When I finally did find out I had "gestational", I was testing my blood sugar like crazy and quickly figured out that meats, veggies and strawberries did not send me spiking through the roof. (By that time the meat aversion had gone away). So during the last trimester I was unknowingly being primal. And after I delivered, the weight melted off!
Anyway, yes, you're right, creamy foods would probably be a good option. I'm just trying to plan ahead (way ahead I guess) for what foods I can eat - especially in the even that I develop food aversion - b/c I'm so scared of what high blood sugars would do to me or to a fetus early on. I've considered Greek yogurt, nut smoothies etc. But even greek yogurt is a tad bit higher on the spectrum of carbs than I care for.
And to your point, I do know that I can control my Type II with very low carb Primal and have succeeded in doing so in the past. For instance in the last several weeks I've been pretty strict with diet and exercise and I've managed to keep my blood sugar in the 80s! (I am not on insulin BTW). But, I had been lax with my diet in the past which is why I'm now trying to get rid of 25 excess pounds before trying to get pregnant.
As I'd mentioned, my endo insists that I'll have to eat 150g a day, be on insulin, and he's hooking me up with a dietician. But I'm dreading what the dietician will tell me b/c I'm quite certain she'll insist that I'll need to eat plenty of carbs. So scary....