Food Library

Drinks with gestational diabetes: sugar, caffeine and what else is in the glass

Most drinks carry no carbohydrate at all: water, black coffee, tea and unsweetened herbal teas. The ones that do, such as juice, coconut water, sweetened drinks and some fermented drinks, are easiest to compare by grams of carbohydrate per 100 ml, which is how every drink in this guide is listed. Pregnancy adds three other questions: how much caffeine, which herbal teas, and whether a fermented drink contains alcohol. This guide answers them with the NHS's figures, and with the US and UK rules on what an alcohol label means. The drink groups here are small, so this one page covers all of them, and the full list of drinks is further down.

See what works for you. Try SugarCurve free for 7 days 

61 foodsLast reviewed: September 11, 2026Sources

Drinks: foods and gestational diabetes

How these were chosen

Water, the lower-carbohydrate alternatives to full-strength juice, one herbal tea, a protein drink, and coffee and kombucha for their rules. Figures are per 100 ml as drunk; the few powders in this group are listed dry, so they are left out of the tables.

What to look for

  1. Water, milk and sugar-free drinks all count

    The NHS suggests 6 to 8 cups or glasses of fluid a day, and says water, lower-fat milk and sugar-free drinks, tea and coffee included, all count towards it. It suggests swapping sugary drinks for diet, sugar-free or no-added-sugar versions. Plain water, mineral water and unsweetened tea and coffee carry no carbohydrate in this library.[1]

  2. Juice: one small glass, with a meal

    The NHS suggests keeping fruit juice and smoothies to one small glass, 150 ml, a day, drunk with a meal. USDA lists orange juice at about 10 g of carbohydrate per 100 ml and unsweetened apple juice at 11 g, so a 150 ml glass holds about 16 g. Juice diluted half and half with water carries about half that, and vegetable juice and coconut water carry less than half.[1] [2]

  3. Caffeine: 200 mg a day, from every source

    The NHS says to have no more than 200 mg of caffeine a day in pregnancy, because too much has been linked to a higher chance of miscarriage and stillbirth. By its figures, a cup of instant coffee has about 100 mg, filter and coffee-shop coffee can have more, a cup of black or green tea 75 mg, a can of cola 40 mg and a 250 ml can of energy drink 80 mg. Chocolate counts too. At 75 mg a cup, three cups of tea pass 200 mg on their own, though some tea pages in this library allow three or four cups; go by the NHS figures.[3]

  4. Herbal teas: up to 4 cups a day, and no liquorice root

    The NHS suggests no more than 4 cups of herbal tea a day, and avoiding teas that contain liquorice root. For fennel, the European Medicines Agency's herbal monograph says its safety in pregnancy has not been established and does not recommend its use during pregnancy. This library is also more cautious than the NHS about chamomile, and suggests only weak, occasional cups of it.[3] [4]

  5. Fermented drinks can contain alcohol

    The NHS advises not drinking alcohol if you are pregnant. Kombucha is fermented with yeast and bacteria, and TTB, the US regulator, notes it can reach 0.5% alcohol or more, including by carrying on fermenting after bottling. Under UK government guidance, 'alcohol free' means no more than 0.05%, 'de-alcoholised' up to 0.5% and 'low alcohol' up to 1.2%, so read the ABV on the label. Some pages in this library accept up to 0.5%. Home-brewed kombucha, kvass and water kefir carry no label at all.[5] [6] [7]

Side by side

Juices and lower-carbohydrate alternatives

Per 100 g
FoodCarbsSugarsCaloriesBlood sugar impact
Folate-Fortified Orange Juice
10.4 g8.4 g46 kcalhigh
Diluted Orange Juice (50/50 with water)
5 g4.2 g23 kcalmedium
Diluted Apple Juice (50/50 with water)
5.7 g5.2 g23 kcalmedium
Diluted Pear Juice (50/50 with water)
7.5 g7 g30 kcalmedium
Vegetable Juice (Low-sodium)
4.6 g3.3 g21 kcallow
Coconut Water (Unsweetened)
3.7 g2.6 g19 kcalmedium

Diluting orange juice half and half with water halves its carbohydrate; coconut water and vegetable juice carry the least here.

