GD diagnosis and immediate problems - HELP!

[glorious]

so she has previously done the OGCT and now OGTT. clearly they were high readings for them to say she may need insulin.

you will see some changes in 4 days, and it is likely she will feel a bit crappy initially from changing to a diabetic diet.

On Monday she must be having an appointment if they want her on insulin so try and get to that ask lots of questions and hopefully you will get lots of information too

[Artechim]

Did they happen to do an A1C test when they took blood? That test shows elevation in BSL over the previous several months. If that was raised then it could indicate that she already had Type 2 diabetes prior to the pregnancy and she is unlikely to be able to control it with diet alone.

The other thing that comes to mind would be that hospitals are big 'patch 'em up' factories and not the loving GP that has known you for your whole life. The Dr's make snapshot judgements. When I went to the GD clinic and saw the specialist after being diagnosed I recall her saying to me "..of all the people that I see today, you are probably the only one that will understand what I am saying to you..". I thought she was a bit judgemental, but then I attended the clinic every couple of weeks and sat in the waiting room with other GD mums and watched as they ate pies and drank coke. Clearly they didn't understand the whole GI thing. Presumably for those people that have absolutely no idea nor any inclination to learn about diabetes and GI, there would be a fast track to insulin because that is the only option left if people are unwilling to change lifestyle habits. I am not saying that your sister is in that category of course, just that the Drs see a lot of people come and go and take an educated guess on who will make an effort. If she rocks up to the appointment with a food and exercise diary and her 4x daily BSL, then an appropriate plan can be worked out. They will be more inclined to trial lifestyle changes if she can show that she is working on it (provided the changes are actually lowering the BSL's). But if insulin is needed, it isn't the end of the world.