Formerly GD-Advice

[sunnydaysahead]

Hello all-

I am 37 years old and recently had my second GD baby. 11 weeks post partum. My first was 6 years ago and was fully diet controlled. Passed my gtt that time at 6 weeks. I had A1c every few years and was 5.2.

This recent pregnancy things were harder to control and I was on a small dose of long acting insulin for fasting. However, I could control with diet after meals. I figured I would go back to normal after delivery- however I got some high numbers after eating - under 200, but occasionally over 140 -150 2hr after meals and some 1hr at 180. ( only with sushi rice, pizza).

I have basically been keto since dx with gd and continued the diet post partum. I just took the 75g gtt test and it was really high at 1hr. I did not carb load before, so I wonder how accurate it was.

Fasting-75
1hr-228
2hr-135

I drank the liquid at around 8:30 and by 12 I felt shaky,sweaty, lightheaded like I dropped low. I had this happen before on another day I did not each much. I am exclusively breastfeeding as well and getting awful sleep!

I am thin and already lost the baby weight at this point and am relatively active.

waiting to hear from my primary. Any thoughts?

 

[EllieM]

I have basically been keto since dx with gd and continued the diet post partum. I just took the 75g gtt test and it was really high at 1hr. I did not carb load before, so I wonder how accurate it was.

Welcome to the forums.

My understanding is that the test is invalid if you haven't been eating carbs for a few days before, There's an interesting case study here

https://academic.oup.com/jes/article/5/5/bvab049/6199842

Two national diabetes experts with a focus on type 1 diabetes prevention and management were presented the findings and decades-old literature that suggest that a low-carbohydrate diet (<150 grams/day and <50 grams prior to fasting for the test) can lead to false-positive OGTTs.

 

[sunnydaysahead]

thanks for the response. I feel like it might be a little worse due to my diet. My primary is doing an A1c and fasting in 3-4 weeks. He said to continue low carb for now. I suspect both will be fine since I eat low carb. I guess those are the first steps. Will see what happens!