Step 3: Exercise is Not Optional

Movement significantly improves insulin sensitivity.

You need:

• Minimum 30 minutes

• At least 5 days per week

This can include:

• Brisk walking

• Strength training

• Classes

• Gym workouts

We often see improved fasting numbers when women exercise in the early evening after dinner.

If you are currently sedentary, start gradually but consistently.

Blood Sugar Monitoring Instructions

This step is critical.

You will need to purchase a glucometer from your local pharmacy.

Test Every Day:

1. Fasting – First thing in the morning before getting out of bed

2. 1 hour EXACTLY after your three largest meals

Important:

• Do not eat or drink anything besides water before testing.

• Timing matters. Set a timer if needed.

Snack Documentation

In the “snacks” section of your log, only document snacks eaten after your dinner post-meal reading.

This helps us evaluate what may be affecting your fasting number the next morning.

Do Not Miss Readings

Consistency determines whether you can remain under midwifery care.

You must:

• Log food eaten

• Log exact time of meal

• Log exact time of 1-hour reading

• Include sauces, creamers, milks, condiments

Be precise.

Target Glucose Ranges

• Fasting: 70–90 mg/dL

• 1 Hour Post-Meal: 100–130 mg/dL

If you are slightly above or below, we will adjust nutrition first.

When to Call

• 140–180 mg/dL: Log it

• ≥180 mg/dL or concerning pattern → Call office during business hours

• ≥200 mg/dL OR symptoms (nausea, vomiting, headache, excessive thirst, frequent urination, confusion) → Call the on-call line:
  817-477-6551

Weekly Submission Requirement

Every Friday:

• Upload your COMPLETED LOG in your Maternity Neighborhood Messages or email hello@dfwcommunitybirths.coom

Failure to submit logs may affect your eligibility to remain in midwifery care.

Bring your glucometer to every prenatal visit.