Ketones and GD

[Joppi]

Hi there,
A bit stressed as after a routine hospital appointment they found ketones in urine ++ and then a score of 1.0 ketones in blood. They’ve now recommended I get thoroughly tested in triage for a full check up.
I was diagnosed with gestational diabetes a month ago and since have been following a lower carb diet. Has anyone been through this/able to advise??

Thanks

You'll have ketones because you're low carbing. The gestational diabetes website has a section on it - in short, it's your call about whether you think it's a problem (the balance is between controlling your diabetes or limiting ketones). I low carb in general and have done for years (not because I have GD) and have frequently had ketones in my urine and neither me or my midwife are overly concerned (this is my second pregnancy and it was the same with my first)

www.gestationaldiabetes.co.uk/ketones/

Thanks! That’s exactly what I’m trying to balance - controlling the gestational diabetes via diet and limiting the ketones. I’ll read the link you shared - thanks for that! 😀

Hi op I had gd and I often had ketones in urine but I always had my appointments first thing when my sickness was at its worst ( not that it ever really let up) so if you haven't eaten or drank before your appointment it can affect it. And yes you need to be eating regular carbs little and often is the best way to go because if you go without during some meals you'll have a higher sugar spike when you do next have carbs and are more likely to have ketones in the meantime. I kept a record of everything I ate along with my sugar recordings for the day and then if things weren't right I was able to go back and show the diabetic nurse and midwife what I'd eaten and they helped me figure out the adjustments, then I more or less just stuck to what I knew worked. So might be worth trying. If you're constantly having to go very low carb and it's causing problems they might need to start you on a low dose of insulin. I needed it just at night because my night sugars were through the roof while I was asleep and that wasn't anything to do with diet. It wasn't anywhere near as bad as I was expecting but it did affect my birth planning.

Thanks @Ilovetea42 will spread out the carbs as you suggest. I think there had been a large gap since my last meal when I was tested which would have had an effect