indie321

Q:

My granddaughter was just diagnosed with gestational diabetes. She is starting her 29th week. We are walking daily and trying to eat a balanced diet, but her BG levels are still spiking. Her doctor started her on glyburide 5 mg. once a day. Is there anything else she should be doing?

Amy Campbell

A:

At Joslin Diabetes Center’s Pregnancy Clinic, women with gestational diabetes are typically seen by an endocrinologist every one to four weeks, and then meet with a diabetes nurse educator and a dietitian regularly to learn how to check blood glucose, review blood glucose levels, discuss a healthy eating plan and review, overall, how the treatment plan is working. If blood glucose levels are not within target range (either before meals or 1 hour after a meal) despite following the meal plan and doing approved physical activity, insulin is started. I’d suggest that your daughter make an appointment with her doctor and request referrals to a nurse educator and a dietitian, if she has not done so already.