What is Gestational Diabetes?

Gestational diabetes is diabetes that occurs during pregnancy. This causes your blood sugar levels to become higher than normal and can affect pregnant women who have never been diagnosed with diabetes before. Gestational diabetes will go away after you have given birth but may raise your risk of developing type 2 diabetes later in life.

“I highly recommend Dr. Tepper!He is highly professional, experienced, and calming. My pregnancy and birth were such a positive experience thanks to him and his lovely staff at the clinic.”


For many women, gestational diabetes does not cause any apparent signs or symptoms, which is why it is important that you visit your doctor early to check for your risk of developing this condition. There are some people who may have a greater risk for developing gestational diabetes, including those who:

  • Are overweight.
  • Have had gestational diabetes or prediabetes previously.
  • Have polycystic ovarian syndrome (PCOS).
  • Have an immediate family member who is diabetic.
  • Have previously delivered a baby weighing more than 9 lbs.


Welcome to my practice. Let me introduce myself and my practice philosophy. I am a board certified OB/GYN in practice for over 20 years and have been a solo-practitioner on the Upper East Side of Manhattan since 2000. All deliveries are performed at The Mount Sinai Medical Center where I went to medical school and at Lenox Hill Hospital.

Gestational Diabetes Diagnosis and Management

Patients who are at average risk of developing gestational diabetes will undergo a screening test during their second trimester. If you are at high risk of diabetes, you may be tested for gestational diabetes earlier in your pregnancy.

Overall, there are two different classes of gestational diabetes, including class A1 and class A2. Individuals with class A1 can often manage their condition through diet and exercise alone, while those with class A2 will need the assistance of insulin or other medications to control their symptoms. Regardless, you will need to adopt certain lifestyle changes including staying active, eating a healthy and balanced diet, and monitoring your blood sugar regularly to properly manage your symptoms. If you are diagnosed with gestational diabetes, Dr. Tepper will explain which class you have, as well as your treatment options.


Whether you are a new or returning patient, Dr. Tepper can assess your concerns and discuss your options to find the most comfortable and convenient care for you. To get started, call our office to set up an appointment.


Complications Associated with Gestational Diabetes

If gestational diabetes is not monitored and managed, it can lead to high blood sugar levels which can cause complications for both you and your baby. Problems that may affect your baby include an excessive birth weight (weighing more than 9 lbs.), preterm birth, low blood sugar, breathing difficulties, type 2 diabetes later in life, or stillbirth. Gestational diabetes can also cause you to develop high blood pressure, future diabetes, or raise your odds of needing a C-section.

At our office, Dr. Tepper will work with you to ensure that all necessary precautions are taken to control your gestational diabetes and prevent any dangerous complications. Close monitoring paired with your adoption of healthy habits can help to ensure that you and your baby are happy and healthy. We will also check your blood sugar following delivery and again 6-12 weeks later to ensure that your blood sugar levels have returned to normal.

Contact Us to Learn More

For more information regarding gestational diabetes diagnosis and management, contact our office today! We will be happy to schedule your initial appointment with Dr. Tepper for a professional assessment.

Frequently Asked Questions

What happens if you get gestational diabetes?

If you get gestational diabetes, your body has difficulty regulating blood sugar levels during pregnancy, leading to higher-than-normal blood sugar. This condition requires careful monitoring and management to ensure a healthy pregnancy for both you and your baby.

Is gestational diabetes high risk during pregnancy?

Yes, gestational diabetes is considered a high-risk condition during pregnancy because it can lead to complications such as high birth weight, preterm birth, and preeclampsia. Proper management and regular medical care are essential to minimize risks.

Will a baby be healthy with gestational diabetes?

With proper management, including diet, exercise, and possibly medication, many women with gestational diabetes have healthy babies. Regular prenatal care and monitoring are crucial to ensuring a positive outcome.

How worried should I be about gestational diabetes?

