### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi I am 30.5 weeks pregnant. This is my 3rd child. The first two children I ate the standard american diet and drank soda and no water. I gained 100 pounds with each of them. We changed our diets before I got pregnant and I was at my lowest weight since I had my 2nd child. We eat alot of fresh fruits and veggies, no meat (we do eat fish and eggs and cheese) and I drink ALOT of water - every now and then I have a regular soda. The first 2 trimesters I exercised regularly. I do not have high blood pressure, no headaches, no throwing up, no blurred vision and no swelling. I did strips to test my ketone level and glucose level today and they were VERY high. What does this mean and what can I do to get it under control. I need to mention that the first 2 trimesters I ate all the time and now my stomach can not hold alot of food - I really don t get very hungry anymore. I gained 15 pounds and I checked my weight again 2 days ago and I lost 5 so this pregnancy I have gained 10 pounds. My stomach is huge but I am losing weight everywhere else - you can really see it in my face.

### output:

Hello, and I hope I can help you today. The greatest likelihood in your situation is that you have gestational diabetes. The majority of the time during routine prenatal care for diabetes somewhere between 24 and 28 weeks. Ketones, a byproduct of sugar metabolism being present in your urine along with sugar backs up the diagnosis. If you're test for gestational diabetes was performed more than a month ago, or if you never had one, I suggest you share these results with your healthcare provider as they may want to repeat the test. Gestational diabetes can be controlled sometimes with diet, however many women require oral hypoglycemics or insulin to control their blood sugar. This risk is increased in women who are obese or who have a family history of diabetes. So needing additional help in reducing your blood sugar during pregnancy is common and is not the fault of an inability to properly follow a proper diet. So I suggest for the benefit of the health of your pregnancy that you make an appointment with your prenatal care provider and that you discuss your results with them, they may want to do more intensive screening for diabetes and depending upon the level of your blood sugar may prescribe medications. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy, 