Gestational diabetes mellitus (GDM) has been recognized for decades; however as America continues to embrace high carbohydrate high sugar high processed diets physicians should pay closer attention to the ever-increasing signs and outcomes of GDM. Currently GDM is thought to affect up to 18 percent of all pregnancies in the United States however new diagnostic standards aimed at more rigorously identifying GDM risks would nearly triple the current rate of prevalence. This follows recent concerns regarding the long-term effects of GDM and the more recent revelation that even the slightest sign of impaired glucose regulation could lead to adverse outcomes.