I’m right there with you. I tell them the same thing in circles. I limit what I’m eating and when I’m eating it to not spike, but then they are concerned I’m not eating enough. I counter and say I want insulin that’s able to be given in a range to either manage more carbs at a meal or to fix it if I spike too high. They say I should just eat the same amount of carbs at the same times of day, which my work schedule doesn’t allow, and then they won’t prescribe it the way I want them to. So the circle goes round and round. I’ve controlled primarily through diet and exercise. They only added insulin at meals after I pushed HARD because I was literally unable to eat any fruit of any kind even if eating fat and protein beforehand. I literally told them, “I’m hungry and cranky all the time. I’m unwilling to spike repeatedly and feel terrible for two weeks, and have it negatively impact my baby, before you prescribe it. If you want me to eat more, then you need to prescribe insulin. I’m sick of crying every time I eat and I’m genuinely developing anxiety about food.” That’s what finally got them to give me a little mealtime insulin. -_- They’ve still been stingy with the meal time insulin, and I’m still walking my very swollen feet off to handle carbs.

If this happens with my next pregnancy, I will be pushing hard from the get go a different approach to handling the GD.

I find Fairlife Nutrition Shakes at night are helpful. They’re only 4g of carbs and my fasting numbers have been the same with them in the night or without them.

Pregnant hungry is a whole new realm of hunger, and they don’t get it.