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You will need to increase your carbs to keep the ketones down. Ketones are a sign that you, and the baby, are not getting enough energy. The trick will be to increase your carbs without spiking your sugar. If you can't do that they might recommend meds. One thing you can try is to google "glycemic index" to find foods ghat have carbs but tend not to raise blood sugar, like whole grain breads and some fruits. Another thing that has worked well for me is pairing the carbs with tons of protein, which seems to keep my sugar steadier. I have occasionally been able to eat a little bit of cake if I pair it with, say, a large steak. Of course then you are eating a lot of food total, so if you are gaining too much weight you could try other protein foods like nuts.