hello,

it mainly depends on the health of your body, your blood sugar levels, insulin resistance and pancreatic and liver function BEFORE pregnancy. if you have imbalances or predispositions in those areas prior to getting pregnant, it increases your risk of developing GD.

As far as prevention goes, the best thing to do to keep blood sugar levels stable during pregnancy is eating a whole foods diet rich in protein and healthy fats and veggies and limiting starchy carbs and avoiding sugars, refined and processed foods. Supplementally, you can take inositol and choline for blood sugar and liver support if you get the OK from your doc.

the glucose drink is a high dose of sugar and food colouring both of which are not healthy for mom or baby, in my opinion. i know some doctors/midwives will do fasting glucose monitoring instead if you choose to opt out of the glucose test.

I do not recommend KETO during pregnancy the high fat diet can put pressure on the liver and then will lead to nutrient deficiencies in baby. eating a balanced diet focused around whole foods (mainly protein, veggies and fat) and a good selection of healthy carbs such as buckwheat, quinoa, lentils grapefruit, berries, squash is the best way to go!