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<blockquote data-quote="Cocosilk" data-source="post: 2034990" data-attributes="member: 501623"><p>Wait, I'll try and repost it:</p><p></p><p>Hey, I'm curious now. Do you remember what your results were for the glucose tolerance test when they diagnosed you? Did that happen before you fell pregnant and did they call it "insulin resistance" or "pre-diabetes", or were you diagnosed with "gestational diabetes" very early in pregnancy?</p><p></p><p>When I did the glucose tolerance test a couple of months ago at 28 weeks pregnant, my results were:</p><p></p><p>Fasting: 5.1 mmol (and for this they want under 5.1 otherwise they diagnose Gestational Diabetes)</p><p>1 hr: 9.7 mmol (should be under 10, so mine was close but still okay)</p><p>2 hr: 7.4 mmol (should be under 8.5)</p><p></p><p>So for me, it was just the fasting level being on the borderline that got me the diagnosis. </p><p></p><p>For the first 2 - 3 weeks after diagnosis, I tried with diet alone to lower my levels. Low carb was certainly effective for the daytime readings after meals but I still had some spikes when I overdid the carb portions of my meals.</p><p>But my morning fasting levels were stubbornly sitting between 5.3 and 5.6 mmol for most of the time apart from a couple of days when I woke up with 4.9 and 4.8 after having a very low carb dinner (meat and veges mostly) and finishing dinner around 8pm then not eating till 7 or 8 am the next morning (I guess a 12 hour overnight fasting period). But if I snacked later, especially on carbs, I think I was always over 5.1 again. So rather than Metformin, I was put straight on 6 units of insulin before bed which was raised every few days until it reached the current 22 units. And really, I still only get the odd morning where my fasting level is under 5.0, otherwise it's still between 5.1 and 5.3 mmol. Not terrible though.</p><p></p><p>I also use Ketostix to see if I am burning any stored fat in ketosis overnight. Most mornings I wake up with trace ketones and on the odd mornings (probably after very low carb lunches and dinners the day before) I have ketones up to 4 mmol (half way up the purple scale). My OB told me that's fine and just to ignore the ketones and not to worry that it's going to be dangerous (ketoacidosis).</p><p></p><p>But I did measure my glucose levels obsessively for the first couple of weeks, before meals, at the 1 and 2 hour marks to really understand what my meals were doing to me. To give you an idea, about 3 days after I was diagnosed, I was still going for the same foods I'd been eating. I had a bowl of first 2, then went back for another 2 Vita Brits (so 4 Vita Brits) with honey and milk. I probably had more than a teaspoon of honey, possibly 2, so that's a killer right there. At the one hour mark, my spike was 9.0 mmol. I freaked out! At the 2 hour mark, it was still 8.0 mmol (so well over the 6.7) . I wasn't game to eat that again but today, after almost 2 months, I caved when I fed some Vita Brits to my kids and decided to have only 2 Vita Brits this time and with a smaller amount of honey. I didn't measure before or at the 1 hr mark but at the 2 hour mark I was 6.3 mmol. So within acceptable levels. So I guess if you respect portion size, you can still have a few carbs here and there.</p><p></p><p>Not long after the Vita Brits I had today, about 20 mins after I measured the 6.3, I made my smoothie of milk, cream, 1/2 a small banana and a handful of raspberries and blueberries. I also munched on a few walnuts in that 2 hour period before measuring the 2 hour post meal glucose - it was 5.3 mmol. I'm happy that I can get that after having what effectively is as enjoyable as a milkshake to me at the moment. </p><p></p><p>Anyway, the reason I am taking my diagnosis so seriously is because something like 50% of women who have Gestational Diabetes go on to develop T2 diabetes. And I'm not as young as you <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" />. At 44 yo, I might only have 5 - 10 years rather than the 15 - 20 years that they state it can take for full blown diabetes to develop in those women who turn out to be susceptible. I'm assuming the level of insulin resistance I must have to have already developed gestational diabetes warrants a serious look at my diet from now on if I don't want to end up down that path.</p><p></p><p>If you want to learn more about insulin resistance, have you watched many of the talks on Youtube by the Diet Doctor crew?</p><p></p><p>Also a good one is this man: Ivor Cummins </p><p></p><p>It's a bit of a bummer having to deprive yourself of most of the sweet things in life, but if you just reduce your portion sizes, I think you buy yourself many more years where you can still enjoy the naughty things every now and then. If you indulge heavily for years while you are young, then I think when you are older, if you do end up with diabetes, it will be an all or nothing scenario with dietary change or you just end up on lots of medication and it never really fixes you, you still go on to get the diabetic complications. </p><p></p><p>Anyway, don't panic about preeclampsia. There are so many things that can go wrong in pregnancy and if you focus on all of them, you'll be a nervous wreck. Just know the signs so that if something becomes fishy, you will know to report it and not ignore it. </p><p>I only ended up with preeclampsia I think because I was on a home birth program and I was waiting for natural birth to begin. My blood pressure had gone from my normal of 100/60 mid pregnancy, to 130/80 towards the end. At about 36 weeks my right foot swelled up and I was getting shocking heartburn and the odd headache. Those were the signs of preeclampsia but were all written off as still normal pregnancy symptoms. So I was let go (partly my own fault not wanting to be induced - also because the doctors never really mentioned preeclampsia as a specific risk in my situation) so I thought I could just go on waiting for baby to come naturally. At 42 weeks on the dot, my BP was 150/90 and there was protein in my urine = preeclampsia. In reality, a rise in blood pressure of 30 points on the top and 15 on the bottom is already a warning sometimes (not always) but in presence of my swollen foot and heartburn, I think they should have been more suspicious and encouraged me to get baby out by the due date at 40 weeks. Easy to say in hindsight I guess. But if you already have a bit of a complication with blood sugars, they should watch you more closely for other things anyway. And I'm sure you'll be fine! Good luck resisting your cravings <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /></p></blockquote><p></p>
