What information should be included in teaching a client at 20 weeks of gestation with gestational diabetes mellitus?

The correct answer highlights the importance of a balanced caloric intake for managing gestational diabetes mellitus. At 20 weeks of gestation, a pregnant individual must ensure they are consuming an adequate amount of calories to support both their health and the developing fetus. A recommendation of around 2,000 calories per day is generally appropriate, but this can vary based on individual needs, level of physical activity, and pre-pregnancy weight.

In managing gestational diabetes, the focus should be on a well-rounded diet that includes appropriate portions of carbohydrates, proteins, and fats, rather than excessively restricting calories or specific food groups. Consuming enough calories helps maintain stable blood glucose levels and provides necessary nutrients.

For instance, rather than eliminating carbohydrates entirely, individuals are encouraged to choose complex carbohydrates and pair them with protein and healthy fats. Additionally, eating smaller, more frequent meals helps maintain blood sugar levels and is generally more effective than consuming three large meals.

This approach not only aids in the management of gestational diabetes but also supports maternal and fetal health throughout the pregnancy.