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Pregnancy Gestational Diabetes Diet

Question:
I just had my first test for gestational diabetes. My numbers were in the 160s, so I guess I am a candidate. The ironic thing however: I am on a no sugar diet. Mostly I eat low carb, and when I eat carbs, they are always whole grain. (Well, this way of eating is called "Somersizing", as the actress Suzanne Somers promotes it. It also includes food combining. Carbos and Protein/Fat need to be eaten at different times, while both can be combined with veggies. Think what you want. It workes for me.) I also do yoga for an hour a day or work out on a cardio mashine and lift weights. I think it is ironic. I eat low carb, whole wheat, low fat, work out.....and have diabetes! (And I was a size 10 pre pregancy at 5'8") When I told my ob about my way of eating, he suggested that maybe just that was the crux. I have been without sugar for so long that my body couldn't handle that sweet stuff I had to drink. Well, I haven't had the second test yet (the three hour test?). But has anybody heard that happening? Could it really be like my doctor suggested? I must also say that there is a history of diabetes in my family. One grandmother has it, although not bad, one grandmother is borderline, one aunt had gestational diabetes and got the real thing in her early 40s. So what do you all think?


Answer:
Diabetes has nothing to do with how much sugar you eat. As you probably know, sugar is a carb and it is carbs that raise the BG. If you have been on a low carb diet, then it may well be that you haven't actually had high BG, until you were given the glucose to drink. But keep in mind that there are all sorts of variables to diabetes. I had GD and was able to control it on a mainly vegetarian, Exchange Plan. This is not a low carb diet. Others find they must do low carb or their BG is too high.

Take the three hour test and see how you fare. I was told by the Endo. I saw while pregnant that pregnancy is sort of like a test to the body. During pregnancy, we might get diabetes, thyroid problems, or other problems that otherwise we might not have gotten until later in life. Or perhaps not at all. Lots of hormones are circulating during pregnancy.

My sister in law and one of her sisters both had GD. The sister in law had it with her second child (not the first) and her sister had it with every pregnancy. In her case, each pregnancy made it harder and harder to control her BG and she wound up on insulin. Both of these ladies are thin as a rail and very fit. Neither of them have gotten type 2 so far. I was not so lucky.

It is possible that your first reading was a false one because as I said, there are so many hormones that circulate during pregnancy. My Ob/Gyn said it was not uncommon to find sugar in the urine as the woman starts to lactate. Take the second test, and if you fail it, see a dietician. If you do have GD, you'll likely be told that you can no longer eat the diet you are on. Why? Because carbs eaten alone will raise the BG. You need to combine those carbs with some fat. Fast delays the absorption of carbs.

I am also a bit curious as to why you would continue such a diet during pregnancy. It seems as though you are on a weight loss diet and that is not usually advised at this time. The amount of exercise you are doing seems worrisome too! I did exercise throughout my pregnancy, except for the times when I was on bedrest. I probably did more exercise during the first trimester than I should have, including yoga. You'll find as the pregnancy progresses, it will be more and more difficult to do certain things because your center of gravity shifts. Weights can be particularly cumbersome. And unless they have changed things since I was pregnant, it is not advised to do any exercises where you lie on your back beyond the first trimester.


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