Anak, please get back to your diabetologist, GDM in the first trimester is serious at kailangan mo ng proper monitoring hanggang delivery para sa safety mo at ng baby. I know it's out of pocket at mahirap ang gastos, pero ito talaga ay hindi dapat i-skip, lalo na with your CS at myomas pa. A few of us mums went through similar struggles with HMO limits, at lahat namin nagsisi na hindi kami nag-prioritize ng specialist follow-ups early. As for delivery, your OB will coordinate with the needed specialists, usually iyong OB lang ang leading pero the whole team talks before you go in. Please squeeze in na that diabetologist appointment soon, ha? You're doing your best with monitoring at diet, pero you need professional eyes on this.