The goal of gestational diabetes management is to maintain fasting glucose levels less than or equal to 95 mg/dL. Although the patient’s glucose levels are appropriate for medical diabetes mellitus, tighter glucose control is required to prevent complications in the mother/fetus dyad. Insulin is generally the treatment of choice when diet and exercise fail to control gestational diabetes. Oral hypoglycemics are gaining in popularity, but insulin is the main treatment. Relaxing the diet and exercise regimen places the mother and fetus at higher risk; this is an inappropriate statement.