Gestational Diabetes Clinic
The Gestational Diabetes Clinic at Newton-Wellesley Hospital meets Mondays from 8:00 am to 4:30 pm. Our goal is to have patients with gestational diabetes (diabetes arising during pregnancy) meet with all their providers in one location to improve continuity of care.
About Gestational Diabetes
Your First Two Visits
On your first visit at the Clinic you will meet with our diabetes nurse educator and/or registered dietitian to go over your health history. During your second visit you will be seen by our endocrinologist, diabetes nurse educator and registered dietitian. Our endocrinologist will review your blood sugar records to determine if insulin is necessary. If you do require insulin, our diabetes nurse educator will provide you with introductory insulin instructions. You will also be seen by our registered dietitian/nutritionist for an evaluation of your diet.
Your Additional Visits
On your third and subsequent visits, you will meet with our diabetes nurse educator and/or endocrinologist and the registered dietitian/nutritionist, as needed. You will have ultrasound and non-stress tests scheduled through the Maternal Fetal Medicine Department.
If you are on insulin, you will have a non-stress test alternating with a biophysical profile to assess fetal wellbeing every week beginning at 32 weeks. At 36 weeks testing is done twice weekly. If you are not on insulin, a growth scan is performed at 37 weeks to determine the size of your baby.
A two hour, 75-gram post-partum glucose tolerance test is scheduled for eight weeks post delivery to ensure that the diabetes has ended.
Our team is led by high-risk obstetrician Julian Robinson, MD, and endocrinologists Jeanne Steppel-Reznik, MD, and John Larossa, MD. Our team also includes a diabetes nurse educator, registered dietitian and medical assistant.
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