Hello everyone,

I am thinking about having baby #2 and am wondering about trying to eat a low (or lower) carb diet this time around. Baby #1 was big (9 lb 13 oz at 37 weeks) despite good control (A1cs in the low 6s and high 5s the whole pregnancy). I'm wondering if limiting my carb intake will help me to minimize blood sugar fluctuations and help avoid chasing high blood sugars.

However, I know that most OBs, nutritionists, etc are not too keen on pregnant women limiting their carb intake. So I was curious to hear whether anyone has done this successfully, with or without the support of your OB or endo.

I think there have been posts about this before, but I couldn't find them, and anyway I thought it might be a good topic to bring up again.

Looking forward to hearing your experiences!

Best,
Elizabeth

Views: 211

Replies to This Discussion

From what I understand, going too low causes protein and/or ketones to "spill" into your urine. There is some debate about whether this is OK, but let me just warn you that protein in the urine is one of the signs they watch for when they suspect pre-eclampsia. So even if you believe ketosis is safe (as do many low-carbers), I'd be a little bit worried a out raising the risk of a pre-e diagnosis. (When I got badly swollen, they were so sure that I must have pre-e despite perfect blood pressure that they had me do a 24-hour urine sample to look for protein after my routine in-office sample showed none.) Just FYI.

I doubt a LOW carb diet is a great idea, but simply reducing carbs probably isn't a terrible idea. I'd probably talk to one of my doctors a out a safe lowish carb goal.

I ate high carb in pregnancy (185g / day) and had low ketones in my urine every morning. So I don't know what it depends on.

I don't want to go low carb, but I have heard that many women who have and have done great with it!

Are you on the positive diabetic pregnancy mailing list (Yahoo group)? There are a few low carb / paleo women there and a few discussions about it.

Thanks for the replies! I should clarify; I don't think I could handle a truly low-carb diet, I was just thinking of eating fewer carbs than I did in my last pregnancy (which was between 150-200g/day). I guess I was thinking somewhere around 100g/day, which I think is below what is recommended in pregnancy.

I also had small-moderate ketones in my urine last time, and my OB wasn't concerned. She eventually told me I could stop testing. I never really understood what that was all about.

And thanks for the heads up about the Yahoo group; I'll check it out.

Why kind of foods are you thinking of eating?

I used to eat reasonably low carb but since I have stopped eating any food with listeria links I find my options are limited unless I make it all myself.

I havent had the energy to do this so far

Hey Kristin, I finally got around to looking for that Yahoo group and can't find it--is that the exact name? Can you send me a link or anything? Thanks!

Click here for the group.

The link didn't work. :( It said, "document not found."

Sorry. You can send an email to this email address and that will subscribe you to the Yahoo Group and then you should get a link to it sent to you:
positivediabeticpregnancies-subscribe@yahoogroups.com

My first pregnancy my Dr tried to control me with very little carbs. I always had very high ketones and I ended up haveing a miscarraige(not saying this is why). I did read about going low carb and having high ketones can be bad for the baby.

I ate fairly low carb throughout my pregnancy (80-120g) even though it made my nutritionist crazy. I was so sensitive to carbs that I had to cut out most grain products entirely. If I did eat many carbs with a meal it had to be balanced with fat and protein. I was able to keep my a1c's between 5-6 with no ketones present. My endo and ob were both fine with this approach since my numbers were good.

80-120g/day is probably about what I'd shoot for, too. I have a feeling it will make my nutritionist crazy if I do it, too. :) I'm not pregnant yet, but for the last few weeks I've cut out all sugar and other sweeteners and most grains and started eating more vegetables (I already ate a lot by American standards). While my blood sugars haven't been as amazing as I thought they'd be, they're better than usual and I'm definitely seeing less fluctuation. So I'm inspired to keep going with it. I can't wait to see what the nutritionist says!

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