Dr. Federico Migliorelli ES · CA · EN · FR
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Dr. Federico Migliorelli · Barcelona

Gestational diabetes:
personalised monitoring and a clear plan from diagnosis to birth.

Expert, intensive monitoring during the weeks that remain of your pregnancy, with frequent reviews and clear answers, so you reach birth calm and well supported.

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For women with gestational diabetes looking for closer monitoring · Private practice in Barcelona

You've been diagnosed with gestational diabetes

And suddenly, you're alone facing the glucose meter.

You're told when to test and what values we're aiming for, but then the questions appear: whether you're eating well, why a reading changes from one day to the next, what you should adjust or whether everything is progressing as it should. And those questions can come up at the start or after several weeks.

You've done nothing to cause gestational diabetes and, with proper management, most pregnancies progress well. Often, what's missing isn't more numbers, but someone to help you interpret them and explain what to do with them.

Why the usual monitoring sometimes isn't enough

The problem isn't you, nor that several professionals are involved. It's that sometimes there's no common thread.

Nutrition, glucose readings and obstetric progress each need a different perspective. The problem arises when each part is assessed in isolation or the changes made in one appointment aren't integrated with the rest of your care.

In this programme, we work with you on nutrition and physical activity, and I review your glucose readings and the progress of your pregnancy every week. The whole team works towards shared goals and on the plan we build together.

In the usual pathway
—Each appointment focuses on a different part.
—Changes can be slow to feed into the rest of your care.
—Questions arise between one appointment and the next, and it's hard to find how to resolve them.
—It's not always clear who is coordinating your care.
—There's no overall view connecting all the pieces.
With a coordinated team
✓My team adapts nutrition and physical activity with you.
✓I review your glucose data every week.
✓We integrate changes with obstetric monitoring and fetal growth.
✓You have a daily communication channel.
✓Every decision is part of a single plan.
Why acting in time matters

There are few weeks left, but there's still a lot we can do.

Gestational diabetes is usually diagnosed in the second half of pregnancy, so the time until birth is limited. It doesn't mean you should be alarmed or react to every isolated reading, but it is worth checking early whether the plan is working.

Frequent review makes it possible to spot patterns, make the necessary adjustments and assess their effect without waiting several weeks until the next appointment. And even if a few weeks have passed since the diagnosis, it can still be useful to review whether your current care is meeting your needs.

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FREE GUIDE

I've been diagnosed with gestational diabetes: what to do in the first 7 days

A short, practical guide to help you find some clarity during the first few days, understand the next steps and know what to discuss with your healthcare team.

El programa

Complete monitoring, organised in three steps.

01

Assess and understand

We start by reviewing your situation: the diagnosis, the glucose readings you already have, your nutrition, your treatment and your baby's growth. We define the goals and assess whether a sensor can provide useful information in your case.

02

Review and adjust

I review your glucose data every week. Every two weeks we have an obstetric visit and, in the weeks in between, a visit with the midwife. We adjust nutrition, physical activity or treatment according to your progress.

03

Prepare for birth

During the final weeks we monitor your baby's growth and set out the plan for the end of pregnancy, the birth and the postpartum, including colostrum and breastfeeding if you wish.

Start with an initial assessment

At the first visit we review your medical history, the glucose readings you already have, your nutrition, your current treatment and your baby's growth with an ultrasound. The aim is to understand your situation and decide what kind of monitoring can really add something for you.

After the assessment you have a 14-day trial period to decide calmly. If continuous monitoring is indicated in your case, during those days you'll wear a sensor and we'll review the first data together, so you can see first-hand what it offers.

280 €Initial assessment · visit, ultrasound and personalised plan. Includes a 14-day trial, with a sensor when indicated.

If you decide to join the programme within those 14 days, the cost of the assessment is deducted from the total. And if you've worn a sensor, that same one becomes the first of your monitoring.

I'll explain the full programme, all included, at the visit.

Is it for you?

Who this programme is for.

It may suit you if…

  • You already have a gestational diabetes diagnosis and want closer, expert monitoring.
  • You find it hard to interpret your glucose readings or know when to make changes.
  • You want continuous monitoring of your data, not just at each visit.
  • You value integrating glucose control with your obstetric care.
  • You're looking for a coordinated team that works with you until birth.
  • You're willing to record your glucose readings and take an active part in your care.

It's probably not for you if…

  • Your control is stable and you're happy with the care you already receive.
  • You only want to resolve a single question or ask for a one-off second opinion.
  • You want to use a sensor without any associated clinical monitoring.
  • You expect this programme to fully replace your usual check-ups.
  • What you need is private care for the birth itself.
  • You need urgent medical attention or have warning signs: in that case, go to the emergency department.
Who you'll have alongside you
Dr. Federico Migliorelli

Dr. Federico Migliorelli

I'm an obstetrician specialising in Maternal-Fetal Medicine and head of a hospital Diabetes and Pregnancy Unit. My clinical work focuses on high-risk pregnancies and, especially, on diabetes during pregnancy.

Diabetes and Pregnancy High-risk obstetrics Maternal-fetal medicine

In this programme I work alongside a midwife experienced in nutrition, physical activity, birth preparation and breastfeeding. We share information and coordinate every adjustment so that your whole care follows a single plan.

Doctor of Medicine from the University of Barcelona, with advanced training in Fetal Medicine and international clinical experience. Member of the Spanish Group on Diabetes and Pregnancy. About me →

Programme availability

To review your data personally every week and adapt the plan when needed, I accompany a small number of women at a time. Before confirming the assessment, I'll tell you clearly whether I can offer you this monitoring during the weeks that remain until birth.

Frequently asked questions

Before deciding, it's normal to have questions.

Can I do the programme if I'm already being seen in the public system or through private insurance?

Yes. The programme is an additional layer of intensive monitoring that complements your usual care, it doesn't replace it. You can keep your appointments, tests and the place where you plan to give birth.

What if I wasn't just diagnosed?

We can also assess your situation if you've had gestational diabetes for several weeks, especially if you feel you need closer monitoring or you're not sure whether your current plan is working. The initial assessment will help determine what we can offer during the time that remains until birth.

Do I have to use a glucose sensor?

Not necessarily. Its usefulness is assessed individually, based on your readings and the questions we want to answer. It can provide complementary information in some cases, but it isn't essential and the available evidence in gestational diabetes is still limited.

Is the sensor reliable? And what if one fails?

Today's sensors are very reliable for seeing the trend and patterns of your glucose. Compared with blood, they lag slightly during rapid changes, so at certain moments it's worth confirming with a finger-prick reading. And if a sensor were to fail, it's replaced and, in the meantime, the glucose meter covers the gap.

What happens if I need insulin?

If it's indicated, we can start it and adjust the dose within the programme, coordinating with your endocrinologist if you already have one. The medication is collected at the pharmacy and isn't included in the price.

Do I have to give birth with you?

No. You can give birth at the public or private hospital you've chosen. What the programme adds is expert monitoring of gestational diabetes during pregnancy and preparation for birth, but not private care at the delivery itself.

And blood tests or other investigations?

They're carried out through your usual pathway. We'll review the relevant results and integrate them into your care plan.

Can I contact you if a question comes up between visits?

Yes. You'll have a channel for non-urgent questions, with a set schedule and response time. If a warning sign appears or you need immediate attention, you should contact your hospital or an emergency service.