new here...any help would be appreciated!

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new here...any help would be appreciated!


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Old 07-03-2015, 04:08   #1
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Cool new here...any help would be appreciated!

A little background - I am 30 years old, have no family history of diabetes, and my BMI has been in the "overweight" (I did hit low-obese at 2 points pre diets) range pretty much the past 10 years. I just had a baby 3 months ago and was diagnosed with gestational diabetes at 24 weeks and was diet controlled. I just took the OGTT and my fasting came back at 82, but my 2 hour was 193. My OB and endocrinologist were both surprised saying how extremely rare it is for GD (especially diet controlled) to lead to Type 2 (or close enough to 200!). I've been so upset the past week trying to wrap my head around how this happened. I have a few questions - if you could answer any of them it would be SO appreciated!

-How do they know I am pre-type 2 and not type 1?
-Should I continue following the GD diet (15 carb snacks, 30-45 carb meals) or is a type 2 diet different?
-Is there any way to reverse this 193 number on my OGTT or it will just progressively get worse?
-I can't find any info on the typical progression of controlled Diabetes over a life span?
-My endocrinologist told me to consider Metformin to fight Diabetes as quickly as possible but I'm nervous that I will forever be stuck on this pill when I know I can handle a strict diet and exercise regimen - any advice?
-My glucometer is reading around 90-95 1-hour post-meals (approx 30 carbs). Is this okay or am I eating too few carbs?

Thank you thank you thank you!

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Old 07-03-2015, 04:40   #2
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I'm no doctor but would say you are diabetic, but with your history I'd guess that you will do well eating low carb/high fat diet. You are eating too many carbs for the whole day...I eat fewer than 30 for the whole day...many days less than 20 and no meds. Check out our recipes and introduction posts and see how others are doing it. Also, www. bloodsugar101.com will tell you more than your doctor will know! So time spent there will be worth it.

Good luck, and hug that babies neck for me!




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Old 07-03-2015, 04:40   #3
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Originally Posted by cdonoian23 View Post
A little background - I am 30 years old, have no family history of diabetes, and my BMI has been in the "overweight" (I did hit low-obese at 2 points pre diets) range pretty much the past 10 years. I just had a baby 3 months ago and was diagnosed with gestational diabetes at 24 weeks and was diet controlled. I just took the OGTT and my fasting came back at 82, but my 2 hour was 193. My OB and endocrinologist were both surprised saying how extremely rare it is for GD (especially diet controlled) to lead to Type 2 (or close enough to 200!). I've been so upset the past week trying to wrap my head around how this happened. I have a few questions - if you could answer any of them it would be SO appreciated! -How do they know I am pre-type 2 and not type 1? -Should I continue following the GD diet (15 carb snacks, 30-45 carb meals) or is a type 2 diet different? -Is there any way to reverse this 193 number on my OGTT or it will just progressively get worse? -I can't find any info on the typical progression of controlled Diabetes over a life span? -My endocrinologist told me to consider Metformin to fight Diabetes as quickly as possible but I'm nervous that I will forever be stuck on this pill when I know I can handle a strict diet and exercise regimen - any advice? -My glucometer is reading around 90-95 1-hour post-meals (approx 30 carbs). Is this okay or am I eating too few carbs? Thank you thank you thank you!
Hi and welcome!

First thing is to relax and take a deep breath. You've come to the right place.

So let's see where we can help. You're not bad off right now. If you keep eating the way you are, that will change. The diet you've been given is the standard diabetic diet. The only thing that's good for is making sure you end up on insulin after a few years of strong meds. So no. You aren't eating too few carbs, you're eating too many. What you want to do is cut carbs as much as possible. You'll find here most members here eat less than 50g per day, not a meal. One thing to remember is you'll need to add something to make up the calories we like to add natural fats like cream, butter or olive oil to make up the difference.

You can find some good info here:
www.dietdoctor.com/lchf

I think if you follow that you'll end up surprising your docs

Another good site for basic info about how to lower your blood sugar and just exactly what is going on is this one:

www.bloodsugar101.com

After checking out those sites you'll see that most of the info will go against what your docs tell you. Don't worry. We always promote one method, eat to your meter. You'll read about that on the BS101 site. Follow that and you'll be fine

So read up then come back with any questions

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Old 07-03-2015, 05:04   #4
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So even though I am getting a 1-hour reading of 89 with a 30 carb meal (I used the daily plate to add up all the carbs in my salad including nuts, seeds, avocado, etc.), I should be eating less carbs?? When you count carbs, is that including carbs in vegetables?

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Old 07-03-2015, 05:40   #5
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So even though I am getting a 1-hour reading of 89 with a 30 carb meal (I used the daily plate to add up all the carbs in my salad including nuts, seeds, avocado, etc.), I should be eating less carbs?? When you count carbs, is that including carbs in vegetables?
Throw away the plate idea and count all carbs and not carb units like they teach you at diabetic classes. That is bases on the ADA guidelines which diabetics learn does not work. ADA gets funds from BIG Pharma who want to keep you sick and a customer for as long as they can. Agriculture and Grocers wants you to buy process foods which also makes us sick.

