42 g fiber

  2. Day 2Tuesday

    • BreakfastCottage cheese with pear, oats and walnuts¾ cup low-fat cottage cheese, ½ pear, ¼ cup cooked rolled oats, 2 tbsp chopped walnuts, 1 tbsp pumpkin seeds, cinnamon
    • LunchWarm turkey and cheddar wrap3 oz sliced turkey heated until steaming, 1 whole-wheat tortilla, 1 oz cheddar, lettuce and tomato, ½ cup lentil salad, 1 cup 1% milk
    • SnackApple with peanut butter1 apple, 1½ tbsp peanut butter, 1 cup 1% milk
    • DinnerBaked cod with couscous and chickpeas4 oz cod baked with lemon, 1 cup cooked whole-wheat couscous, 2 cups zucchini and tomatoes, ½ cup chickpeas, 2 tbsp olive oil

    About 2,020 kcal201 g carbs38 g fiber

  3. Day 3Wednesday

    • BreakfastBerry yogurt smoothie½ cup 1% milk, ¾ cup plain 2% Greek yogurt, ½ cup frozen berries, 1 tbsp peanut butter, 1 tbsp chia seeds
    • LunchRoast pork and barley salad4 oz roast pork tenderloin, ½ cup cooked barley, cucumber and tomato salad, 1 tbsp olive oil, 1 whole-wheat pita
    • SnackHummus with crackers and carrots¼ cup hummus, 6 whole-grain crackers, carrot sticks, 1 cup 1% milk
    • DinnerBeef and broccoli stir-fry4 oz flank steak, 2 cups broccoli and peppers, 1 cup cooked brown rice, ½ cup edamame, 1 tbsp canola oil, ginger and garlic

    About 2,060 kcal204 g carbs39 g fiber

  4. Day 4Thursday

    • BreakfastEgg and cheese breakfast muffin½ whole-wheat English muffin, 2 eggs, 1 oz cheddar, sliced tomato, 1 cup strawberries
    • LunchRoast chicken and farro salad4 oz roast chicken breast, ¾ cup cooked farro, 1 cup kale slaw, ½ cup chickpeas, 1 tbsp olive oil, lemon
    • SnackAlmonds, raisins and an orange1 oz almonds, 2 tbsp raisins, 1 small orange, 1 cup 1% milk
    • DinnerShrimp pasta with Parmesan4 oz cooked shrimp, 1½ cups cooked whole-wheat pasta, 2 cups zucchini and cherry tomatoes, 1 tbsp olive oil, 1 oz Parmesan

    About 2,160 kcal203 g carbs36 g fiber

  5. Day 5Friday

    • BreakfastPeanut butter and banana toast with two eggs1 slice whole-grain toast, 1 tbsp peanut butter, ½ banana, 2 hard-cooked eggs
    • LunchChicken, brown rice and edamame bowl4 oz chicken breast, ¾ cup cooked brown rice, ½ cup edamame, cabbage and carrot slaw, 1 tbsp sesame oil, rice vinegar
    • SnackCottage cheese with pineapple and pistachios¾ cup cottage cheese, ½ cup pineapple, 1½ oz pistachios
    • DinnerChicken thighs with wild rice and carrots5 oz roasted chicken thigh without skin, ¾ cup cooked wild rice blend, 1½ cups roasted carrots, 1 tbsp olive oil, 1 slice whole-grain bread

    About 2,050 kcal169 g carbs34 g fiber

  6. Day 6Saturday

    • BreakfastEggs with cheddar, potatoes and blueberries2 eggs, 1 oz cheddar, ½ cup roasted potatoes, 1 tsp olive oil, ½ cup blueberries
    • LunchChicken quesadilla with black beans1 whole-wheat tortilla, 3 oz chicken, 1 oz cheddar, ⅓ cup black beans, peppers and onion, 2 tbsp guacamole, ½ cup cooked white rice
    • SnackApple with sunflower seed butter1 apple, 2 tbsp sunflower seed butter, 1 cup 1% milk
    • DinnerBeef and barley stew4 oz stew beef, 1 cup potatoes, 1 cup carrots and onions, ⅓ cup lentils, 1 tsp olive oil, 1 slice whole-grain bread

