For women who had gestational diabetes

Your pregnancy found the metabolic problem early.

Now we use that information — before the next pregnancy, or before type 2 diabetes shows up on its own.

Gestational diabetes is a pregnancy problem — but not only a pregnancy problem. It is your body's first metabolic warning, and it comes early — while you are young, motivated, and watched closely enough for action to work.

Most women receive a diagnosis, a few months of monitoring, a delivery, and then almost nothing structured afterward. The pattern that follows is well documented:

4–7%of U.S. pregnancies are affected by GDM — about 300,000 women a year.

~50%go on to develop type 2 diabetes within about ten years.

30–70%recurrence risk in the next pregnancy, depending on phenotype.

And the fasting-glucose or oral-glucose-tolerance test ACOG recommends four to twelve weeks postpartum? Fewer than half of women with prior GDM receive it. Almost none receive structured interpregnancy follow-up. That is the loop this program closes.

Your pregnancy revealed something early. That is exactly when it can be acted on.

What the program is

Three clinical functions, in order.

Assess

A targeted metabolic panel built around your phenotype, not a kitchen-sink workup: fasting insulin and glucose with HOMA-IR, HbA1c, a full lipid panel including ApoB, hsCRP, thyroid function when relevant, and selected micronutrients. Ordered through telehealth, drawn near you, results back to me.

Interpret

A real consultation — sixty to ninety minutes. We walk through what your labs say, what your pregnancy revealed, and what the recurrence and progression data mean for your specific picture. You leave with a disease model you can understand, not a vague "insulin resistance" sticker.

Optimize

A personalized action plan — behavior, nutrition, sleep, movement, and targeted supplementation only when the evidence supports it. A written summary you keep and can hand to your primary care doctor, your next obstetrician, or yourself in two years.

Who this is for

You had gestational diabetes — diet-controlled or insulin-requiring — in any prior pregnancy.
You are planning to conceive again in the next few years and want to lower the recurrence risk.
You finished your family but haven't had a structured metabolic check since delivery — and want one before any of this becomes a diagnosis.
You want a real explanation, not another "watch your diet and exercise" handout.

Delivered 1:1 by telehealth. Maryland medical license, and qualified through the Interstate Medical Licensure Compact (IMLC) for expedited licensure in member states. Self-pay, FSA/HSA eligible.

Book a discovery call