Gaining Too Much Weight


Dear Nutritionist,
I'm 23 years old and currently pregnant with my first. I'm frustrated and need your help! I have already gained a lot of weight and I'm only 6 months pregnant.

I started out at a BMI of 18.5. I have gained 30 lbs, and I know that there is a lot more weight that comes at the end of the pregnancy. I don't know what to do because my diet is healthy, and I am most certainly not over eating! I eat fresh fruits and vegetables as often as I can, whole wheat cereals with skim milk for breakfast, and I don't eat fatty, greasy, or other foods that are bad.

I know it's not healthy to gain more than 40 lbs during pregnancy because of the increased risk of gestational diabetes and other problems with labor and delivery, so how can I slow this weight gain safely? My doctor hasn't said anything about my weight gain, so I assume that means they aren't concerned about it, but I still am.


You should always voice your concerns to your doctor, whether they seem concerned or not. You could be carrying extra fluid weight, which could be a problem. You sound as though you are eating healthy but I would just be sure to watch your portion sizes. You do need extra calorie during pregnancy BUT not a whole lot more then what your maintenance calories are. Your best bet is to eat 6 times a day with 3 healthy meals and 3 healthy snacks in between. Also, make sure you are drinking plenty of water and other healthy fluids throughout the day. Again, I WOULD voice your concern to your doctor.

Good luck,
Kim Tessmer, RD LD

Kimberly Tessmer

Kimberly A. Tessmer, RD LD has been a registered dietitian since 1992 and is also an Ohio licensed Dietitian. Her educational achievements include a Bachelor of Science in Technology (Dietetics) from Bowling State University in Bowling Green, OH. She currently owns and operates a consulting business called "Nutrition Focus", in which she specializes and offers services in the areas of weight management, general nutrition, authoring, menu development and a variety of other services.

To date Kim has authored three books including "The Everything® Nutrition Book", "Tell Me What To Eat If I Have Celiac Disease", and "The Everything® Pregnancy Nutrition Book". In addition, Kim has written numerous articles for various health/nutrition web sites and magazines including Bally Total Fitness Magazine, Well and Healthy Women Magazine and, Inc as well as continuing education courses for She is a member of the American Dietetic Association and the ADA Practice Group, Nutrition Entrepreneurs.