    About 2,070 kcal217 g carbs37 g fiber

  7. Day 7Sunday

    • BreakfastEgg and potato hash with avocado2 eggs, ½ cup diced potatoes cooked in 1 tsp olive oil, ½ cup peppers and onion, ½ avocado
    • LunchChicken salad sandwich with vegetable soup2 slices whole-grain bread, 4 oz chicken, 1 tbsp mayonnaise, lettuce and tomato, 1½ cups vegetable soup
    • SnackEdamame with an orange1 cup shelled edamame, 1 orange, 1 tbsp almonds
    • DinnerBaked chicken with brown rice and peas5 oz chicken breast, 1 cup cooked brown rice, ½ cup peas, 1 tbsp olive oil, lemon and parsley

    About 2,050 kcal181 g carbs38 g fiber

Shopping list

What to buy

Most days

Now and then

  • Sweet drinks and juiceSoda, sweet tea and juice. Water, seltzer or milk instead
  • Salty packaged snacksChips and salty crackers, now and then. Nuts and hummus instead
  • DessertsNow and then, in a small portion, with a meal rather than alone

Any milk, cheese or yogurt you buy should say pasteurized. Heat deli meat until it steams.

Make it yours

This week is a sample. Alma builds yours.

  • Meals fit to your goal and the foods you like
  • Log a meal by photo, voice or text in about 10 seconds
  • Every meal gets an Alma Score from 0 to 100
A clay cup of green tea with blueberries and walnuts

Questions

What people ask

How many carbs a day should you eat with gestational diabetes?

The ADA's Standards of Care cite a minimum of 175 grams of carbohydrate a day in pregnancy, and this week runs about 170 to 220 grams, spread across four meals. The Standards also say there is no single ideal split of carbs, protein and fat, so your care team sets the number that fits your readings and your medications.

How many calories is this meal plan?

About 2,020 to 2,160 calories a day, with 16 to 53 grams of protein at each meal and 34 to 42 grams of fiber a day. Scale portions to your needs, and ask your care team how many calories they want you eating in the second and third trimester.

Do I need a bedtime snack?

Ask your care team. The ADA's gestational diabetes handout describes three meals and two to three snacks a day, and your team may want a snack before bed. This plan has four meals; a cup of milk with a few whole-grain crackers or a small apple with peanut butter would fit if they do.

What is a good breakfast with gestational diabetes?

Keep it to about 30 grams of carbs or less, with protein and fiber. The seven breakfasts in this week land between 25 and 29 grams, with eggs, cottage cheese or Greek yogurt alongside fruit and whole grains. Check your reading two hours after eating and let your care team adjust from there.

Is this plan safe if I take insulin?

Talk with your care team before you start. If you take insulin, a change in carbs changes what your insulin does, and low blood sugar is the main risk. Your team may adjust your plan or ask you to check your meter more often for the first week. Nothing on this page replaces their targets.

Which foods are safe during pregnancy?

Cook meat, poultry and fish through, and cook eggs until both white and yolk are firm. Skip unpasteurized milk and any soft cheese made with it, and heat deli meat until it steams. The FDA and EPA advice is 2 to 3 servings of 4 ounces a week from its best choices, such as salmon, cod, tilapia, shrimp or canned light tuna. This week has 3. Avoid shark, swordfish, king mackerel, tilefish and bigeye tuna. No alcohol, and caffeine under 200 mg a day, which ACOG calls moderate.

How many calories does pregnancy add?

ACOG puts it at about 340 extra calories a day in the second trimester and about 450 in the third, with none extra in the first. That is roughly a glass of milk and half a sandwich. Your care team can tell you what that means for you.

How does Alma help with gestational diabetes?

Log a meal by photo, voice or text in about 10 seconds, and Alma estimates the carbs, fiber and protein on the plate. Each meal gets an Alma Score from 0 to 100, drawing on Harvard's Alternate Healthy Eating Index, so the pattern on this page is easy to keep an eye on between appointments.

Get a week built around you.

Tell Alma your goal and the foods you like. It plans the meals and scores each one.