2. Don’t skip tests
Screening tests for gestational diabetes are common, although it can depend on your doctor.The U.S. Preventive Services Task Force recommends screening for gestational diabetes mellitus in pregnant women without symptoms after 24 weeks of gestation.
If you’ve been diagnosed, your doctor will give you a glucometer to measure your blood sugar four times a day, first thing in the morning and after every meal. Controlling blood sugar, based on frequent testing, is the absolute best way to ensure a healthy pregnancy for mother and baby.
For gestational diabetes, the morning test is the most telling. “When a woman with gestational diabetes ends up going on insulin, it’s usually to control high blood sugar in the morning, after her overnight fast,” Snyder says. Women with type 1 and type 2 diabetes should follow their same pre-pregnancy regime. But, if you’re taking insulin tablets, you might be switched to injections, since pregnancy hormones raise blood sugar higher—sometimes two to three times—than what’s typical. The last three months of pregnancy often require extra high doses of insulin since the hormones associated with the baby’s growth block insulin production.