This is what happened. I never had any GTT. On the day of my prenatal appt, I planned to go to a bagel shop not too far from the midwife's house (that I don't have in my town). I ate a good breakfast but then didn't eat much until I picked up the bagels at 3:15 or so. This was intentional - old habit, I guess - because I knew the bagels would be a lot of calories.
At my appt, I tested with a urine strip test that included ketones. They were very high. I guess that's because I didn't eat for several hours. After that, she wanted a BG test. It was 175. Part of me wonders if this was not so unreasonable, given that I had just ingested two (not whole wheat) bagels with lowfat (sweetened) cream cheese - a bigger load of glucose than a GTT! This BG test was only an hour and a half after the bagels. I told her all this, of course. She still wasn't happy that the results weren't under 140 and gave me the low-carb diet recommendations.
I know that there have been plenty of days when I've eaten a lot. Then there are other days I don't eat enough (or more likely, large meals too far apart). Since I've been doing this testing and eating smaller meals more often, the ketones have steadily gone down.
I think that I have to keep meals small and balance with some protein, but I can eat a little bit of almost anything. (Morning might be an exception). Yesterday for lunch I had a chicken sandwich on whole wheat and a small slice of chocolate silk pie, and my two hr test was normal. But I'm sure my midwife would freak out and tell me I can't eat something like that. She thought my diet sample had way too many carbs. I just don't understand how it could be too many carbs if they were nearly all complex, and my BG tests were all fine.
At my appt, I tested with a urine strip test that included ketones. They were very high. I guess that's because I didn't eat for several hours. After that, she wanted a BG test. It was 175. Part of me wonders if this was not so unreasonable, given that I had just ingested two (not whole wheat) bagels with lowfat (sweetened) cream cheese - a bigger load of glucose than a GTT! This BG test was only an hour and a half after the bagels. I told her all this, of course. She still wasn't happy that the results weren't under 140 and gave me the low-carb diet recommendations.
I know that there have been plenty of days when I've eaten a lot. Then there are other days I don't eat enough (or more likely, large meals too far apart). Since I've been doing this testing and eating smaller meals more often, the ketones have steadily gone down.
I think that I have to keep meals small and balance with some protein, but I can eat a little bit of almost anything. (Morning might be an exception). Yesterday for lunch I had a chicken sandwich on whole wheat and a small slice of chocolate silk pie, and my two hr test was normal. But I'm sure my midwife would freak out and tell me I can't eat something like that. She thought my diet sample had way too many carbs. I just don't understand how it could be too many carbs if they were nearly all complex, and my BG tests were all fine.
