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
I'm not sure what OGCT and OGTT are, but she did the fasting 2 hour GTT almost 2 weeks ago, and then they did a normal ***** test this morning, although they said to her that it's more involved than the normal machines? Whatever it was, she said it was done just like a normal ***** test.

She definitely doesn't have an appointment, they told her to ring them on Monday to give them her levels; they also said that if she didn't ring, they would ring her. Obviously I wasn't there, but I know how she came home - upset and defensive. She's ready to work with them, she told them that, but it very much feels like they aren't willing to budge. I guess we'll find out what happens Monday.

She should be told what her results are. Whether Someone's results come back normal or not I will still explain to then the cut odds for each figure and what there's is.

Make sure she writes down all questions for Monday as often in appts people forget what they want or need to ask.

When the bsl was taken today was it 2 hrs pre or post food or just random.
Just random, she wasn't told to fast or anything. They just rang her yesterday, told her she has GD, and she has to go to the clinic (today).

The 'appointment' is just over the phone, but we're definitely gonna write down a bunch of things, put the phone on loudspeaker, and ask away!

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.
That's a great point Artechim, I'll hafta ask about the A1C test. With a strong family history of both Type 1 and 2, as well as PCOS, it's entirely possible she already had Type 2.

I understand the snapshot judgement, it's sad but true. However, she told me she was the only one in the class asking questions - she asked how they treat the baby after birth, and if it would be an idea to store up some colostrum beforehand so they don't give the baby formula. The other women asked her what colostrum was. And then she asked if they would be induced if they needed insulin, and the other women asked what inducing was So I would've thought that whatever judgements they'd made before then, they would've realised that she's researching and intelligent and willing to work. I guess we'll just have to prove it to them!

Sorry havent read the rest of the replies but she does not have to take the insulin straight away they cant force her and should give her an option to have a good go at changing her lifestyle.

I had GD and the doc "suggested" I go on insulin and i negotiated that i will change my diet and give me a few weeks.

Towards the end, even diet didnt help so i had to take insulin.

All the best to your sister.
Did you need to be induced because you were on insulin? They've mentioned it a couple of times now, but at the moment bub is smack bang on average growth wise. If bub isn't big, why induce?!

She should try not to stress, I found that I could manage my GD with just a small walk ever day and following the diet advice they game me. If I did go out for dinner or indulge in a small treat I just made sure I walked right after or before so that. 4 days may see quick but hopefully they are just trying to help the baby as soon as possible to make sure it's not effected. The first week after being diagnosed was the hardest for me, I think I cried every day for the first week until I realized I could manage it. Good luck.
Yep I think that's gonna be the biggest change that'll help her - she does hardly anything through the day now that she's not working. She only moved in a little while ago, and for the last few years has been living a very hard life, so I think she's been having a bit of a holiday We can go for walks together, it'd do me good as well.

Thanks for your answers everyone