A pregnant diabetic fatty This is out of pure frustration and also to yet again illustrate what we already know about impulse control. I know someone with gestational diabetes, a type of diabetes that develops in pregnancy. She is overweight. She is ‘trying’ to diet but her blood sugar values aren’t lying - she isn’t doing a good job. Every time I see her we talk about how her baby is marinating in syrup and how it’s bad for the baby and I make sure I mention all the scary outcomes, including stillbirth. She should be on insulin but refuses to see an endocrinologist because she has no coverage and it’s just too expensive. Ok, how about you don’t eat carbs, then? Oh, she says, I can’t. I got a sweet tooth.