u/agoorabbit

Hi everyone, Im a new joiner. Progressed from pre diabetes to T2D 3 months ago at 14 months postpartum. I did have GDM during pregnancy and prediabetes after delivery. Things went down hill quickly after weaning at month 11.5 and switching to keto with the hope of reversion prediabetes. Didnt work out, blown up to T2, not exactly sure why. Endo had no idea and didnt give much explanation other than the usual 'less carb, build muscle'.

Long story short, Im using a GDM to monitor my bg and can see that I easily spiked higher than 7.8 with anything more than 15gr of carb. As many people said before, the more Im scared of the spike, the less carb I eat to avoid the spike, and because of that I tend to tolerate less and less carb over time. I feel edgy, irritated and less energetic when not having enough carb, same as when my spikes happen.

For those who are alr successful at improving IR, could you pls help me with the below questions?

1. What is the bg range that you aim for after meal? I read we should aim for all time below 7.8 to improve IR condition. Mine is always go up to 8-9 mmol within 1 hour then go below 7.8 for a meal with just 15-20gr carb. Is that okay or must be below 7.8 all time to avoid diabetes complication? (Im still not on med, seeing endo soon to discuss if I should go on med or continue to try with diet)

2. Should I just ignore CGM and focus on good balance meal with complex carbs, food sequencing, exercise and build muscle? That means I will definitely spike and numbers may not be in good range. Im confused of what I should focus on. Should I focus on both keeping number im good range while building muscle (low carb diet) or should I just focus on building muscle without caring abt the daily number? (Not stuffing tons of bad carbs but eating more carb to feel energetic to exercise, which may spike to 9 or 10)

Im super depressed with the diagnosis and also consider to see a psychiatrist soon. Not sure Im depressed thats why my IR got worse or the IR actually causes the depression.

Appreciate your help.

Hi everyone,

Im puzzled with what went wrong with my result. I got GDM a year ago then prediabetes 4 months after birth which was ard Sep 2025 (a1c 5.5, fasting bg 4.2, and 2 hour bg 7.9). Doc said it could be due to hormone. So I waited until May this year to take another test. The a1c was 5.7, fasting bg was 4.6 and 2 hour bg was 9.4. Since then I cut down carb to 15gr per meal to keep my spikes safely below 7.8, followed textbook advices on the 18:6 fasting, food sequencing, walk after meal, 10k steps per day, weightlifting every other day, protein intake ard 90-100gr per day. Weight dropped from 57.5kg to 53.2kg including 4kg of fat, unfortunately without muscle gain, moved BMI to normal range 21.3 (used to be 23.1).

Last Saturday I went for glucose test and got the result today. I am devastated to know my 2 hour glucose is now 11.8 though A1C dropped to 5.3 with fasting glucose up to 5.3. I did ask for other blood tests like magnesium, iron, hormone, vit D. All come back normal except iron is on the low end of normal range which is 9.4umol/l.

I heard it may take like years before prediabetes becomes diabetes, I didnt expect mine exploded within 3 months of hard work, what could have gone wrong for my case? Anyone knows?

I requested for another OGTT test this coming Sat to confirm, also requested fasting insulin and C Peptide, tgt with test for LADA.

The only one thing I couldnt do for myself is to get good night sleeps as I have 2 kids under 3 and they are sick every other week. Once they are sick I need to wake up every 4 hours to give them ventolin puffs. During the week leading to the test day, they were sick again so I didnt sleep much. Not too sure if it contributes to today bad news.

Thank you!