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How many carbs


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  #1  
August 10th, 2010, 08:53 PM
Mommyx12's Avatar Platinum Supermommy
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How many servings of carbs does your doc want you to have? I went to the GD class Thursday and they said 2-3 (30-45) for breakfast, 3(45) for lunch and 4 for supper (60) and 1 serving snacks. We have moved since my last pregnancy and it seems like they wanted me to have 2 (30) for breakfast and lunch and 2-3 (30 -45) for supper and snacks inbetween meals that were 1 serving. I have been trying to follow the plan, but haven't done so great because I've been going to class and we were out of town, but the days I was able to really keep track and check my sugar on time, I found that they were always higher. My breakfast and lunch had hardly ever been high mostly my supper readings and my fastings are always high, but I was eating fewer carbs for lunch and breakfast. I'm getting a 2 week break from class so I'm going to try to really follow and monitor and see what happens. I have a feeling if I eat that many carbs I will run high. I ate the "recommended" carbs tonight and was a little high. It's just crazy how different things are here than where I was before. My main problem last time was fastings and this time they are higher but this doc isn't as concerned with those mostly the after meal readings. And then he said he mainly wanted them under 140. I was just wondering what others are being told.
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  #2  
August 11th, 2010, 05:32 AM
~*Kixs*~'s Avatar Platinum Supermommy
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My diet is like this:

15g for breakfast (I have high morning numbers...this is doctor adjusted)
15g AM snack
30 -45g Lunch
15g Afternoon snack
30g Dinner
15g PM snack

My carbs have been adjusted by my doctor b/c of high BS readings. But when he drops my carbs he ups my protiens.

Is this your 1st time with GD?

(BTW I was reading all your childrens names and I have a Kaylie too and this baby is going to be Nathan Good names mama!)
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  #3  
August 11th, 2010, 09:43 AM
Mommyx12's Avatar Platinum Supermommy
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I've most likely had it with all my pregnancies but it was undiagnosed because I pass the 3 hr test. After I had a baby that was over 11lbs I decided to buy a monitor and check if I had another baby. So when I had my last baby, we discovered that certain foods raised my sugar and that I also had consistanlty high fasting readings. I adjusted my diet some mainly by adding more veggies, cutting extra sugar and avoiding the foods that elevated my sugar. The doc knew I was testing but didn't ask to see my numbers until close to the end. I would tell her about the high readings and she did a couple A1c. When I brought them in she said my fastings had been too high for awhile and sent me to an endocrinologist and the put me on insulin and told me how many carbs to eat. Baby weighed 7lb 14oz which was my smallest full term baby.

So with this pregnancy, I started monitoring from the start and had high fastings. My fastings were higher than my previous pregnancy but my new doc didn't want to treat just those because my post meal readings were good. At my next appt, I started having a few high post meal readings, but not many. At my last appt, I had a good bit more so he sent me to the class. He said I wouldn't be considered high risk unless I have to start insulin. I really like this doc. He was wonderful when I was going through my m/c but I can't help but feel like he isn't taking this as serious but I'm basing this on my last doc. We are in a different state now, but I didn't think that would make much of a difference.
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  #4  
August 18th, 2010, 05:26 AM
seaside's Avatar Veteran
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hey

first of all, kudos on doing your own research and taking charge of your health!

you might want to see an endo who specializes in GD.. also, as far as the diet goes, if you see that your numbers are high after having x servings of carbs, take out a serving and see if there is an improvement.

my dietitian recommended 30g carbs b/l/d and 15g carbs for snacks. she also told me I didn't have to count non starchy veggies as part of the count.

4 servings (60 grams) seems pretty high to me.. Does your OB/GYN specialize in high risk and/or GD?? because if he doesn't - as nice as he may be you might want to think about switching to a doctor who does specialize in it... (my regular OB/GYN gave me a referral to a specialist as soon as I became pregnant and my fasting numbers were at pre-diabetic levels and my post meal numbers were fine.)

Also - not sure what the other ladies were told - but I was told that post meal numbers need to be at/below 130 at 1 hour and at/below 120 at 2 hours and I could check either one - I check at 2 hours.

Also, I was told that Fasting need to come in at below 95.

btw - what was your A1c?
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  #5  
August 18th, 2010, 09:23 PM
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When I was in Mississippi, as soon as my ob saw my elevated fastings she sent me to an endocrinologist. Now I'm in Alabama and I don't know if I'll see one at all. At my last appt, I showed him my numbers that had more high post meal numbers and he sent me to the GD, class which was led by diabetic education nurses. It was very general. There were 6 of us there and they didn't deal with any of us one on one. I have cut out some carb servings and it has helped some. I am still not usually under 120 2 hrs after a meal but better than it had been. I kinda feel like I am over reacting since one girl mentioned her fastings were in the 160's and that she was eating way fewer carbs in her meals and her numbers were still too high. My fastings have come down some but still are regularly around 115-117, sometimes over 120. I think my highest post meal reading has been 157, but normally in the 130ish-140 range 2hrs after. My doc hasn't done an A1C with this pregnancy yet. I had a m/c in Nov and had high fastings then as well and he did an A1C then and it was normal, I forget the number now. I really don't want to have another 11 lb baby! And it wouldn't be so bad if it was just a matter of baby being big but there are other complications that can result. He listens and doesn't dismiss what I say but I just expected him to react differently given my experience in MS.
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  #6  
August 19th, 2010, 07:21 AM
~*Kixs*~'s Avatar Platinum Supermommy
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Your fasting number is a little high. Do you eat a snack before bed?

I feel like I am posting this on every thread under the sun but.... Your liver stores sugar and if your BS numbers get low while you are sleeping at night your liver dumps some of those sugars to bring your numbers up. This can cause high fasting numbers.

This is a problem I was having and have seen the difference a little snack can make. My fastings were 110's without a snack. But if I eat a yogurt or a string cheese, or even a little cookie with a cup of milk my fastings are in the 80's!!!
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  #7  
August 19th, 2010, 08:27 AM
*Bobbie*'s Avatar Platinum Supermommy
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My dietician was an idiot. She didn't tell me much of anything. Just 15-45 carbs 6 times a day.

I am still having issues with my fasting number even with oral meds I have tried a middle of the night snack and it didn't help.
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  #8  
August 19th, 2010, 09:48 AM
Mommyx12's Avatar Platinum Supermommy
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Quote:
Originally Posted by ~*Kixs*~ View Post
Your fasting number is a little high. Do you eat a snack before bed?

I feel like I am posting this on every thread under the sun but.... Your liver stores sugar and if your BS numbers get low while you are sleeping at night your liver dumps some of those sugars to bring your numbers up. This can cause high fasting numbers.

This is a problem I was having and have seen the difference a little snack can make. My fastings were 110's without a snack. But if I eat a yogurt or a string cheese, or even a little cookie with a cup of milk my fastings are in the 80's!!!
Those are with a snack and I still get an occassional 120 something. Before I started the snack, I was in the mid to high 120's, occassional 130.
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  #9  
August 19th, 2010, 11:05 AM
~*Kixs*~'s Avatar Platinum Supermommy
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Jeez Louis girl!

Sorry your fasting numbers are giving you such a problem! What does your doctor say about it?
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  #10  
August 19th, 2010, 11:32 AM
Mommyx12's Avatar Platinum Supermommy
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He hasn't wanted to treat the fastings because my other numbers had been ok. He says that your post meal numbers have more effect on the size of the baby. He sent me to the class after my last appt because I had several more high post meal numbers. I go back on the 1st so I'll see what he says since I have been following the diet.
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