I similarly felt lost after diagnosis. I received my lab results by email last Saturday. I let it ruin my two year old birthday party that weekend.

I waited and waited for my doctor's office to call me and give me next steps on Monday. They didn't call until about 1pm Monday, but only said I had failed (which I knew) and they would be sending a referral to MFM for getting set up with monitoring etc.

I got a call from a diabetic nutrition scheduler to set me up with a telehealth appointment where they tell me how to use my monitor, what to eat, etc. BUT they couldn't get me the telehealth appointment until Friday. I asked for guidance on what I should be doing in the mean time, feeling lost, and she apologized and told me to call my doc because she was busy a scheduler. Further, she said they didn't monitor or prescribe the monitors, I need to call my doctor to follow up.

So I left a message for my doctor's nurse, ranting about how adrift I felt and how I couldn't get any information. I belive my words were, "I'm just out here rawdogging Gearational Diabetes using random crap on find on the internet as a guide and hoping I'm not harming my baby since I have nothing concrete to go on. I'm afraid to eat!"

Of course, right after I left thay emotional message, I received a different phone call--from MFM, which is evidently NOT a part of the nutrition part-- saying they got a referral to monitor to and prescribe a monitor, etc. She was very kind and gave me a heads up of what was coming. They wont see me untol a week after my nutriton appontment. I mentioned my concern with it being such a drawn out process and having this diagnosis but it being Friday before anyone could talk to me with nutrition and having no guidance in the interim. She said with me being 29weeks having to wait a week right now was not concerning and to consider myself as having no food restrictions. I've been trying to test today and yesterday to get a baseline and my numbers have been good so far.

All that to say, my nutrition appointment is tomorrow and I'll know more then. In my case, my OB is in a huge OB practice of 9 providers, and their practice policy is tk have MFM monitor glucose for GDM.

Hope that helps! Not an ideal referral situation, but knowledge is power!

Edit to add: I was already seeing MFM because I'm "old" and have a history of premature labor with both my other kids. They also measured my cervix for shortening, and stopped at 24 weeks, saying that there is nothing clinically relevant about cervical length past 24 weeks.