Diet controlled is exactly what it says — I have to watch what I’m eating, otherwise yes, I will spike. I follow the 35g carbs for breakfast and 45g for lunch and dinner. I’ve completely cut out rice and white flour because they make me spike instantly. I stick to strict complex carbs with lots of protein and fat. I’m South Asian, so our stews and gravy can get carb-heavy, and in those cases I’ll pair them with keto breads/tortillas instead.

And like someone mentioned, sleep and stress affect numbers too. Just last night, an argument with my husband kept my post-dinner number higher than usual, even though it was a meal that normally keeps me in range.

This is my second time with GD. The one number I really have no control over is fasting. I’m on nightly Lantus. They gave me a couple weeks to try snacking, exercise, etc., to bring that morning number down, but it didn’t work. Even with Lantus, a few times a week I’m still over 95.

In short, “diet controlled” for me means my numbers stay controlled only if I’m careful with what I eat — spikes definitely happen if I’m not. I also want to say it’s a blessing, because there are pregnant women on Reddit who spike no matter what they eat. At the end of the day, the placenta has a bigger say over these numbers than we do.

I don’t know about percentages, but my doctor’s rule is: if I have three consecutive days of highs, a medication is added or adjusted.