Advanced Diabetic Management · Diabetes in Pregnancy

The diabetes, managed. So you can focus on the pregnancy.

Diabetes in pregnancy is one of the most labor-intensive conditions an OB manages. It means constant data review, continuous monitoring, follow-up, and coaching, on top of a full patient panel. Ouma's board-certified diabetes team takes over the whole thing, under maternal-fetal medicine supervision. Gestational, type 1 on a pump, type 2, CGM: just give us the patient.

Talk to our team → See how the hand-off works ↓

Nurse practitioners board-certified in diabetes management· Under MFM supervision· Licensed in all 50 states· 24/7/365

The problem

The hard part comes after the diagnosis.

~8%⁵ of U.S. pregnancies involve gestational diabetes, and rising

What it takes to manage one patient

A single diabetic pregnancy runs on constant, hands-on work:

Data review
Monitoring
Follow-up
Planning
Patient coaching

— and it repeats every day, for every patient.

Gestational diabetes affects roughly 8% of pregnancies in the U.S., and the rate is rising.⁵ 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 layered on top of an already-full day.

So the work gets squeezed, or it gets deferred. Neither is good for the patient. Unmanaged diabetes in pregnancy drives the outcomes everyone is trying to avoid: bigger babies, more NICU admissions, more preeclampsia.

5. CDC, gestational diabetes prevalence.

What we manage

Two types. One team. 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 patients⁵
Managed actively all the way through to delivery
Left unmanaged, raises the risk of a larger baby (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, and needs expert pump management most OBs were not 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.

5. CDC, gestational diabetes prevalence.

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 diabetic panel. There is no new software for you to learn and no dashboards to babysit.

We take over everything.

Data review, continuous monitoring, medication and insulin management, follow-up, patient coaching, and delivery planning all move to our nurse practitioners board-certified in diabetes management, working under MFM supervision.

You focus on the pregnancy.

You stay the patient's OB. We protect that relationship and hand nothing back to you but a well-managed patient and a clear picture. As clinicians ourselves, we integrate into your practice rather than step in front of it.

Short-staffed?

Need a breather on diabetic management? We'll take it off your plate.

Let's set it up →

Best candidates

Built for practices carrying more diabetes than they have hours for.

This service fits large OB/GYN practices and short-staffed MFM groups who need diabetic management taken off their plate for a while. Two problems make diabetes in pregnancy hard to carry, and we solve both.

The time problem

Diabetes management is relentless: constant data review, continuous monitoring, follow-up, planning, and talking to patients. A busy OB asked to see more patients in less time does not have the capacity to do this well for every diabetic patient on the panel. We add that capacity without adding headcount.

The expertise problem

Many clinicians were never trained to manage insulin pumps, and CGMs are newer still. Logging into multiple dashboards, downloading data, and interpreting it is a real burden on an already-full day. Our nurse practitioners are board-certified in diabetes management and do this all day, so the expertise gap stops being your problem.

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, even between visits.

This is also 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 is not logging into five separate platforms to manage one patient.
It is the interface layer that powers our diabetes-in-pregnancy program. It also lets any LilyLink OB practice refer straight into Ouma's national diabetes team.

The device layer

Marani Health

Connected devices, no phone required.

Marani provides device-side RPM: a cellular-enabled glucometer and blood-pressure cuff that send readings directly to us, with no Bluetooth pairing, no app sync, and 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.

LilyLink is the GDM interface and software layer. Marani is the connected-device layer. Together they make continuous monitoring effortless for the patient and legible for our clinicians.

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 is 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 early blood sugars, and build a customized plan together.

Every week, between visits.

Care does not 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 is not 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.

The stakes are the reason this work cannot be deferred. Unmanaged diabetes in pregnancy 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 (macrosomia), 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 do not 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 are a trusted partner for our clients, helping simplify diabetes care, spot concerns early, and keep patients supported between office visits. Our program adds focused diabetes expertise, proactive follow-up, and clear communication between visits. Our work matters because it helps patients feel supported while working toward safer pregnancies and healthier outcomes for both mom and baby.”

Brandee Newsom

Women's Health Nurse Practitioner, Ouma Health

Pairs well with

The services that ride alongside diabetic 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.

Remote Patient Monitoring →

The CGMs and connected devices that feed the whole program

High-Risk Pregnancy (teleMFM) →

The MFM subspecialty layer our diabetes team works under

Nurse Navigation →

The care coordination that keeps every data point acted on

Who this is for

Let’s Talk

Give us the diabetes. Keep the pregnancy.

Tell us about your practice and the diabetic patients weighing on your panel. We will show you how the hand-off works.