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Gestational Diabetes
Ketones and carbs - need help!
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<blockquote data-quote="cevans1" data-source="post: 2202821" data-attributes="member: 518953"><p>Hi everyone, I am new the forum and hoping to get a bit of help. I'm 24 weeks pregnant and have been diagnosed with GD since 12 weeks. I'm currently diet and excercise controlled and keen to keep it that way as long as I'm able (I know that it can go beyond my control as the insulin resistance ramps up), but finding the advice from the dietcian and diabetes nurse to be unhelpful. For note I had it with my last pregnancy (hence the early diagnosis) and was diet and exercise controlled through that.</p><p></p><p>Today I had my wee tested and it showed ketones, which they said indicates I'm burning fat and not eating enough carborhydrates. I feel I'm eating a reasonable amount, but they won't give me a guide on what weights to strive for in grams per meal which doesn't help me judge, they just say "medium sized new potatoes" or "a quarter of your plate", but these terms are really subjective depending on how big your plate is, how big your spuds are etc. Can anyone say what they go with? I understand that everyone is different, but a general guide that I could tinker with would be great.</p><p></p><p>I also asked if it would help for me to eat some carborhydrate snacks paired with some good fats or protein throughout the day, so that I can have lots of regular carb top ups to avoid spiking my blood sugar, but they just said eating fats would raise my cholesterol (which is low if anything), so again not very helpful!</p><p></p><p>They just kept saying things like "You shouldn't be restricting the amount of carbs you eat, just cut down on sugar - if you can't tolerate carbs you'll just have to go on medication it doesn't mean you've failed, you just need it." For me it's not about "failing", there's no stigma about needing medication and of course I would take it for the sake of the baby and me if needed; it's more about trying to avoid a medication in a way that could be doable with the right diet advice - does anyone have experience with this and have any pearls of wisdom to share?!</p><p></p><p>Sorry for the long post!! Thanks in advance <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="cevans1, post: 2202821, member: 518953"] Hi everyone, I am new the forum and hoping to get a bit of help. I'm 24 weeks pregnant and have been diagnosed with GD since 12 weeks. I'm currently diet and excercise controlled and keen to keep it that way as long as I'm able (I know that it can go beyond my control as the insulin resistance ramps up), but finding the advice from the dietcian and diabetes nurse to be unhelpful. For note I had it with my last pregnancy (hence the early diagnosis) and was diet and exercise controlled through that. Today I had my wee tested and it showed ketones, which they said indicates I'm burning fat and not eating enough carborhydrates. I feel I'm eating a reasonable amount, but they won't give me a guide on what weights to strive for in grams per meal which doesn't help me judge, they just say "medium sized new potatoes" or "a quarter of your plate", but these terms are really subjective depending on how big your plate is, how big your spuds are etc. Can anyone say what they go with? I understand that everyone is different, but a general guide that I could tinker with would be great. I also asked if it would help for me to eat some carborhydrate snacks paired with some good fats or protein throughout the day, so that I can have lots of regular carb top ups to avoid spiking my blood sugar, but they just said eating fats would raise my cholesterol (which is low if anything), so again not very helpful! They just kept saying things like "You shouldn't be restricting the amount of carbs you eat, just cut down on sugar - if you can't tolerate carbs you'll just have to go on medication it doesn't mean you've failed, you just need it." For me it's not about "failing", there's no stigma about needing medication and of course I would take it for the sake of the baby and me if needed; it's more about trying to avoid a medication in a way that could be doable with the right diet advice - does anyone have experience with this and have any pearls of wisdom to share?! Sorry for the long post!! Thanks in advance :) [/QUOTE]
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