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Thread: Gestational Diabetes & daily carb intake page

  1. #1
    LisaLS's Avatar
    LisaLS is offline Senior Member
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    Question Gestational Diabetes & daily carb intake

    Primal Fuel
    So I'm 27w pregnant and was diagnosed with GD just this past monday. I have everything working against me so this news isn't surprising at all. PCOS, insulin resistant before pregnancy, overweight (although I was still primal and was losing it slowly), family history etc etc. It helps that when the cravings and aversions kicked in, I wanted nothing to do with meat at all and wanted carbs carbs carbs... so yeah :\

    I went to the GD class the next morning and WOW.... just a whole lot of CW.
    Saturated fats are EVIL (seriously, she said that and included a cute little meany face ) and liquid margarine is HEALTHY! Wha???

    Anyway.. obviously I'm not going to be following the sample meal plan that was given to me, but should I try to get the amount of carbs that was given? (from healthier sources of course).

    The dietician wants me to eat 45g each meal, with 3 snacks a day at 25g EACH.
    Are that many REALLY necessary for the baby? It just seems like an obscene amount to be eating, even getting them from healthier sources.

    I've been eating more fruit, but even still... I get maybe, MAYBE 15-20g of carbs per meal or snack depending on the piece of fruit I ate (this is not counting the veggies).

    Dunno.. just sorta wondering what I should do. Thinking that many isn't necessary, but don't want to do anything that would keep the baby from growing as she should.

    Any information or personal experiences would be most helpful!
    DD born August 2012
    TTC #2
    SW: 1/20/14- 212.4
    CW: 2/21/14- 202.6 (9.8 loss)
    Goal: Short term, get below 200 and get pregnant. Long term, get to 120-130
    Mini goal, get in to a size 12.

    My boring uneventful journal for your viewing pleasure

  2. #2
    Dr. Bork Bork's Avatar
    Dr. Bork Bork is offline Senior Member
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    No, no, no, NO! Have you looked into getting a second opinion and/or hooking up with a more holistic doctor (or at least one who respects the way you eat)?

    I'm diabetic, and my doctor isn't a big fan of Paleo, but she trusts my judgement and knows my diet is super clean (especially compared to her other patients). Going lower carb (less than 100g per day, per the PB guide) has helped my hA1c stay under 6 for a year & a half.

    I followed this lovely lady through her paleo pregnancy. She is T1 diabetic and my role model for pregnancy:
    My Primal Nest

    I would cut fruit down or out of your diet (it's only for a few months), just to prove your current doctor wrong. Stick with tons of veggies, good healthy fats, and ample protein.
    I love going "neener neener" lol.
    Last edited by Dr. Bork Bork; 05-16-2012 at 01:01 PM.
    --Trish (Bork)
    TROPICAL TRADITIONS REFERRAL # 7625207
    http://pregnantdiabetic.blogspot.com
    FOOD PORN BLOG! http://theprimaljunkfoodie.blogspot.com

  3. #3
    LisaLS's Avatar
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    Yeah, that's what I thought.
    I really don't eat that much fruit. 1-2 servings a day w/ either a meal or as a snack between lunch and dinner. Before getting pregnant I gave up almost all fruit. Maybe had it once or twice a week if that much.

    Started taking my blood sugar levels yesterday and so far so good. I think if I ate the amount she gave to me, my numbers would be WAY higher than they should.

    Thanks for sharing the link to the blog. Gonna check it out right now
    Last edited by LisaLS; 05-16-2012 at 01:22 PM.
    DD born August 2012
    TTC #2
    SW: 1/20/14- 212.4
    CW: 2/21/14- 202.6 (9.8 loss)
    Goal: Short term, get below 200 and get pregnant. Long term, get to 120-130
    Mini goal, get in to a size 12.

    My boring uneventful journal for your viewing pleasure

  4. #4
    Dr. Bork Bork's Avatar
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    Consider curbing fruit to once or twice per week, and limiting it to low g.i. choices (berries, plums, peaches-- all fresh, btw). Make it your treat. Dress it up even so it feels like something really rewarding and decadent. Berries & grass fed cream does it for me

    EDIT:
    oh and pay attention to how your body responds to certain foods. For example, I generally avoid potatoes b/c they drive my blood sugar bananas.
    Last edited by Dr. Bork Bork; 05-16-2012 at 06:20 PM.
    --Trish (Bork)
    TROPICAL TRADITIONS REFERRAL # 7625207
    http://pregnantdiabetic.blogspot.com
    FOOD PORN BLOG! http://theprimaljunkfoodie.blogspot.com

  5. #5
    Sol y Sombra's Avatar
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    This is a very interesting topic and one I would love to learn more about - firstly because I myself have PCOS and secondly, because I know people with diabetes who are totally opposed to my primal diet, but I care for them and would like to be able to influence them more to change their diets... One thing has got me thinking - when I talk to diabetics about cutting down on carbohydrate-heavy foods such as bread, pasta, potatoes, rice and even limiting fruit, but emphasizing veggies and in general trying to keep their carb intake low, they always say diabetics have to eat carbs (a minimum amount at every meal, just like Lisa wrote) to avoid hypoglycemia. And indeed, everywhere I have looked on the net, one of the cause listed for hypoglycemia, apart from excessive insulin production, is low carb intake at meals... Is that really how hypoglycemia occurs - you eat too few grams of carbs, say 10 per meal, and your blood sugar plummets and you get hypoglycemic? It doesn't seem to be so from the numerous accounts of diabetics who follow a low-carb diet. On the contrary, their blood sugars stabilize and 'lows' are avoided, because hypoglycemia is (in the typical case) the result of a previous spike in blood sugar and insulin. So eating fewer carbs means blood sugar and insulin don't spike, but stay normal, so there's no way for hypoglycemia to occur.

