Intro

Question 1

50 g glucose challenge 1 hour later McMillan/L range

Answer 1

7.8-11 will move on to 75g OGTT test

>11 = GDM

Question 2

75 OGTT measure to diagnose GDM (mold/L)
FPG
1hPG
2hPG

Answer 2

FPG > 5.3 or 5.1
1hPG > 10.6 or 10
2hPG > 9 or 8.5

Question 3

Targets for control
FPG
1hr
2hr

Answer 3

FPG <5.3
1hr <7.8
2hr <6.7

Question 4

Why might BG be higher in the morning

Answer 4

FBG may be elevated over night because your liver may become active during a fast and begin to breakdown sugar from stores and release them into the blood. In the morning you may have higher hormone levels that cause decreased insulin sensitivity

Question 5

What if my lunch BG is high when I’ve had the same lunch every day

Answer 5

If you’re FBG or after breakfast BG is high you are starting at a higher blood sugar by the time lunch comes. Your BG may carry over into lunch. To correct this problem you should focus on correcting the FBG or breakfast BG

Question 6

What time should I have dinner and HS snack

Answer 6

Dinner: 7:00 pm
Snack: 10:00

Question 7

How many grams of carbs should I have with each meal

Answer 7

Specific to each individual. Some people can manage more carbohydrates than others. We usually do less carbohydrates in the morning because your insulin sensitivity tends to be lower in the morning.
For lunch we suggest trying 3 carb choice and dinner 3-4 choices and if your BG is high then we know we may need to cut back a little. If your BG is within target then you may have some flexibility to increase

Question 8

What type of snack should I have

Answer 8

Whole grain vs whole wheat
+ Protein
15g (CHO - fibre)

Question 9

Reason for eating three meals per day at regular times no more than six hours apart

Answer 9

Eating at regular times helps your body control blood glucose levels eg converyor belt example

Question 10

Why should you limit sugars and sweets like pop desserts candies jam and honey

Answer 10

These are simple sugars so that means they get broken down really quickly and can raise your blood sugar really high really fast

Question 11

Why eat higher fibre foods and what are examples

Answer 11

Fibre is a carbohydrate that doesn’t affect your blood sugar it can add bulk to your meal and help you feel full without spiking your blood sugar. It’s good to have fibre because this helps your gut bacteria and can lower your blood glucose and cholesterol

Question 12

What about drinks

Answer 12

Try to make water your drink of choice because juice has a lot of sugar. Even fresh squeezed juice has a lot of natural sugars. If you think about one orange being one carb choice, how many oranges does it take to make one glass of juice. And the juice has a high amount of sugar while eliminating that healthy fibre you would get from the ski

Question 13

What is the player model

Answer 13

A good way to plan your meals
Picture 1/4 of plate for your protein (meat or tofu, beans or lentils) about the size of the palm or your hand
1/4 will be your starch about a fist size (potato, rice, whole grain bread, quinoa, corn or pasta noodles)
And 1/2 plate should be your vegetables and atleast two kinds so it could be a salad, or baked steamed or boiled veggies. Vegetables are great because they are high in fibre vitamins and minerals and low in carbs so you can eat a lot of it and alot of good nutrition without increasing your BG and helping to fill you up
-you also want to include some dairy because dairy really helps you get calcium into your diet so a glass of milk. So 1 cup of low fat milk or a calcium enriched almond or soy milk
-and one piece of fruit will complete your meal