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I'm new here... 29 months... and just diagnosed with GD. My 1-hour test came back at 171 last week. On Wednesday my 3-hour test was disappointing. Fasting was 89, but 1, 2 & 3 hour numbers came back in the range of 170-190 or so, which prompted GD education.
I was sent home from my doctor's office with a glucose monitor and instructions to eat 45g of carbs at breakfast, lunch and dinner, plus another 15g of carbs in snacks 3X a day.
In general, I don't eat a lot of carbs... I've found that wheat has given me headaches since pregnant, so I've really cut down. I still eat fruit and non-gluten carbs, but having a really hard time getting 45g in at each meal.
Today was my first day of testing: fasting glucose 89, breakfast (17g carbs) glucose 91, lunch (42g carbs - not easy to do) glucose 115. I guess I'll see how the rest of my weekend goes...
I understand that I should try to be consistent with my carb intake while testing, but this is not going to be easy. Should I really be eating more carbs than I normally do?
I had low numbers after most meals too. My baby wasn't incredibly large (7 lbs 12 oz) and didn't have any low sugar problems after she was born.
That's just to say that it is entirely possible to control it with just diet, if you have low fasting numbers, like you do and I did. My nonmedical opinion is that that means our bodies are doing something right overnight when we don't eat - it just can't handle a bunch of carbs. I always thought of those numbers as a carb limit, not quota. I think it is important to balance carbs with protein, fiber, and fat, and to snack throughout the day, but I wouldn't force myself to eat 45g if you're fine with 30g. Just keep testing and make sure those numbers stay good.
If you eat less carbs than recommended I would defintiely test for ketones. If you don't eat enough carbs the body may produce sugar from protein and fat which somehow also releases ketones and they are not good for your baby. Go and ask your GD for ketone test strips (or buy them yourself, they are not terribly expensive).
I have to eat just what you should to keep the ketones away - and it's more than I eat while not pregnant.
(Try brown rice?)