    I guess my question is (if you can answer, that is): is it really possible to get extremely low blood sugars from not eating enough carbs?

  6. #6
    Dr. Bork Bork's Avatar
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    My problem has never been low blood sugar. I was diagnosed with diabetes because it was raging out of control, probably should be in ER cuz it's constantly HIGH. Maybe it depends on the diabetic. What I really think it stems from is the "eat 6 meals a day" theory. If you're eating a SAD, 6 meals a day, then of course you're going to have lows. That's the whole reason people eat 6 meals a day is to supposedly stabilize their blood sugar and rev up their metabolism. It's a bunch of bologna. I, for one, feel liberated from constantly checking my watch to see if it was time to eat again.
    When you are eating a Primal/Paleo diet, your blood sugars are stabilized because of the high fat/protein and reduced carb. Not necessarily low carb, because I know plenty of people who follow a paleo lifestyle and eat high carb, but it comes from the right sources. Also you eat only on demand (when you're hungry).
    --Trish (Bork)
    TROPICAL TRADITIONS REFERRAL # 7625207
    http://pregnantdiabetic.blogspot.com
    FOOD PORN BLOG! http://theprimaljunkfoodie.blogspot.com

  7. #7
    Sol y Sombra's Avatar
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    Exactly my line of reasoning Thanks! I try to keep educating myself, I am constantly reading stuff about how blood sugar and insulin regulation works, trying to manage my PCOS better without hormonal drugs. I have had great success, but still have some issues, so I am trying to get to the bottom of this. As for diabetes, my paternal grandfather died of it, my uncle has it, my maternal great grandmother had it, both my parents are pre-diabetic plus I have a friend who's type 1 diabetic. I would really love to be able to help them. My mom has been following the PB with me (we both eat 80-100 g carbs/day, not VLC) and has had great success in both weight loss and improvement in blood lipids. Her blood sugar readings are better as well. I only wish more of my relatives would take my advice. But, like I said, to convince them, I need to have information and be able to explain how everything works.

  8. #8
    Dr. Bork Bork's Avatar
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    My mom's whole family is T2 diabetic. My doctor says we're all probably more like 1.5. It appears to be more genetic than poor health choices onset. I am trying to get my mom to at least go Primal, but the no grains thing is a deal breaker for a lot of people. Honestly, the only thing I really miss is corn bread (which you can make gluten free, btw, thanks to bobs red mill). What I'd give to be a personal shopper & chef for my family! For anyone I love, really.

    What many people don't realize is that at the end of the day, weight loss is all about insulin. Subsequently, diabetes is heavily tied in there, at least for T2 (get weight under control, you're more likely to get insulin under control, and vice versa)
    Last edited by Dr. Bork Bork; 05-17-2012 at 08:48 AM.
    --Trish (Bork)
    TROPICAL TRADITIONS REFERRAL # 7625207
    http://pregnantdiabetic.blogspot.com
    FOOD PORN BLOG! http://theprimaljunkfoodie.blogspot.com

  9. #9
    Kelmar's Avatar
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    I was diagnosed with GD my last pregnancy. My doctor limitd me to no more than 20g of carbs per meal....I gained about 25 pounds and my baby was a-ok, he was born two weeks early but even at that he weighed 8 lb 2 oz.
    I treat my body like a temple.....to nourish the Goddess who lives inside

  10. #10
    LisaLS's Avatar
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    Kelmar- Thanks for sharing your own experience

    Bork- Thanks for all of the info I've only started this whole process so it will be interesting to see what I need to avoid and what I can have. If the amount of fruit I eat is causing a problem, I will def cut back on it. So far so good though except that my fasting sugar levels seem kind of high.
    It is supposed to be between 65-95. I stop eating at around 8:30-9 b/c I go to bed at 10. Wake up at 9am and check sugar soon after and the 2x I've done it, it's been 90 & 91. Not sure what's going on there and why it's remaining that high when I haven't eaten anything in 12hrs.

    Sol- It sounds like you're doing great on your new Primal journey. Maybe once your family sees your success, it will help to convince them to at least try it out. People are so reluctant to give up their breads, pastas etc though.
    DD born August 2012
    TTC #2
    SW: 1/20/14- 212.4
    CW: 2/21/14- 202.6 (9.8 loss)
    Goal: Short term, get below 200 and get pregnant. Long term, get to 120-130
    Mini goal, get in to a size 12.

    My boring uneventful journal for your viewing pleasure

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