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I was monitored by my specialists office that had a nutritionist on staff.

I turned in my numbers every week. My first week all numbers were good accept my fasting. They put me on meds immediately.

Eta : my fasting was supposed to be under 90

Ditto what the other said. I was monitored by an endocrinologist and had to send her my numbers/meal plan weekly. If the numbers were too high she would call and we would discuss how I could try to get them down.
I would ask to be referred to an endocrinologist. While having GD isn't the worst thing, it's still something that needs to be monitored by an endo!

In my practice, I see my patients weekly until their blood sugars are at goal. You definitely should have gotten a response. I do find it interesting that so many of you saw a specialist. I'm in family practice and definitely take care of my own patients with GDM - though I guess that's because I take care of lots of patients with diabetes in general.

@sapphire: I was surprised to see this too. I had GD twice and my OB handled it both times. She sent me to a diabetic counselor to get some general education, but I was never referred to an endocrinologist. Both times I had difficulty with my fasting similar to OP with high numbers, but honestly not through the roof.

My OB always told me I was a "good" GD patient in that I kept a log of everything in Excel and would just take her a printed copy for my file each visit. I owned up to what I ate bad and she appreciated my honesty.

Eta: I took glyburide both times in the evening to manage my fasting. I never had to get to insulin.

Both pregnancies I had GD and had to see a specialist to follow up. For my first, my fasting was also always high so I was put on a low dose med till the very end. I usually tried eat a high protein snack right before bed.

With my OB's office, which is connected to a hospital, with both my GD diagnoses, I had to go to the diabetes clinic, which meant meeting with a dietitian, attending a class, then meeting weekly with a nurse for weigh-in and BP and then the dietitian, endocrinologist, and perinatologist until my numbers were better, then I met with all of them every two weeks. I also had ultrasounds every two weeks.