Reply to Gestational Diabetes as a risk factor for Type 2

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[quote=Anonymous]I’m floored. My annual bloodwork A1C came back in the low-end of prediabetes. My sole risk factor is having had GD with my 3rd pregnancy (at 42, if that factors; I had flunked the 1-hr test but passed the 3-hr GTT with the first 2 pregnancies). I’d love to know if others with GD as history and an otherwise athletic lifestyle, and are at a healthy weight, were able to overcome their prediabetes status without a lot of food sacrifices.

I am now 58. When I think Type 2 diabetes, I picture someone who is overweight, sedentary, eating a lot of processed food. I gave up alcohol 18 months ago and lost 17 lbs rather quickly (I’ve learned how in some bodies the sugar from alcohol is metabolized first, and right into the fat cells, and I seem to have one of those bodies). I went from 5’5” and 158 at my peak to 133 lbs. At the time I stopped drinking, I injured my hip and I could not do any exercise for more than a year. In the last four months I reengaged in a competitive sport at the masters level, and am doing high-intensity workouts 4x weekly for 60-75 min session. I’ve lost another 5lbs and now weigh 128. And I have prediabetes! There is zero family history of diabetes, and none of my sisters had GD. My lipid panel is in the “zero-to-worry-about” category (all that exercise+genetics). My diet is pretty good: we eat family dinners that I cook from whole ingredients five nights a week, though there are areas I can improve.

I feel like after giving up alcohol, plus working out at a high level, I should be able to enjoy a couple of Milano cookies. Has the gestational diabetes doomed me that significantly? I managed my GD just fine with CICO (I could enjoy a latte if I walked to the Starbucks six blocks from my office for it), otherwise I followed your basic low-carb/South Beach diet. I realize A1C measures glucose levels over time, and as I’ve only recently become very physicially active again (four months), perhaps the benefit of that new activity hasn’t been measured yet?[/quote]

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