From Rochester, New York, USA:
I was diagnosed with gestational diabetes at 22 weeks with level of 184 on 1 hour test. I went straight to a diet. So far so good. I'm managing with fasting blood sugars of 78-89 and post prandials of less than 140 after 1 hour. I have begun testing for ketones in last several days. Morning ketones have been negative, however every day after either lunch or dinner (about 2 hours after), I have had trace to small (even one moderate) ketone levels recorded. Why would I be getting small ketone readings after I eat, but not in morning, or other times of day? My endocrinologist said that doesn't make sense. I'm looking for some information. I'm very nervous about ketones getting to my baby.
During pregnancy there is a phenomenon that has been labeled "accelerated starvation". There appears to be increased breakdown of fats after even a brief period of fasting which results in increased amounts of ketones. In some women this can occur even during the short period between meals. There is probably also increased renal clearance of ketones as well which means that ketones appear in the urine in association with a lower amount of ketones in the blood. However, these episodes are transient and do not represent risk to the fetus. It may be worth increasing your insulin dosing slightly to shoot for 130 mg/dl blood sugar after meals.
Original posting 14 Mar 1999
Posted to Gestational Diabetes
Last Updated: Tuesday April 06, 2010 15:09:02
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2017. Comments and Feedback.