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Carbohydrates in the second trimester | Pregnancy Power Hour
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Nutrition · trimester 2 · Macronutrient

Carbohydrates in the second trimester

RDI: Pregnancy RDA: 175g/day (IOM)

In the second trimester, carbohydrates become even more crucial for meeting your body's increasing energy demands and providing steady glucose for fetal development.

2 min read

Quick answer

In the second trimester, carbohydrates become even more crucial for meeting your body's increasing energy demands and providing steady glucose for fetal development.

As you move into the second trimester, your body's energy demands begin to rise, making carbohydrates a foundational macronutrient for both your well-being and your baby's development. This stage often brings a welcome decrease in first-trimester nausea, shifting the focus from simply tolerating foods to intentionally nourishing yourself and your growing baby. While in the first trimester, many found comfort in simple carbohydrates to ease queasiness, the second trimester encourages a more deliberate approach to carb choices.

Your body's need for glucose increases to support the rapid growth of your baby's brain and body. Evidence suggests a pregnancy carbohydrate intake of around 175 grams per day is important to provide adequate glucose for fetal neurodevelopment. This isn't about rigid counting, but understanding the foundational role these foods play. Prioritizing complex carbohydrates is a gentle way to meet these needs, offering sustained energy rather than sharp peaks and troughs in blood sugar. These types of carbohydrates also provide essential fiber, which can be helpful for digestive comfort as your body changes.

Complex carbohydrates, such as oats, brown rice, sweet potatoes, and beans, are digested more slowly. This steady release of glucose helps stabilize your blood sugar, which is particularly relevant as your body adapts to pregnancy hormones. Managing blood sugar effectively is a proactive step, especially for those who may be monitoring for gestational diabetes. This focus on stable energy can also help maintain your own energy levels throughout the day, supporting you as your body works harder to nurture your baby. Just as you might consider how Vitamin A in the second trimester supports fetal development, carbohydrates provide the essential fuel for that growth.

It's also important to understand that very low-carb approaches, sometimes referred to as keto-style diets, are generally not recommended during pregnancy. Research, particularly animal studies, indicates that ketosis could potentially affect fetal neurodevelopment. Your provider is your best resource for specific dietary guidance, but a balanced approach that includes adequate carbohydrates is widely supported. While refined sugars in moderation can be part of a varied diet, a significant intake—more than 10% of total calories from added sugar—has been associated with adverse outcomes. Choosing whole, unprocessed carbohydrate sources allows you to enjoy the benefits without excess added sugars.

Making informed decisions about your carbohydrate intake can contribute to feeling calm, clear, and confident during this exciting time. It’s about choosing foods that support both your energy and your baby’s development, much like considering how Vitamin E in the second trimester plays a role in cellular health. Remember, the goal is not perfection, but consistent, gentle nourishment. If you found yourself leaning on simple carbs for nausea relief in the first trimester, this is a wonderful time to explore more diverse and nutrient-dense options.

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Common questions

Why are carbohydrates especially important now?+

For rising energy needs and steady glucose for your baby's developing brain, which is crucial in the second trimester.

Are low-carb diets safe in pregnancy?+

Very low-carb approaches are generally not recommended due to potential effects on fetal neurodevelopment, as evidence suggests.

How much carbohydrate do I need?+

The recommended intake for pregnancy is around 175 grams per day to support fetal brain development, according to IOM guidelines.

Brittany Nance

“Pregnancy is under-supported at every week. This is the kind of clear, calm guidance I give my one-on-one clients — and the questions worth taking back to your provider.”

Brittany Nance · Pregnancy Wellness Consultant · full-spectrum doula

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Written by Brittany Nance, Pregnancy Wellness Consultant· BADT Full Spectrum Doula · Founder, Pregnancy Power Hour
Last reviewed July 1, 2026

This is evidence-informed education from a birth-doula perspective, not medical advice. Always discuss your individual situation with your prenatal care provider.

Keep reading

  • RelatedCarbohydrates in the third trimesterIn the third trimester, focusing on complex carbohydrates is especially beneficial for sustained energy and blood sugar management, particularly if you're navigating gestational diabetes.
  • RelatedCarbohydrates in the first trimesterIn the first trimester, carbohydrates are often the most tolerable macronutrient amidst nausea, providing essential energy for both you and your baby's early development.
  • RelatedFiber in the second trimesterIn the second trimester, fiber is key for supporting comfortable digestion, managing blood sugar, and ensuring sustained energy as your body continues to grow.
  • RelatedProtein in the second trimesterIn your second trimester, as your baby's growth accelerates, your body's protein needs increase significantly to support their rapid development.
  • RelatedOatmeal in the second trimesterOatmeal in your second trimester offers a gentle, fiber-rich way to support sustained energy and digestion as your body's needs evolve, providing essential nutrients.
  • RelatedBerries in the second trimesterIn your second trimester, berries offer a refreshing and nutrient-dense way to support your increasing energy needs and promote healthy digestion with their rich fiber and antioxidant content.