While gestational diabetes is a serious condition, it is rather common, and it can Avoid high-sugar and high-carbohydrate foods, which can spike blood sugar levels. Limit processed foods and focus on a balanced diet rich in whole grains, lean proteins, and vegetables.

Does drinking water help gestational diabetes?

Drinking water helps maintain proper hydration and can help manage blood sugar levels by helping the kidneys flush out excess glucose. However, it should be part of a broader management plan that includes diet and exercise.

Do you get induced if you have gestational diabetes?

In some cases, induction may be recommended if gestational diabetes affects the pregnancy, such as if the baby is very large or if there are concerns about the health of the mother or baby. Your healthcare provider will assess your situation and make the best recommendation.

Do they take the baby early if you have gestational diabetes?

Early delivery may be recommended if there are complications related to gestational diabetes, such as preeclampsia or fetal macrosomia (large baby). Your healthcare provider will monitor your pregnancy closely to determine the best timing for delivery.

What to avoid with gestational diabetes?

Avoid high-sugar and high-carbohydrate foods, which can spike blood sugar levels. Limit processed foods and focus on a balanced diet rich in whole grains, lean proteins, and vegetables.

Will one high blood sugar hurt my baby?

One high blood sugar reading is unlikely to harm your baby, but consistently high levels can lead to complications. To keep your blood sugar under control, it is important to monitor it regularly and follow the advice of your healthcare provider.

Do you get more ultrasounds with gestational diabetes?

Yes, you may receive more frequent ultrasounds to monitor the growth and development of the baby, as gestational diabetes can affect fetal size and amniotic fluid levels. These ultrasounds help ensure any potential issues are identified and managed promptly.

Can you be diagnosed with gestational diabetes but blood sugars are normal?

Gestational diabetes is diagnosed based on specific criteria during a glucose tolerance test, even if your regular blood sugar readings are typically normal. This diagnosis means your body has trouble handling glucose during pregnancy, requiring careful monitoring.

Is gestational diabetes considered high risk?

Yes, gestational diabetes is considered a high-risk condition because it can lead to complications for both mother and baby if not properly managed. Regular prenatal care and adherence to treatment plans are essential.

How soon after birth does gestational diabetes go away?

Gestational diabetes usually resolves after birth as hormone levels return to normal. However, it increases the risk of developing type 2 diabetes in the future, so follow-up testing and healthy lifestyle choices are important.

Will I have a healthy baby with gestational diabetes?

With appropriate management and regular medical care, many women with gestational diabetes have healthy babies. Monitoring blood sugar levels, following dietary guidelines, and attending all prenatal appointments is crucial.

At what sugar level is insulin required during pregnancy?

Insulin may be required if blood sugar levels consistently exceed target ranges set by your healthcare provider, typically fasting levels over 95 mg/dL or one-hour post-meal levels over 140 mg/dL. Your healthcare provider will determine if and when insulin is necessary.

Do you have to deliver early with gestational diabetes?

Not all women with gestational diabetes need to deliver early, but it may be recommended if there are complications such as preeclampsia or fetal macrosomia. Your healthcare provider will make a decision based on your specific circumstances.

Can I refuse the glucose test when pregnant?

While you can refuse the glucose test, it is highly recommended that you have the test done. It helps identify gestational diabetes, which is crucial for managing your health and the health of your baby. Discuss any concerns with your healthcare provider to understand the risks and benefits.

Can I refuse insulin for gestational diabetes?

You can refuse insulin, but discussing alternatives and potential risks with your healthcare provider is important. Proper management of gestational diabetes is essential for the health of both you and your baby.

How do you survive gestational diabetes?

Managing gestational diabetes involves following a healthy diet, staying active, monitoring blood sugar levels, and possibly taking medication as prescribed. Regular check-ups and working closely with your healthcare team are key to navigating this condition.

What to do if diagnosed with gestational diabetes?

If diagnosed with gestational diabetes, follow the advice your healthcare provider offers about diet, exercise, and blood sugar monitoring. Attend all prenatal appointments and consider seeing a nutritionist or diabetes educator for additional support.

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