If you fail one of the three glucose readings in your OGTT, you will be asked to keep a food log and monitor your blood sugar for the next week at home. Then you will return for a follow-up visit with your midwife after that week. She will evaluate how you are doing based on your food log and blood sugar log. If you have kept a good and accurate log and if there is no concern about your ability to keep your blood sugar under control, you will not be required to continue the daily blood sugar log or food log.

You will be encouraged to occasionally monitor if anything changes in your eating or exercise patterns. We might also decide to do a random glucose test in the office. But this will not require fasting. As long as your sugar levels remain under control and as long as you don’t develop any other signs of concern, your care will continue the same as it did before we did the test.