Proteins

Shellfish with gestational diabetes: cooking it through, and the crab rule

Prawns, crab and lobster carry almost no carbohydrate. Most molluscs, such as mussels, clams and octopus, carry 2 to 7 g per 100 g, and imitation crab 7.6 g. Mercury isn't the worry here either: every shellfish on the FDA's lists is a Best Choice. The rules that matter in pregnancy are about raw shellfish, how to tell shellfish is cooked, and the brown meat in crab. 7 of the 19 foods here carry a caution: oysters, mussels, clams, cockles, scallops and sea urchin, which are often eaten raw or lightly cooked, and crab for its brown meat. The guide follows the NHS and the US FDA. National advice differs, especially on crab in Denmark and cooked peeled prawns in France, so check your own health service's too. Smoked fish and sushi are in the Fish guide.

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19 foodsLast reviewed: August 26, 2026Sources

Prawns
Lobster
Langoustine
Squid

How these were chosen

Five shellfish picked for protein and low carbohydrate, and three that are here for their rule: mussels for cooking, crab for its brown meat, imitation crab for its carbohydrate. None of the foods here is marked avoid.

What to look for

  1. Oysters, mussels, clams and scallops: never raw

    The NHS says raw or not thoroughly cooked mussels, clams and oysters can contain viruses and bacteria that cause food poisoning, and that in pregnancy you should avoid raw or lightly cooked shellfish. The FDA goes further on oysters: pregnant women should avoid raw oysters even if they have been treated after harvest. That is why the six shellfish usually served raw or barely cooked are marked here to eat only when cooked through.[1] [2]

  2. How to tell shellfish is cooked

    The FDA gives 145°F (63°C) for most seafood, and a visual test for each kind. Prawns, scallops, crab and lobster are done when the flesh turns firm, pearly and opaque. Clams, mussels and oysters are done when the shells open, and any that stay shut should be thrown away. Scallops seared so they are still translucent in the middle don't pass that test.[2]

  3. Buying and storing live shellfish

    The NHS says to throw away live mussels, oysters and clams if the shells are cracked or broken, or if they are open and don't close when tapped, and not to keep live shellfish in an airtight container, because they need to breathe. The FDA adds that sacks of live shellfish should carry a tag, and that live crabs and lobsters should show some leg movement.[1] [2]

  4. Crab: the white meat, and the brown

    The NHS says brown crab meat, from the body, contains cadmium, which can affect bones and kidneys in large amounts, and sets no maximum for white crab meat or for other shellfish. This library follows that: crab is marked limit, with the white meat fine and the brown meat kept to an occasional small serving.[1]

  5. How often isn't the issue

    Clams, crab, crawfish, lobster, oysters, scallops, shrimp and squid are all on the FDA's Best Choices list for mercury, the list it suggests two or three servings a week from in pregnancy. With shellfish, the question in pregnancy is how it's cooked, not how often you eat it.[3]

Side by side

Where the carbohydrate is

Per 100 g
FoodCarbsSugarsProteinBlood sugar impact
Prawns
0.2 g0 g24 glow
Crab
Caution
0 g0 g18.1 glow
Lobster
0 g0 g19 glow
Clams
Caution
5.1 g0 g25.5 glow
Mussels
Caution
7.4 g0 g24 glow
Imitation Crab (Surimi)
7.6 g2.8 g15.1 gmedium

Prawns, crab and lobster list 0 to 0.2 g of carbohydrate per 100 g; mussels 7.4 g and imitation crab 7.6 g.

Squid, octopus and other molluscs

Per 100 g
FoodCarbsProteinSodiumBlood sugar impact
Squid
3.1 g15.6 g44 mglow
Octopus
4.4 g29.8 g460 mglow
Cuttlefish
0.8 g16.2 g380 mglow
Abalone
6 g17.1 g301 mglow
Whelks
2.7 g24 g250 mglow
Scallops
Caution
2.4 g16.8 g161 mglow

Between 0.8 g (cuttlefish) and 6 g (abalone) of carbohydrate per 100 g.

Salt in shellfish

Per 100 g
FoodSodiumProteinBlood sugar impact
Prawns
111 mg24 glow
Crayfish
198 mg16.8 glow
Langoustine
270 mg19.4 glow
Octopus
460 mg29.8 glow
Lobster
480 mg19 glow
Imitation Crab (Surimi)
912 mg15.1 gmedium

From 111 mg of sodium per 100 g in prawns to 912 mg in imitation crab.

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

All foods in Shellfish

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

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Common questions

Can I eat oysters while pregnant?

Cooked, yes; raw, no. The NHS says to avoid raw or lightly cooked shellfish in pregnancy, and the FDA says to avoid raw oysters even if they have been treated after harvest. Cooked oysters are done when the shells open.[1] [2]

Are prawns safe to eat in pregnancy?

Cooked prawns, yes: the NHS lists cooked shellfish, prawns included, among the foods that are safe in pregnancy. Cook raw prawns until the flesh is firm, pearly and opaque.[1] [2] [4]

Is crab safe to eat while pregnant?

White crab meat is, cooked: the NHS sets no maximum for it. Brown crab meat contains cadmium, so this library suggests keeping it to an occasional small serving.[1]

Can I eat seared scallops while pregnant?

Only cooked through. The FDA says scallops are done when the flesh is firm, pearly and opaque, and the NHS says to avoid lightly cooked shellfish in pregnancy, so a scallop that is still translucent in the middle isn't done.[1] [2]

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.

Sources

Compiled and reviewed by Dalo Labs ApS. Numbered references in the text point to the sources below. Not endorsed by or affiliated with any referenced organization. · Last reviewed: August 26, 2026

  1. NHS — Fish and shellfish
  2. FDA — Selecting and Serving Fresh and Frozen Seafood Safely
  3. FDA — Advice about Eating Fish
  4. NHS — Foods to avoid in pregnancy

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