Management of gestational diabetesnewly diagnosed women should be seen in a joint diabetes + antenatal clinic within====women should be taught about self-monitoring of glucoseadvice about diet (including eating foods with a low glycaemic index) and exercise should be givenif the fasting plasma glucose level is ==== a trial of === should be offeredif glucose targets are not met 1-2 weeks of altering diet/exercise === should be startedif glucose targets are still not met === should be added to diet/exercise/metformingestational diabetes is treated with === insulinif at the time of diagnosis the fasting glucose level is >= 7 mmol/l ==== should be startedif the plasma glucose level is between 6-6.9 mmol/l, and there is evidence of complications such as ==== ====should be offered==== should only be offered who cannot tolerate metformin or who fail to meet targets with metformin + declin insulin

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