I think a good midwife would be able to tell from your symptoms if you have it or not, and if you are concerned you can take your own blood sugar levels for a few days. My midwife had a finger pr!ck machine, although we never felt the need to check mine. I was and am, happy with my decision not to have it
My midwife said she didn't think it was needed for me and was simple as that. Also I had the same midwife for all 3 pregnancies and through out the whole pg so she was able to watch over me and look for signs if they were occuring. I was a tiny bit over weight for all pg (like 1-5kg) for my height
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