Moderators: JeffN, carolve, Heather McDougall
slugmom wrote:Hi Jeff,
last week I had a 1 hour glucose tolerance screening for gestational diabetes.
The labwork said I did NOT have to fast before it, and so I ate lunch before going in (between 12:30 - 1 pm) and had a chickpea and whole grain pasta soup.
I just got a call that my results were "borderline high" - 147 after the 1 hour from drinking the orange goo. So now they want me to go in for the 3 hour glucose test where you eat "an extra piece of bread with each meal" for 3 days prior, and then fast for 12 hours before being tested.
I don't know whether what I ate for lunch just before going in may have skewed my results, or not.
I guess I'd like to know what the best approach to not flunking the 3 hour test is. My biggest concern is getting slapped with the 'gestational diabetes' label and being pressured to eat a high protein, low carb diet. Would it be better to make sure not to have even whole wheat *flour* products and sweetened things (all fruit sorbet, etc.) in the week before the test?
I've been following Dr. McDougall's plan for about 6 weeks.
Background info:
I'm 5' 0" and weighed 131. when I first found out I was pregnant -- I had been following Dr. McDougall's plan and losing weight for several months, but when the nausea hit I fell off the plan and ate very poorly for the first 20 weeks or so. Got back on the plan when I was feeling better and my husband was diagnosed with high blood pressure. I'd gained about 17 pounds in those first ~22 weeks, but then dropped back down a little to about 142 over the first few weeks back on the plan, and have bounced around near there, in the 142-144 range the last few weeks. Even though I lost a little weight, I feel like I'm eating plenty, I'm not trying to lose weight or *diet* -- just eat healthy. I think a lot of it was losing some water retention weight from the prior junk food eating.
So at ~28 weeks I weighed 143 on the day I went in for testing. I'm caucasian and 39 years old.
Thanks,
Kim
slugmom wrote:Jeff,
Thank you for taking the time to reply, and for your sensible answer and the links. I appreciate it and feel better equipped to persevere in all this. And you're exactly right, following the MWL or MM guidelines are healthy regardless of what some screening has said, that's good to be reminded of. I do know I have room to be a bit stricter with my application of the program.
I do exercise, walking around 5 'exercise miles' a day at a moderate level.
I just want to double check, in the other thread on gestational diabetes you mentioned you did not think fruits would be a problem, but that they could be limited to 2 servings a day to see what happens. Since I have not been (and really don't think I will be) diagnosed but am facing the 2nd test, do you think I should limit them in the days between now and taking the 3 hour test? Also, regarding the mention of flax seed -- is that considered a helpful addition, or simply an optional ('it won't harm you any') one? I know that limiting oils is part of it, and didn't know whether 1-2 T. ground flax would be adding to the problem, or if there were specific benefits to it's addition.
Thank you again,
Kim
JeffN wrote:slugmom wrote:I do exercise, walking around 5 'exercise miles' a day at a moderate level.
Hi Kim
...
If passing the test if your main concern than eliminate them both.
The key issues in IR is activity (I do not know what "exercise miles" are), naturally occurring high fiber foods, minimal to no refined/processed foods, weight, belly fat, and dietary fat.
Instead of the slice of bread at each meal, you can take a dose of Konsyl at each meal for the 3 days before and they will help lower your numbers and make sure you go for a long walk the night before and in the AM if you can..
slugmom wrote:ugh, it looks like I wont be able to get to the lab until next week, I'd just as soon get the test over with.
Just wanted to double-check ... sweet potatoes are maligned by the popular press but are a *good* choice for MWL -- they're fine for a 'controlling blood sugar' diet as well, aren't they? Can they be one of my staple starches in this 'trying to be as careful as possible before the test' time?
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