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Diet controlled Type 2 - how to achieve the strict targets for pregnancy?
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<blockquote data-quote="PerfectStorm" data-source="post: 949374" data-attributes="member: 177771"><p>I should start by saying that I am not pregnant or trying to conceive at the moment but I would like another child in the pretty near future so have been reading about diabetes during pregnancy and the strict BG targets for pregnancy.</p><p></p><p>I had GD when pregnant with my son who is now just turned 2; I was diagnosed Type 2 in April. My last HBA1c in July was 38 and I am due to have another next month. I am hopeful that it will be at a similar level as my own monitoring shows an average of around 6.0 (currently 5.8 for the last 2 weeks which is rather nice!).</p><p></p><p>I test on waking, before meals and 2 hours after meals. I only do occasional 1 hour tests. I see that the targets for BG during pregnancy are below 5.3 fasting and below 7.8 at 1 hour post meal and below 6.4 at 2 hours. My FBG is usually mid to high 5s and my pre-meal BGs vary from 4.8 to 6.0, 2 hours post meals I am generally under 7 but occasionally within 7s - I am only occasionally below 6.4 at 2 hours.</p><p></p><p>How on earth would I achieve those targets?! My FBG isn't low enough and there seems to be little else I can do to control that, and I already avoid pasta, rice, potatoes, anything sugary, most fruit, limit root veg and only eat low carb breads such as Sukrin, Lidl rolls or Livlife. I generally eat between below 50g carbs per day but more often than not it is below 30g. I don't personally feel able to go any lower than this.</p><p></p><p>What has happened to other T2s who have good control of their BGs but it is not good enough for pregnancy? Would I have to start medication in order to achieve those targets - would this start when trying to conceive to ensure that they were in target for as soon as I got pregnant? Would I need to take insulin? I had to take insulin during GD but I didn't know about LCHF then.</p><p></p><p>Anyway, well done if you have made it this far in my rambling post! Any guidance on this would be appreciated. I will discuss it with the DN when I see her next, which won't be until end October, and I am hoping to have a serious chat with my husband before then about whether we are going to try for baby 2. Would like to understand what will be required of me during 9 months as an incubator take 2!</p></blockquote><p></p>
[QUOTE="PerfectStorm, post: 949374, member: 177771"] I should start by saying that I am not pregnant or trying to conceive at the moment but I would like another child in the pretty near future so have been reading about diabetes during pregnancy and the strict BG targets for pregnancy. I had GD when pregnant with my son who is now just turned 2; I was diagnosed Type 2 in April. My last HBA1c in July was 38 and I am due to have another next month. I am hopeful that it will be at a similar level as my own monitoring shows an average of around 6.0 (currently 5.8 for the last 2 weeks which is rather nice!). I test on waking, before meals and 2 hours after meals. I only do occasional 1 hour tests. I see that the targets for BG during pregnancy are below 5.3 fasting and below 7.8 at 1 hour post meal and below 6.4 at 2 hours. My FBG is usually mid to high 5s and my pre-meal BGs vary from 4.8 to 6.0, 2 hours post meals I am generally under 7 but occasionally within 7s - I am only occasionally below 6.4 at 2 hours. How on earth would I achieve those targets?! My FBG isn't low enough and there seems to be little else I can do to control that, and I already avoid pasta, rice, potatoes, anything sugary, most fruit, limit root veg and only eat low carb breads such as Sukrin, Lidl rolls or Livlife. I generally eat between below 50g carbs per day but more often than not it is below 30g. I don't personally feel able to go any lower than this. What has happened to other T2s who have good control of their BGs but it is not good enough for pregnancy? Would I have to start medication in order to achieve those targets - would this start when trying to conceive to ensure that they were in target for as soon as I got pregnant? Would I need to take insulin? I had to take insulin during GD but I didn't know about LCHF then. Anyway, well done if you have made it this far in my rambling post! Any guidance on this would be appreciated. I will discuss it with the DN when I see her next, which won't be until end October, and I am hoping to have a serious chat with my husband before then about whether we are going to try for baby 2. Would like to understand what will be required of me during 9 months as an incubator take 2! [/QUOTE]
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