Hi, It is common for some pregnant ladies to start having problems with high blood sugar or/and gestational diabetes. What I have noticed from your lab results, your post-prandial glucose levels is averagely high. Such oscillations of blood sugar should be seriously observed and treated accordingly as it might have bad effects on your baby or you. So, I d advise to make some changes in your diet: - eat often, small portions - avoid foods or/and drinks that can raise your blood sugar quickly - be physically active as per your OG d directions. At the end, I suggest to consult with your OG and endocrinologist to further re-evaluate your situation in order to decide when it could be the right time to start insulin too. All the best to you and your baby! Dr.Alba