1. Dietary Advice in 6 Messages Jo Morgan Diabetes Midwife

2. Healthy Eating for the whole family “Diabetic diet doesn’t exist” “Diabetic diet doesn’t exist” Healthy eating is low fat, low sugar Healthy eating is low fat, low sugar Simple changes- grainy bread and low fat milk Simple changes- grainy bread and low fat milk Keep it simple- no takeaways, no fizzy, juice, muesli bars Keep it simple- no takeaways, no fizzy, juice, muesli bars Work out the BMI of partner Work out the BMI of partner

3. Culture of eating in pregnancy Our message is going against generations of “care” by the family Our message is going against generations of “care” by the family “Eating for 2” “Eating for 2” Exercise Exercise Who prepares the meals? Who prepares the meals?

4. Eat breakfast Busy people but especially “busy mums” graze- no idea about calories consumed Busy people but especially “busy mums” graze- no idea about calories consumed Sit down and eat a meal- no TV, books Sit down and eat a meal- no TV, books

5. Portion sizes Over-feeding the family Over-feeding the family Small plate- “what is their poison?” Small plate- “what is their poison?” Gauging portions- over-estimate e.g. talk about eating half a watermelon Gauging portions- over-estimate e.g. talk about eating half a watermelon

6. Social side and the Psychology of eating Food is a reward- plant seeds for change Food is a reward- plant seeds for change Statue on the table Statue on the table Buffets/ more variety the more we eat Buffets/ more variety the more we eat Don’t leave left-overs on the table Don’t leave left-overs on the table

7. Talking about obesity/ ideal weight Acceptable words- “chubby”, “a bit of tummy” Acceptable words- “chubby”, “a bit of tummy” Postnatal goal? Be realistic- be guided by the woman… Postnatal goal? Be realistic- be guided by the woman… Ask what did you weigh when you were 20, 30, came to NZ, got married, before your 1 st baby? Ask what did you weigh when you were 20, 30, came to NZ, got married, before your 1 st baby?