Gestational diabetes

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-Moderately severe

It is a metabolic disorder that first develops during pregnancy, due to the body's inability to produce and use insulin properly, resulting in elevated blood glucose levels. This rise in blood sugar can be harmful to both mother and foetus if not properly controlled.

Associated risk factors include obesity, family history of diabetes, advanced maternal age, history of gestational diabetes in previous pregnancies, among others.

It usually goes unnoticed without obvious symptoms, however, some women may experience excessive thirst, increased urination, fatigue and blurred vision.

Diagnosis is made by glucose screening tests during pregnancy, usually between 24 and 28 weeks. If the diagnosis is confirmed, it is essential to control blood glucose levels through diet, exercise and, in some cases, medications such as insulin.

Bibliographic references
  1. American Diabetes Association Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2018. Diabetes Care. 2018;41:S13–S27. doi: 10.2337/dc18-S002.
  2. Wang H., Li N., Chivese T., Werfalli M., Sun H., Yuen L., Hoegfeldt C.A., Elise Powe C., Immanuel J., Karuranga S., et al. IDF Diabetes Atlas: Estimation of Global and Regional Gestational Diabetes Mellitus Prevalence for 2021 by International Association of Diabetes in Pregnancy Study Group’s Criteria. Diabetes Res. Clin. Pract. 2022;183:109050. doi: 10.1016/j.diabres.2021.109050.
  3. McIntyre H.D., Catalano P., Zhang C., Desoye G., Mathiesen E.R., Damm P. Gestational diabetes mellitus. Nat. Rev. Dis. Primers. 2019;5:47. doi: 10.1038/s41572-019-0098-8. 
  4. Early age at menarche and gestational diabetes mellitus risk: results from the healthy baby Cohort studyDiabetes Metab. (2017), 10.1016/j.diabet.2017.01.002.
  5. https://www.mayoclinic.org/diseases-conditions/gestational-diabetes/symptoms-causes/syc-20355339
  6. https://www.nhs.uk/conditions/gestational-diabetes/
Author
Dra. Maria Eugenia Rodriguez
Copyright
© TeckelMedical 2026

Symptoms

    Frequent urination


    Urinate a lot at night


    Thirst


    Passing large amounts of urine


    Feeling of hunger

Symptoms to watch out for

Dark or cola-coloured urine
If it is accompanied by seizures
A feeling of shortness of breath
Vomiting
Acute belly pain
Blurry vision

Self-care

Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Engage in regular physical activity, adapted to age and physical condition, at least 3 times a week.
Reduce tobacco consumption.
Wear comfortable, non-constricting footwear.
Lose weight if you are overweight or obese.
Check with your general practitioner about the prescription for medication to control blood glucose and insulin levels.