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  #1   ^
Old Sat, Oct-21-06, 23:34
scthgharpy's Avatar
scthgharpy scthgharpy is offline
Senior Member
Posts: 1,958
 
Plan: Atkins
Stats: 254/215/150 Female 64"
BF:C198/T126/H53/L120
Progress: 38%
Location: San Francisco Bay Area
Default Gestational diabetes and ketosis

Hey all. Im back after a A LOONG Break. And I have an unusual situation maybe you experts may help me sort out.

First, Im 8 mos pregnant. I know, huzzah.

Second, Ive only gained 10 lbs. Double huzzah. Ive joked that Im turning my fat into baby. Im discovering that this may not be a good thing. Its been an easy pregnancy, mild morning sickness, few aches and pains, no cravings, I ate quite normally, didnt have extreme appetite, anything. I got to enjoy the convenience of a morning bagel, being preggers, and a few other indulgences, but I didnt go crazy. quite the idyllic situation.

Then I went in for the glucose test. Failed. They say Ive got gestational diabetes, but I convinced them (and my test results werent THAT high) that I could manage through diet and exercise. I mean, I KNOW carbs, eh? Been there, got the tshirt.... And as expected, they want me to eat 9 starch servings a day, the equivalent of 175 g/day (just makes your bloodsugar rise THINKING about it, eh?) I say nein, nix. I aint going that way. I can NOT eat half a loaf of bread a day. I might have a half an english muffin with 17 lbs of cream cheese in the morning, lots of nuts for snacks, heavy on the protein, with a carb base and Its been pretty stable. I get about 100 g/day, theres abouts. anywhere from 1800 cals/day to 2300/day, depending on how hungry I am, whats available, etc.

Then I started checking ketones in urine. WHoa. SOme days there are none, some days its purple (why couldnt ketosis be this easy when NOT pregnant!?!?) Im reading that ketones during pregnancy is bad news...but there is controversy! It seems counter productive to eat a small scoop of low sugar ice cream in the evenings to knock me out of overnight ketosis when Im limiting sugars, but....it works. What do you guys know about this? Ive been happy that Im not gaining tons of weight, but the literature is clearly still so anti low carb, Im having a hard time finding good information. And my nutritionist doesnt answer me when I ask about ketosis. All she can do is tow the ADA line.

GD/ketosis/blood sugar balance help dearly desired!
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  #2   ^
Old Sun, Oct-22-06, 10:21
amy411's Avatar
amy411 amy411 is offline
Senior Member
Posts: 4,963
 
Plan: My Own
Stats: 262/235.4/170 Female 5 feet 7 inches
BF:
Progress: 29%
Default

i had it with my first and will most likely have it with this one. i also heard lots of differnet things on the ketones in the urine. my doc said no ... the nutritionalist said it depends .... i was totally confused and just tried to eat what i was suppose to. after about a month my blood sugars were still to high so they put me on insulin ... ughh....i hate needles so it was a killer for me. needless to say, i put all of my fears of ketones in God...ate like i should...did my walks...and ds came out fine and dandy. it sucks when you get to conflicting answers from your healthcare professionals...good luck to you ... maybe you will find a true answer . if you do let me know hahaha.
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  #3   ^
Old Sun, Oct-22-06, 10:35
Helen H's Avatar
Helen H Helen H is offline
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Posts: 1,066
 
Plan: CKD
Stats: 225/180/175 Female 179cm
BF:
Progress:
Default

Ketones are just a by-product of fat burning. It does not by itself mean anything. I used to get ketones in urine when I was on a high-carb diet but was cycling a lot during my pregnancy. You can get ketones in your urine from a lot of exercise, a high fat diet, a low carb diet, or just throwing up a lot during pregnancy.

I know a lot of mothers who have had GD, and all but one managed to control it with an hour's exercise and a good sugar-free diet. They didn't talk about "low carb" to their doctors, they just agreed to cut out the biscuits and other junk.
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  #4   ^
Old Mon, Oct-23-06, 13:12
ElleH ElleH is offline
Registered Member
Posts: 10,352
 
Plan: PP/Atkins Maintenance
Stats: 178/137/137 Female 5'6"
BF:28%
Progress: 100%
Location: Northern Virginia
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I had 3 LC pregnancies, ketosis in all of them. It's no big deal. You should manage your GD in the way you KNOW will work...and that is NOT by eating 9 starches a day. You know that going LC will control the GD. Best of luck!
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