>>536163I'm sorry this is happening for you. It's my understanding that GD is largely influenced by the placenta. I ate like shit during my pregnancy and didn't get it but my marathon-running, ultra healthy friend did.
Supplemental choline can lower risk of fetal macrosomia (large baby) and improve placental function in women with gestational diabetes. In mice studies it improves insulin and fasting glucose in offspring post natally. It can also buffer some of the neurodevelopmental impacts related to hyperglycemia.
I'm not a doctor and don't know anything about prenatal nutrition but this paper has great advice on choline. Scroll to the choline section.
https://mhnpjournal.biomedcentral.com/articles/10.1186/s40748-022-00139-9Your doctor can also suggest how much you can take if you decide to supplement choline.
There is evidence that chromium can also gelp with insulin/glucose control during pregnancy but maybe run that by a doctor also. This paper has a good summary of the potential benefits of supplemental chromium for women with GD
https://www.mdpi.com/2072-6643/13/6/1849