December 20, 2000
Question from Denver, Colorado, USA:
I am 29 years old, 32 weeks pregnant, and was diagnosed with gestational diabetes at 29 weeks. For the first first week or so, my fasting levels were between 70 and 90 mg/dl [3.9 and 5 mmol/L}, but, for the last two weeks, they have been registering above 90 mg/dl [5 mmol/L], but still below 100 mg/dl [5.5 mmol/L]. I am concerned that they are getting too close to 100 mg/dl [5.5 mmol/L].
I have heard a midnight snack can bring down the numbers. What are some different ways to try to keep fasting levels below 90 mg/dl [5 mmol/L]?
I would suggest reviewing your meal plan with a dietitian to make sure you are following it properly. A snack at midnight will probably not help. It is possible that you are developing more insulin resistance as the pregnancy progresses. This is usually what occurs with gestational diabetes.