accessAdvanced Diabetes Management · Diabetes in Pregnancy
Diabetes, managed. So you can focus on the pregnancy.
Diabetes in pregnancy is one of the most labor-intensive conditions an OB manages, constant data review, continuous monitoring, follow-up, and coaching, on top of a full panel. Ouma’s board-certified diabetes team takes over the whole thing, under maternal-fetal medicine supervision. Gestational, type 1, type 2, insulin pumps, CGMs: just give us the patient.
The problem
The hard part comes after the diagnosis
Gestational diabetes affects roughly 8% of U.S. pregnancies, and the rate is rising.1 Add pre-gestational type 1 and type 2, and diabetes becomes one of the most common complications an OB practice manages.
It is also one of the most demanding. A single patient can mean daily glucose logs to review, a continuous monitor feeding data around the clock, medication and insulin adjustments, dietary coaching, delivery planning, and a steady stream of check-ins.
Two forces make this untenable for a busy practice. The first is time: the work is constant and hands-on, and OBs are being asked to see more patients in less time.
The second is expertise. Many clinicians were not trained to manage an insulin pump, and continuous glucose monitors are newer still. Interpreting the data means logging into multiple manufacturer dashboards, downloading readings, and making sense of them, a real burden on an already-full day.
So the work gets squeezed, or it gets deferred. Neither is good for the patient. Unmanaged diabetes drives the outcomes everyone is trying to avoid, bigger babies, more NICU admissions, more preeclampsia.
What we manage
Any type of diabetes, any type of device. We manage the full range.
Gestational diabetes (GDM)
Pregnancy-induced and time-limited. It still does not manage itself.
- Develops during pregnancy, usually late in the second trimester
- Affects an estimated 5% to 10% of pregnant patients1
- Managed actively all the way through to delivery
- Left unmanaged, raises the risk of macrosomia, NICU admission, and preeclampsia
How we manage it: glucose targets, nutrition and lifestyle coaching, medication or insulin when needed, and delivery planning, all handled by our team.
Pre-gestational diabetes
Type 1 and type 2 that predate the pregnancy, including the complex, tech-dependent cases.
- Type 1: often insulin-pump-dependent, needing expert pump management most OBs weren’t trained for
- Type 2: frequently managed with a continuous glucose monitor (CGM)
- Higher baseline complexity and tighter control targets across the whole pregnancy
- The exact population where the expertise gap bites hardest
How we manage it: full pump and CGM management, insulin titration, continuous data review, and coordination with the pregnancy plan, nothing handed back to you.
One team of nurse practitioners board-certified in diabetes management, working under MFM supervision. Type 1 on a pump, type 2, CGM, GDM, we manage the full range.
The easy button
Refer the patient. We take it from there.
Just give us the patient. We’ll take over everything and manage them, so you can focus on the pregnancy.
You refer.
Send us the patient: a new GDM diagnosis, a type 1 on a pump, a type 2 on a CGM, or your entire diabetes panel. No new software to learn, no dashboards to babysit.
We take over everything.
Data review, continuous monitoring, medication and insulin management, follow-up, coaching, and delivery planning all move to our board-certified NPs, working under MFM supervision.
You focus on the pregnancy.
You stay the patient’s OB. We protect that relationship and hand nothing back but a well-managed patient and a clear picture. As clinicians ourselves, we integrate into your practice rather than step in front of it.
Connected by design
Diabetes and remote monitoring go hand in hand.
Every good diabetes program today runs on data, CGMs and connected devices feeding readings to clinicians continuously. The monitoring never stops, and that is what managing gestational diabetes between visits depends on.
This is where diabetes and Remote Patient Monitoring meet. The hard part has always been that the data lives in a dozen different places. We fixed that.
The interface layer
One dashboard instead of five.
LilyLink aggregates the CGMs and glucometers a patient already owns, including Dexcom and FreeStyle Libre, into a single clinician view. Our team isn’t logging into five platforms to manage one patient.
