When you're pregnant, hormone changes can make your blood sugar level rise. Gestational diabetes will raise the odds of pregnancy complications. After you're diagnosed, your doctor or midwife will want to watch your health and your baby's health closely for the rest of your pregnancy.
Most women with gestational diabetes have healthy pregnancies and healthy babies. Getting good treatment makes all the difference.
How Will It Affect My Baby?
Your higher blood sugar affects your baby, too, since they gets nutrients from your blood. Your baby stores that extra sugar as fat, which can make them grow larger than normal. They're more likely to have certain complications:
- Injuries during delivery because of their size
- Low blood sugar and mineral levels when they're born
- Jaundice, a treatable condition that makes the skin yellowish
- Pre-term birth
- Temporary breathing problems
Later in life, your baby might have a greater chance of obesity and diabetes. So help your child live a healthy lifestyle -- it can lower their odds for these problems.
How Will It Affect Me?
You might have:
- A higher chance of needing a C-section
- High blood pressure or preeclampsia
- Pre-term birth
Your blood sugar will probably return to normal after you give birth. But you'll have a higher risk of developing type 2 diabetes later or gestational diabetes again with another pregnancy. A healthy lifestyle can lower the odds of that happening. Just as you can help your child, you can lower your own chances of obesity and diabetes.
Although you may need a C-section, many women with gestational diabetes have regular vaginal births. Talk to your doctor or midwife about your delivery options:
- Does my baby need to be delivered by C-section?
- How accurate are birth-weight estimates? Could my baby be smaller than you think?
- What are the risks to my baby and I if I don’t have a C-section?
- What are the risks to us if I do?
What You Can Do: Step by Step
Eat healthy. Work with a dietitian or diabetes educator to plan meals and snacks that keep your blood sugar in a healthy range. You'll need to limit how many carbohydrates you eat and drink, because they can cause your blood sugar to spike. Avoid high-sugar foods such as soda and pastries.
Exercise. Get some physical activity every day to help manage blood sugar. Make your goal 30 minutes of moderate activity each day, unless your doctor or midwife recommends something different. For gentle exercise, try walking or swimming.
Keep your medical appointments. Skipping check-ups could put your health and your baby's at risk. You may need to get your baby checked regularly in the doctor's office with ultrasounds or non-stress tests.
Test your blood sugar. It can be a key way to watch your health. You may have to check it several times a day.
Take prescribed medication. Some women need insulin or other medications to help manage their blood sugar. Follow your doctor's or midwife’s recommendations. Make sure you understand how and when to use your medicine.
Watch for signs of blood sugar changes. Make sure you know what to do when you notice symptoms or your test shows low or high levels.
When to Call Your Doctor or Midwife
When you have gestational diabetes, part of your job is to pay close attention to your health. Check in with your doctor when:
- You get sick and can't follow your eating plan.
- You have symptoms of high blood sugar: trouble concentrating, headaches, increased thirst, blurred vision, or weight loss.
- You have symptoms of low blood sugar: anxiety, confusion, dizziness, headaches, hunger, racing pulse or pounding heart, feeling shaky or trembling, pale skin, sweating, or weakness.
- You tested your blood sugar at home, and it’s above or below your target range.