Despite knowing better, I was pressured into taking the 2hr glucose tolerance test. I failed. Miserably. The test was 75gm Glucola and at 1hr my sugars were 208 and 2hr they were 193. Oops. Since then I have found a few studies that show low carb diets tend to increase the rate of failure of the OGTT in individuals who would otherwise pass if they were consuming a higher-carb diet. I have been asked to test my sugars for 2 weeks, while keeping a food log, and if everything is fine, they would reverse the diagnosis. My levels 1h after eating have been great, with most all in the 80-90s range. Unfortunately, today I worked late and was feeling hungry and tired, so I stopped for Pho and salad rolls. Big mistake.
My 1hr glucose was 180! 90 minute reading was down to 96 and 2hr was down to 89.
Now I feel like my appointment tomorrow is going to be a big battle. How normal is it for someone without diabetes to have a spike that high? It seems that the levels returned to normal pretty quick, without any reactive hypoglycemia, but I honestly don't know much about diabetes.
Edited: Meeting with the midwife and perinatologist today was interesting. They don't think I have GD (DUH) but aren't willing to remove the diagnosis. The dietician didn't know what to say either other than to "eat more carbs." Lame. So in agreement, I have two weeks to increase my carb intake and re-take the OGTT so that I can pass and have a waterbirth. I'm meticulously planning on how to do this through fruits and a little brown rice. Not ideal, but two weeks won't kill me, and then I can go back to normal dieting. I hate being their experiment, but they admit they haven't ever dealt with this before. Hopefully I can save someone else this grief later on.
Also, I have many of the (peer-reviewed) articles on low-carb dieting and propensity to fail an OGTT, if anyone wants them. Go in armed with research before being bullied into the test! There are alternate solutions.
Thanks for all the helpful answers!
Final edit: I ate like crap for the last week and a half as per doctors orders. My old friends Ben and Jerry visited a few times and I have felt so crummy. My body is bloated, my head has been congested, my GI tract is angry, and my eczema is flaring up for the first time in a while. I took a second 75gm OGTT this morning, and passed with flying colors. My 1 hour reading was 147 (cutoff 180 mg/dl) and my 2 hour reading was 127 (cutoff 153mg/dl). I don't know whether to be happy about passing or mad that I had to eat crap for the last couple of weeks just to get this diagnosis taken away.
asked byRoni (158)
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on May 11, 2012
at 03:28 PM
Check out this thread: http://paleohacks.com/questions/70664/gestational-diabetes-glucose-test#axzz1uZfRt4EX
on May 11, 2012
at 05:33 PM
Totally normal. Read this:
on May 11, 2012
at 04:30 PM
If, after 2 hours, your numbers were down to 89, your body is reacting normally to the carbs you do ingest.