In this episode of the Gestational Diabetes Nurse Podcast, I’m answering one of the most common questions pregnant mamas ask: Is insulin or metformin better for managing gestational diabetes? We break down why GDM happens, how pregnancy hormones impact blood sugar, and why some mamas need medication even with perfect diet and lifestyle habits. I explain how insulin works, how metformin works, who each option is best for, and what real life care looks like in a high risk pregnancy setting. If you feel confused about medication, nervous about starting insulin, or unsure whether metformin is safe in pregnancy, this episode will help you feel informed and confident. You will walk away understanding your options, how your provider decides what is best for you, and why needing medication is not a failure. It is a step toward protecting you and your baby. Episode Breakdown:00:00 Welcome to the Gestational Diabetes Nurse Podcast00:45 Insulin vs Metformin for GDM02:35 How insulin works for gestational diabetes04:45 How metformin works and when it is used07:06 Personalized medication plans for GDM09:02 Where to find more GDM support09:45 Final encouragement Disclaimer:The information shared on The Gestational Diabetes Nurse Podcast is for educational and informational purposes only. It is not medical advice and should not be taken as a substitute for professional medical care, diagnosis, or treatment. Always consult your doctor, midwife, or qualified healthcare provider with any questions you have about your own health, pregnancy, or medical conditions. Listening to this podcast does not create a nurse patient relationship. I am sharing from my experience as a high risk OB nurse and labor and delivery nurse, but every mama’s body and pregnancy is unique. Never ignore professional medical advice or delay seeking care because of something you heard here. Join our GDM MAMA membership for more support and a community of mamas just like YOU! https://gdmnurse.com/  Come say hi on instagram: https://www.instagram.com/gestational.diabetes.nurse/