Gestational Diabetes

Gestational diabetes, or diabetes of pregnancy, accounts for 1-14% of pregnancies in the US. Gestational diabetes is caused by a change in the way a woman’s body responds to insulin during pregnancy, or if your pancreas can support 2 where it previously supported only 1 person. Every woman is screened during her pregnancy for gestational diabetes at 24-28 weeks with a glucose blood test. If the glucose test is failed, a 3 hour glucose challenge is then administered. If that is also failed, the woman is diagnosed with gestational diabetes. Our office has a licensed dietician who meets with our patients after diagnosis to discuss how to test blood sugar with a glucometer, and diet modifications and exercise. If diet change alone does not manage blood sugar levels, the patient would be placed on oral medications, or possibly insulin. Having gestational diabetes can make your pregnancy high risk, and increases the likelihood of:

  • Macrosomia (large infant size)
    • Which can lead to increase in risk for delivering by c/section
    • Increased risk of birth trauma
    • Increased risk of infant complications after delivery
  • Increased risk for Pre ecalmpsia or Pregnancy induced hypertension
  • More frequent monitoring and OB appointments
  • There is a 33-50% likelihood of developing diabetes later in life for mom


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We’ve been providing women in St. Louis, eastern Missouri and western Illinois with personal, individualized care for 25 years.

Come visit our location in St. Louis to learn more.