Inclusion Criteria:  Singleton pregnancy Women diagnosed with GDM before 32 weeks Women willing and have provided written consent to participate Women with ability to use telemedicine services after briefed Women who have sufficient communication abilities (written, listening and spoken) to be fully involved Women who have access to phone and internet Women willing to download and send blood glucose readings to research team.  Exclusion Criteria:  Multiple pregnancies Gestational age 35 weeks and above Women with existing Type 1 or Type 2 Diabetes Women receiving oral steroid therapy Women with evidence of fetal complications (such as fetal anomalies, intrauterine growth retardation) and known history of pregnancy complications (e.g. pre-eclampsia)