Gestational diabetes: What is it and how can it be safely managed during pregnancy?

Insulin resistance is higher during pregnancy, which in some cases can progress to a form of diabetes that is specifically related to the pregnancy itself.

Gestational diabetes is more likely to occur in those who are obese at the beginning of the pregnancy, those who have a family history of Type 2 diabetes, a history of polycystic ovarian syndrome (PCOS), those with a higher baseline level of insulin resistance and also pregnancies that occur after the age of 40.

Gestational diabetes screenings occur routinely between 24-28 weeks. A glucose tolerance test is performed, and if the initial test is failed, a 3-hour glucose tolerance test follows to confirm the potential diagnosis. There is a higher risk of potentially dangerous risks to the health of both the pregnant person and the baby when gestational diabetes goes untreated, so it’s important to pursue treatment and receive ongoing prenatal and OB/GYN care throughout your pregnancy.

Treatment may include insulin, other medications or lifestyle changes to improve overall health.