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Old 07-03-2015, 05:46   #6
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Welcome!

Do not panic. You have been given excellent advice. Go to Blood Sugar 101 and most of your questions will be answered and we won't have to type up a long response!

I can tell you that by eating a Low Carb High Fat diet, you will reduce your blood sugars and you may avoid taking that Metformin (or at least put it off for a while). The goal is to eat to your meter and keep those blood sugar levels below 140 after meals. Be sure to test at 1 and 2 hours.

A GAD antibodies test will help determine if you are type 1 which adults can develop at anytime. Jenny's site (Blood Sugar 101) has a section on this.

Counting carbs even in veggies is necessary. Everyone is different as to the amount of carbs they can handle, so you must test the foods that you eat. I have done well on this diet for the past year and a half and my lab results show that I am normal. Of course, I still have diabetes, but my LCHF diet is controlling it for now!

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Old 07-03-2015, 08:31   #7
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Quote:
Originally Posted by cdonoian23 View Post
My OB and endocrinologist were both surprised saying how extremely rare it is for GD (especially diet controlled) to lead to Type 2 (or close enough to 200!).
On the contrary. GD is a sign of a dysfunctional glucose metabolism & it's very much possible that the mother will develop the full blown version later in life. Even the newborn can be assumed to be a candidate for the condition later in life.

You have been given the best links in the business. Do take time to read through the sites and in no time you should see your numbers dropping into non-diabetic territory. Very simply put, all carbs convert into glucose and glucose is our problem, so avoid carbs, reduce glucose dependency & improve your health greatly.

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Old 07-03-2015, 15:19   #8
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Welcome....I think if you read and learn what everyone is talking about this all will come together for you quickly.

One key point is do not focus on your pre-meal or morning blood sugars as much as your blood sugars (BS) at 1 hour and 2 hours after eating. The key here is that anytime your BS's exceed 140, your body will start to suffer cell damage! So to be safe from further diabetic complications we have to keep our BS below 140 at all times. The primary time we are exposed to these high BS is after we eat, so by taking our BS at 1 hr. and 2 hr. we know if what we ate is acceptable to our bodies ability to process the carbs we ate!

That is a quick summary, but do the reading and this will all become clear...

Good Luck

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Old 07-03-2015, 15:37   #9
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-How do they know I am pre-type 2 and not type 1?
you'll need to have the GAD antibodies test run. Antibodies present = T1, no antibodies = T2

-Should I continue following the GD diet (15 carb snacks, 30-45 carb meals) or is a type 2 diet different?
Forget this diet. It isn't helpful for keeping blood glucose (BG) low if you are having glucose metabolism difficulty. Follow the eat-to-your-meter protocol to tailor your diet to your own needs.

-Is there any way to reverse this 193 number on my OGTT or it will just progressively get worse?
No way to know if your diabetes will progress. But those of us who keep our BG at normal or near normal levels are counting on it not progressing. But everyone is different so there's no guarantee.

-I can't find any info on the typical progression of controlled Diabetes over a life span?
That's probably because no one studies controlled diabetics. No profit in that. However, if you look at the folks on this forum, it would appear that any intervention that lowers BG down to as close to normal levels as possible has a long-term benefits.

-My endocrinologist told me to consider Metformin to fight Diabetes as quickly as possible but I'm nervous that I will forever be stuck on this pill when I know I can handle a strict diet and exercise regimen - any advice?
Metformin is a safe drug to take long-term. However, it may be possible to control your BG by diet alone - I and many others are proof of this. Again - everyone is different. Some have taken it at first and then have been able to go off it after some months of a changed diet (LCHF).

-My glucometer is reading around 90-95 1-hour post-meals (approx 30 carbs). Is this okay or am I eating too few carbs?
That figure is a normal level. It is great. So, you have found that your body can handle 30grams (I take it this was a gram measurement) at one time. Testing regularly will give you more information on how well your body handles whatever level of grams of carbs. BTW - you can't eat too few carbs. Your body actually doesn't need them. If you do greatly reduce carbs, be sure you fill up on health, saturated fats, rather than great amounts of protein.

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Old 07-04-2015, 01:01   #10
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Quote:
Originally Posted by David Burke View Post
We always promote one method, eat to your meter.
Thank you for all of the help. I'm not understanding why, if I eat a 30g carb meal and my 1-hour BG is 95, do I need to cut carbs to 20-50g a day? I'm at 45g of carbs today and all of my 1 and 2 hour readings have been in the 70s and 80s...
Also, why is it so important to eat high fat if I'm full with not so much fat?
Thanks again!

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