$Unique_ID{BRK02323} $Pretitle{} $Title{What Is the Relationship of Pregnancy and Diabetes?} $Subject{pregnant pregnancy pregnancies blood sugar metabolism gestational diabetes mellitus gdm diabetic prenatal care stillbirth defects insulin diabetics} $Volume{K-22,C-7} $Log{ Diabetes Mellitus*0009802.scf} Copyright (c) 1992,1993 Tribune Media Services, Inc. What Is the Relationship of Pregnancy and Diabetes? ------------------------------------------------------------------------------ QUESTION: What can you tell me about the relationship of pregnancy and diabetes? My daughter is expecting my first grandchild, and has been told she has "sugar". This is something new for she never had this condition before. Can you please explain what is going on? Thank you for your help, from a very anxious mother and grandmother to be. ------------------------------------------------------------------------------ ANSWER: Some women who get pregnant get diabetes, but this type of diabetes, called "gestational" diabetes, usually goes away when the baby is delivered. The physical changes of pregnancy cause the diabetes in some women. Women who get gestational diabetes usually have at least one of these characteristics: they have had a previous stillbirth; they have had babies that weigh more than nine pounds; they have had babies with birth defects; they have a family history of diabetes; they have had obstetric complications, such as high blood pressure; they have had gestational diabetes with a previous pregnancy. Of course it is also possible that even when none of these are present, the condition may still develop. It is especially important for a woman with this type of diabetes, or any form of this disease to get early prenatal care. The doctor will require a thorough history, so he can spot any of the risk factors and test and treat your daughter accordingly. Uncontrolled diabetes is not healthy for the baby or the mother. It can cause birth defects and death for the baby if it is not fully treated. The good news is that proper treatment can prevent such tragedies. Of course, a woman who had diabetes before she becomes pregnant will not be "cured" by the delivery of her baby--she will still be diabetic afterwards. Since there is no history of this disease in your daughter, it is likely that her sugar problem will disappear after the birth of your grandchild. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.