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09-01-2009, 10:13 AM
| | Junior Member
I am a: Pre-Diabetic | | Join Date: Aug 2009
Posts: 12
| | | To Carb or not to Carb I am finally going for a needed fasting glucose tolerance test. I have seen on several websites that you should eat high carbs for 3 days before your test, but the ADA is silent and the NIH says eat normally. My doctor's nurse scoffed when I asked the question & said "you should be reducing your carbs, not raising them." So what is the right approach for the GTT? High carbs, low carbs or normal carbs? I am not currently on a reduced carb intake. | 
09-01-2009, 10:19 AM
|  | Senior Member
I am a: Type 2 | | Join Date: Jul 2008 Location: Holland, Michigan USA
Posts: 1,038
| | Quote:
Originally Posted by lewisjl I am finally going for a needed fasting glucose tolerance test. I have seen on several websites that you should eat high carbs for 3 days before your test, but the ADA is silent and the NIH says eat normally. My doctor's nurse scoffed when I asked the question & said "you should be reducing your carbs, not raising them." So what is the right approach for the GTT? High carbs, low carbs or normal carbs? I am not currently on a reduced carb intake. | IMHO do what you normally do.
If you are going in for a GTT it seems to me that doing something special/different is going to skew the results from what it should "normally" be.
__________________ As always YMMV! Diagnosed: July 3 2008
A1C- 7/08= 10.6  11/08 = 5.6 5/09= 5.3 11/09 = 5.6
triglycerides - 7/08 = 192  11/2008 = 84 11/09 = 66
HDL - 7/08 = 46  11/2008 = 74 11/09 = 79
LDL - 7/08 = 106  11/2008 = 80 11/09 = 65
Low Carb Diet (15-50g/day)
Metformin ER 500mg 2x day
Neurontin 800mg 3x day
Meloxicam 15mg 1x day (arthritis)
Multivitamin, B12, fish oil
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09-01-2009, 10:37 AM
|  | Super Moderator
I am a: Type 2 | | Join Date: Dec 2006 Location: Knoxville, TN
Posts: 11,099
| | | I agree with Cyberus. Eat as you normally would. If you are diabetic, you'll fail the test regardless.
__________________ T2, diagnosed 8/31/06.
Metformin 500 mg twice daily
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (after dealing with shingles & bronchiti)
2/09: 5.5 | 
09-01-2009, 10:47 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 8,686
| | | Well it does bring up the question of insulin storage ... how much can we keep in reserve, and how long is it depleted for?
I tried googling but no luck. Some other interesting stuff, but not that. I will let you know if I find out more though!
__________________
Linda Feb 18 A1c 6.1 Nov 30 A1c (MD office) 5.6%
Jul 09 ... C-pep 1.3, GAD-65 > 30
Mar 10 C-pep 2.8 (20 g carb); GAD 3.2 metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.2
coming soon ... : Levemir We DID NOT eat our way here. | 
09-01-2009, 10:49 AM
| | Senior Member
I am a: Type 1 | | Join Date: May 2009 Location: TX
Posts: 590
| | There is some slight potential for your body to react poorly if you have been on a very low carb diet.. that's why they say to "eat normally" or "carb load" before the test, so they can measure your body's typical response, not what would amount to a stress response if your body is not used to processing carbs at all.
If you are diabetic though, no amount of anything you do before the test will make much difference in the results.
If you aren't currently low carbing I wouldn't worry.. just carry on as normal 
__________________
Sarah, T1 since 2000 PINGing Apidra along with Dexcom 7+
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09-01-2009, 10:51 AM
|  | Super Moderator
I am a: Type 1 | | Join Date: Aug 2003 Location: Northern California
Posts: 9,670
| | | Eat normally. You want the tests indicative of what you normally do each day.
__________________ Nancy Kind words can be short and easy to speak but their echoes are truly endless. Mother Teresa diagnosed type 1 October 1986
currently using Medtronic MiniMed
paradigm 715 CLEAR | 
09-01-2009, 01:51 PM
| | Member
I am a: Type 2 | | Join Date: Sep 2008 Location: Wi
Posts: 328
| | | This is not a college entrance exam! You want the test to be accurate, so they prescribe the right thing for you right? Why would you change your habits just before the test?
I would eat normally. Then again, the test is based on long term molecular activity, not what happens a couple of days before the test.
__________________
-Jeff
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