Saturday, September 6, 2014

Metformin during Pregnancy with PCOS!

The first thing PCOS women have trouble with is fertility so once they find out they are pregnant, they are overcome with joy! But then the questions come rolling in, "Should I stay on my metformin?", "will it hurt the baby?" "If i stop the metformin will my hormones go crazy and cause me to miscarry?".... These are the questions spinning in your head and I found answers! A dietitian wrote all about PCOS and Pregnancy and by the end of this blog you will find my advice on eating during pregnancy with pcos and then a dietitians view on metformin.



Eating healthy in Pregnancy with PCOS:


Don't Eat whatever you want now that you are pregnant!

Ditch all simple carbohydrates! (white bread, sugary filled drinks, white pasta, processed/packaged cakes,cereals,cookies, crackers and candies.)

Have complex carbs, but in moderation! Low intake of whole wheat breads, wheat pasta, starchy vegetables like potatoes, and use fruit as a treat/desert item.

Eat an Abundance of  vegetables and  keep healthy fat intake high too! ( leafy greens, asparagus, carrots, peppers, zuchinni, tomatoes, cucumbers, celery etc...) as for healthy fats ( coconut oil, olive oil, grass fed butter, avocados, salmon and other fatty fish, chia seeds, and any kind of nuts)

Avoid Caffeine! 1-2 8oz cups a day or less. best to avoid coffee though or get decaf!

Avoid Alcohol, drugs, and cigarettes. (obviously)

Avoid eating raw meats and raw fish and avoid lunch meats!

Eat a good amount of protein, best choices are from organic/grass fed sources. 

Get in some dairy like grass fed greek yogurts. (my favorite is the siggi brand).

Now for the question of whether you should continue your metformin:

Metformin is recommended for pregnant women with PCOS, as it can reduce the incidence of preeclampsia, macrosomia, gestational diabetes mellitus, preterm labor, and the risk of miscarriage. A study showed that at dosages between 1.5 and 2.55 grams per day of metformin did not affect the birth weight, length, growth, or motor-social development of 126 infants compared with their control counterparts. Metformin helps prevent gestational diabetes mellitus and improve pregnancy outcomes in women with PCOS by helping reduce preconception and pregnancy weight gain, hyperinsulinemia, and insulin resistance and secretion. 

(always refer with your doctor before any dietary, physical activity or medication changes)
this information about metformin was found at: 
http://www.todaysdietitian.com/newarchives/120108p38.shtml