Fermented drinks

Per 100 g
FoodCarbsSugarsCaloriesBlood sugar impact
Kombucha (Low Sugar)
Caution
2.5 g2 g10 kcallow
Water Kefir
Caution
2.5 g2.4 g10 kcallow
Kvass
Caution
6.1 g4.5 g25 kcalmedium
Fermented Oat Drink
12.5 g6 g75 kcalmedium

The fermented oat drink carries the most carbohydrate; low-sugar kombucha and water kefir the least.

Figures from each food's entry in this library. Open a food for its full profile and portion notes.

All foods in Drinks

61 foods in this category, each rated for glycemic impact and blood sugar effect.

Track how drinks affects your blood sugar with the SugarCurve app — free to download.

Start Free Trial →

Common questions

How much coffee can I drink while pregnant?

By the NHS's figures, two cups of instant coffee, at about 100 mg each, reach the 200 mg daily caffeine limit, and filter or coffee-shop coffee can carry more a cup. Everything else with caffeine counts towards the same 200 mg: tea, cola, energy drinks and chocolate.[3]

Which herbal teas can I drink while pregnant?

The NHS doesn't name safe teas. It suggests no more than 4 cups of herbal tea a day and avoiding teas with liquorice root. The European Medicines Agency does not recommend fennel in pregnancy, because its safety hasn't been established. If you drink herbal teas every day, mention it to your midwife or doctor.[3] [4]

Is kombucha safe to drink while pregnant?

The NHS advises no alcohol in pregnancy, and kombucha can contain some: TTB, the US regulator, notes that it can reach 0.5% or more and can keep fermenting in the bottle. If you drink it, choose a commercial bottle that states its alcohol content, and avoid home brews.[5] [6]

Can I have energy drinks while pregnant?

A 250 ml can counts for about 80 mg of the NHS's 200 mg daily caffeine limit. The sugared kind carries carbohydrate too: USDA lists Red Bull at about 10 g of sugar per 100 ml, so a 250 ml can holds about 25 g.[2] [3]

Keep reading

Important Safety Information

Every pregnancy is different, and gestational diabetes is managed differently depending on your readings, your medication and how far along you are. The ratings and portions on this page are general information — not a diagnosis, a treatment plan or a medical device — and they cannot see your results.

Low blood sugar:
If you take insulin or diabetes medication, eating less carbohydrate than your team planned for can push your blood sugar too low. Treat a reading below 70 mg/dL (3.9 mmol/L), or symptoms such as shaking, sweating, confusion or a racing heart, with fast-acting carbohydrate immediately and retest after 15 minutes. Never use this page as a reason to skip or shrink a meal you were told to eat.
Carbohydrate and ketones:
Cutting carbohydrate hard to force a number down is not safe in pregnancy — it can produce ketones. Published guidance sets a minimum of 175 g of carbohydrate per day in pregnancy. Readings that stay above target for several days need your care team, not a smaller portion.
Medication and insulin:
The portions here are generic and know nothing about your insulin doses, your metformin, or the steroids given to mature your baby's lungs — all of which change how a meal affects you. Never adjust a dose or a mealtime based on this page.
Food safety in pregnancy:
Blood sugar is not the only thing that makes a food suitable while you are pregnant. Some foods with excellent glycemic numbers still carry mercury, vitamin A, listeria or alcohol risks, and those are judged separately from the ratings shown here. Check your national pregnancy food-safety guidance before adding an unfamiliar food.
What these ratings can and cannot tell you:
Glycemic index values, impact ratings and maximum servings are population averages taken from published tables. Two people eating the same food can get very different readings, so your own meter is the only measurement that describes you. Nutrition figures are indicative per 100 g and vary with brand, ripeness and preparation.

Contact your care team the same day if: your readings stay above target for several days; you have a reading below 54 mg/dL (3.0 mmol/L) or needed someone else's help to treat a low; you test positive for ketones; or your baby is moving less than usual. Seek emergency care for confusion, fainting, repeated vomiting, or a low you cannot bring back up.

By using this guide, you agree to our Terms and Conditions. How we write, source and review this content: editorial policy.

Help with every meal, not just this one

SugarCurve plans your week, turns cravings into recipes and shows how your readings respond to what you eat, so following your care team's advice takes less guesswork, day after day.

  • Weekly meal plans
  • Recipes for your cravings
  • Your numbers, in charts
  • Reports for your care team
Try SugarCurve free →

7 days free, then a subscription. Cancel anytime before the trial ends.