It’s the interface layer powering our diabetes-in-pregnancy program, and it lets any LilyLink OB practice refer straight into Ouma’s national diabetes team.
The device layer
Connected devices, no phone required.
Marani provides device-side RPM: a cellular-enabled glucometer and blood-pressure cuff that send readings directly to us, no Bluetooth pairing, no app sync, no phone dependency.
Where LilyLink unifies a patient’s own devices in software, Marani is the connected-device layer for patients who need monitoring hardware that just works.
How the program runs
From referral to a managed pregnancy, here is the cadence
The hand-off is simple for you. Behind it runs a structured program on a steady clinical cadence. Here’s what a patient experiences once you refer.
Onboarding, within 1 to 2 business days.
After a referral comes in, our team reaches out to the patient within 1 to 2 business days. We send education materials, prescribe testing supplies, and schedule the first visit.
The first visit, 60 minutes.
The first appointment is a comprehensive 60-minute virtual visit with a nurse practitioner board-certified in diabetes management. We review history, look at blood sugars, and build a customized plan together.
Every week, between visits.
Care doesn’t pause between appointments. Our team reviews each patient’s blood sugar trends and contacts them every week, making proactive adjustments as the pregnancy progresses. This weekly clinical review is where diabetes in pregnancy is actually managed.
Follow-ups, every 1 to 4 weeks.
Routine check-ins are 30-minute virtual visits, scheduled every 1 to 4 weeks based on diabetes type, patient needs, and gestational age. When a case calls for a deeper review or device and medication adjustments, we schedule an extended 60-minute visit.
Prescriptions and prior authorizations.
The nurse practitioner prescribes all diabetes medications and equipment, including test strips and lancets. If insurance requires a prior authorization for a specific brand or device, our team works it out with the payer.
Secure by design. Blood sugar data syncs to our clinicians through secure digital tools, with simple alternative upload workflows if a patient’s device isn’t compatible. After each visit, a summary goes to the patient’s portal, and patients can message the team between appointments through that same portal.
What good management prevents
Well-managed diabetes changes the outcome
Blood sugar control is the most important factor influencing maternal and fetal outcomes. Unmanaged diabetes drives the very complications every team is trying to prevent, and consistent, expert management is how those risks come down.
Macrosomia
Poorly controlled blood sugar can lead to an oversized baby, complicating delivery. Tight glucose control is the lever.
NICU admission
Diabetes-related complications raise the likelihood a newborn needs the NICU. Steady management through delivery reduces that risk.
Preeclampsia
Diabetes in pregnancy carries a higher risk of preeclampsia, a serious blood-pressure condition. Continuous monitoring helps catch trouble earlier.
We don’t put a number on your patient’s pregnancy. We put a board-certified team on it.
From the care team
The people behind the program
Ouma’s diabetes-in-pregnancy program is run by nurse practitioners board-certified in diabetes management, under MFM supervision.
“We’re a trusted partner for our clients, helping simplify diabetes care, spot concerns early, and keep patients supported between office visits. Our work matters because it helps patients feel supported while working toward safer pregnancies and healthier outcomes for both mom and baby.”
Pairs well with
The services that ride alongside diabetes management
Diabetes rarely travels alone in a high-risk pregnancy. These Ouma services share the same care team and data, extending expert support well beyond glucose control.
Frequently asked
Common questions about gestational diabetes telehealth
Refer a patient and our diabetes team takes the data burden off your plate.
How is gestational diabetes managed with telehealth?
How does gestational diabetes remote monitoring work?
Does the program support continuous glucose monitoring (CGM)?
How fast can a referred patient start?
What types of diabetes does the program cover?
Let’s Talk
Give us the diabetes. Keep the pregnancy.
Tell us about your practice and the patients with diabetes weighing on your panel.
Expert maternity telehealth, extending the reach of subspecialty clinicians to every patient who needs it.