Understanding Gestational Diabetes: Essential Insights for Expectant Mothers
This article offers comprehensive guidance on gestational diabetes, including its causes, diagnosis, normal blood sugar levels during pregnancy, and management strategies. It highlights the differences from pre-existing diabetes and emphasizes the importance of regular monitoring and a healthy lifestyle to ensure a safe pregnancy and healthy baby.

What You Need to Know About Gestational Diabetes
Gestational diabetes is a condition characterized by elevated blood sugar levels that arise during pregnancy. As pregnancy advances, blood glucose levels can increase, causing the body to struggle with insulin production. Approximately 18% of pregnant women experience this condition. Fortunately, only about 3% of cases result in complications. Continue reading to learn more about diagnosing, managing, and preventing gestational diabetes.
Is pre-existing diabetes the same as gestational diabetes?
Gestational diabetes differs from ongoing diabetes in that it only occurs during pregnancy and typically resolves afterward. Conversely, women with pre-existing diabetes have diabetes both during and after pregnancy. These women face higher risks such as:
Preterm labor
High blood pressure (pre-eclampsia)
Kidney complications caused by diabetes
Retinal damage due to high sugar levels
Confusion or fainting episodes from elevated sugar levels
What are the normal blood sugar levels during pregnancy?
Women with pre-existing diabetes should monitor blood sugar regularly—before meals, after meals, and before bedtime. The typical blood sugar targets are:
Fasting and pre-meal: 60 to 99 mg/dL
Post-meal (1-2 hours after eating): below 140 mg/dL
A1C levels: around or below 6%
Women with gestational diabetes should check their blood sugar levels fasting and post-meal. The recommended ranges are:
Fasting and pre-meal: less than 95 mg/dL
Post-meal (2 hours post-eating): less than 120 mg/dL
How is gestational diabetes diagnosed?
Doctors typically screen for gestational diabetes between weeks 24 and 28 of pregnancy using:
Initial glucose screening- A sugary drink is given, and blood glucose levels are tested after an hour. Normal results are below 130-140 mg/dL. Abnormal results lead to further testing.
Oral glucose tolerance test- After fasting overnight, blood is drawn, then the mother consumes a concentrated glucose solution, and blood tests are taken every 3-4 hours. Diagnosis is confirmed if two or more readings are elevated.
Managing gestational diabetes effectively
Regularly monitor blood sugar before and after meals.
Follow prescribed medication routines.
Engage in daily physical activity for 30 to 60 minutes.
Adopt a low-sugar, moderate-carbohydrate diet.
Stay well-hydrated by drinking plenty of water.
Healthcare providers will conduct ultrasounds and additional tests to ensure the baby's growth remains safe. Proper management helps reduce risks for both mother and child.
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