[QUOTE="Cocosilk, post: 2034990, member: 501623"] Wait, I'll try and repost it: Hey, I'm curious now. Do you remember what your results were for the glucose tolerance test when they diagnosed you? Did that happen before you fell pregnant and did they call it "insulin resistance" or "pre-diabetes", or were you diagnosed with "gestational diabetes" very early in pregnancy? When I did the glucose tolerance test a couple of months ago at 28 weeks pregnant, my results were: Fasting: 5.1 mmol (and for this they want under 5.1 otherwise they diagnose Gestational Diabetes) 1 hr: 9.7 mmol (should be under 10, so mine was close but still okay) 2 hr: 7.4 mmol (should be under 8.5) So for me, it was just the fasting level being on the borderline that got me the diagnosis. For the first 2 - 3 weeks after diagnosis, I tried with diet alone to lower my levels. Low carb was certainly effective for the daytime readings after meals but I still had some spikes when I overdid the carb portions of my meals. But my morning fasting levels were stubbornly sitting between 5.3 and 5.6 mmol for most of the time apart from a couple of days when I woke up with 4.9 and 4.8 after having a very low carb dinner (meat and veges mostly) and finishing dinner around 8pm then not eating till 7 or 8 am the next morning (I guess a 12 hour overnight fasting period). But if I snacked later, especially on carbs, I think I was always over 5.1 again. So rather than Metformin, I was put straight on 6 units of insulin before bed which was raised every few days until it reached the current 22 units. And really, I still only get the odd morning where my fasting level is under 5.0, otherwise it's still between 5.1 and 5.3 mmol. Not terrible though. I also use Ketostix to see if I am burning any stored fat in ketosis overnight. Most mornings I wake up with trace ketones and on the odd mornings (probably after very low carb lunches and dinners the day before) I have ketones up to 4 mmol (half way up the purple scale). My OB told me that's fine and just to ignore the ketones and not to worry that it's going to be dangerous (ketoacidosis). But I did measure my glucose levels obsessively for the first couple of weeks, before meals, at the 1 and 2 hour marks to really understand what my meals were doing to me. To give you an idea, about 3 days after I was diagnosed, I was still going for the same foods I'd been eating. I had a bowl of first 2, then went back for another 2 Vita Brits (so 4 Vita Brits) with honey and milk. I probably had more than a teaspoon of honey, possibly 2, so that's a killer right there. At the one hour mark, my spike was 9.0 mmol. I freaked out! At the 2 hour mark, it was still 8.0 mmol (so well over the 6.7) . I wasn't game to eat that again but today, after almost 2 months, I caved when I fed some Vita Brits to my kids and decided to have only 2 Vita Brits this time and with a smaller amount of honey. I didn't measure before or at the 1 hr mark but at the 2 hour mark I was 6.3 mmol. So within acceptable levels. So I guess if you respect portion size, you can still have a few carbs here and there. Not long after the Vita Brits I had today, about 20 mins after I measured the 6.3, I made my smoothie of milk, cream, 1/2 a small banana and a handful of raspberries and blueberries. I also munched on a few walnuts in that 2 hour period before measuring the 2 hour post meal glucose - it was 5.3 mmol. I'm happy that I can get that after having what effectively is as enjoyable as a milkshake to me at the moment. Anyway, the reason I am taking my diagnosis so seriously is because something like 50% of women who have Gestational Diabetes go on to develop T2 diabetes. And I'm not as young as you :D. At 44 yo, I might only have 5 - 10 years rather than the 15 - 20 years that they state it can take for full blown diabetes to develop in those women who turn out to be susceptible. I'm assuming the level of insulin resistance I must have to have already developed gestational diabetes warrants a serious look at my diet from now on if I don't want to end up down that path. If you want to learn more about insulin resistance, have you watched many of the talks on Youtube by the Diet Doctor crew? Also a good one is this man: Ivor Cummins It's a bit of a bummer having to deprive yourself of most of the sweet things in life, but if you just reduce your portion sizes, I think you buy yourself many more years where you can still enjoy the naughty things every now and then. If you indulge heavily for years while you are young, then I think when you are older, if you do end up with diabetes, it will be an all or nothing scenario with dietary change or you just end up on lots of medication and it never really fixes you, you still go on to get the diabetic complications. Anyway, don't panic about preeclampsia. There are so many things that can go wrong in pregnancy and if you focus on all of them, you'll be a nervous wreck. Just know the signs so that if something becomes fishy, you will know to report it and not ignore it. I only ended up with preeclampsia I think because I was on a home birth program and I was waiting for natural birth to begin. My blood pressure had gone from my normal of 100/60 mid pregnancy, to 130/80 towards the end. At about 36 weeks my right foot swelled up and I was getting shocking heartburn and the odd headache. Those were the signs of preeclampsia but were all written off as still normal pregnancy symptoms. So I was let go (partly my own fault not wanting to be induced - also because the doctors never really mentioned preeclampsia as a specific risk in my situation) so I thought I could just go on waiting for baby to come naturally. At 42 weeks on the dot, my BP was 150/90 and there was protein in my urine = preeclampsia. In reality, a rise in blood pressure of 30 points on the top and 15 on the bottom is already a warning sometimes (not always) but in presence of my swollen foot and heartburn, I think they should have been more suspicious and encouraged me to get baby out by the due date at 40 weeks. Easy to say in hindsight I guess. But if you already have a bit of a complication with blood sugars, they should watch you more closely for other things anyway. And I'm sure you'll be fine! Good luck resisting your cravings :D [/QUOTE]
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