I was initially diagnosed with GD at 13 weeks with my first pregnancy. It didn’t fully go away after birth, I still had high postprandial blood sugars, I managed it with diet. Second pregnancy I was on insulin in my first trimester. After my second pregnancy, it seemed to go away. I had repeated A1Cs that were 5.0, the last one was in August. A few weeks ago I noticed some symptoms, exhausted, constantly hungry, thirsty a lot, suddenly gaining weight after my weight being pretty stable for almost 2 years (since the second baby). Sure enough, my fasting blood sugar is now over 100 (postprandial seems ok, basically the opposite of how it was before ). I had a lot of testing early on, because my family history and presentation made me “atypical.” So I know I’m negative for MODY 1-5. As of almost 5 years ago I was negative for ICA, GAD and 1 other antibodies, and c-peptide was normal. Three years ago my fasting insulin was low (<2.0) but my fasting blood sugar was 91 so that doesn’t necessarily mean anything.
I have an appointment next week, but long story short, it looks like Prediabetes. Ok, so I need to go back to a low carb diet. I’ve done it before, I know how, and I can stick to it. Except I always feel really terrible when I eat low carb. Weak, depressed, really irritable, constantly starving, exhausted. According to my husband I become impossible to live with. I’m not sure how to approach it differently so that doesn’t happen this time.