It is far from an exact science Flea....especially for us type ones who produce no insulin of all to back us up. I agree that there shouls be a eries of tests done to confirm GD as you correctly point out fluctuations are normal and can just tip youover the edge. I also don't agree with unecessary interventions such as induction ceaserean etc. I agree that bubs should be monitored for a time but the changing trend is for them to monitor the baby whilst in your care..that scenario is more a hospital protocol thing and as with most things re-education takes time to filter through. What I don't like about this article is that it totaly ignores the mother and the effect that high sugars have short and long term on physiological systems. It appears to be advocating no treatment because the treatment doesn't affect outcomes...for the baby maybe, but definitely not for the mother. Even one trimester of hyperglycaemia will cause permanent damage to organs. It mentions a low carb diet as causing ketosis...true maybe in some cases but extended hyperglycaemia will lead to ketoacidosis which could kill both mother and baby in a matter of hours...which is worse? It also doesnt mention that hyperglycaemia can cause placental breakdown and spontaneous fetal death in utero. I couild go on but wont.

I reiterate that I agree that intervention is an old school tool that needs revamping and in most larger hospitals this is happening...it again depends on the education of obs and hospital policies. But I am angry because I feel that this article, which is no more than a very biased literature review could lead to people who have less knowledge about hyperglycaemia getting the wrong idea that it is okay not to treat it....It is not okay to ignore high blood sugars at any time pregnant or not.......at the very least they make you **** like a puppy, drink like a fish, feel like crap, have blurry vision, no energy...Hang on I'm just describing pregnancy...hehe......at the worst they can lead to kidney damage, circulation problems, permanent eye damage, cardiac issues and nerve damage......I just want people to be aware there is more to this issue than that article presents....*end rant* *off soapbox*