Gestational diabetes may cause issues in your baby such as high birth weight, preterm birth, low blood sugar, and more. Mothers with the condition can also face high blood pressure, future diabetes, or an increased risk of a required C-section. Despite these risks, many cases of gestational diabetes can be addressed through diet and exercise alone. Learn more about the warning signs of gestational diabetes so you know what to expect during your pregnancy.

Early Symptoms of Gestational Diabetes

In most cases, gestational diabetes does not cause any noticeable symptoms, especially early in pregnancy. However, the condition may cause increased thirst or frequent urination. Treatment is most effective when gestational diabetes is diagnosed as early as possible. For this reason, Dr. Tepper may recommend testing, especially if you are at high risk for the condition.

Risk Factors for Gestational Diabetes

Certain risk factors may mean you are more likely to develop gestational diabetes. These include:

·       Being overweight or obese

·       Previous diagnosis of gestational diabetes or prediabetes

·       Polycystic ovarian syndrome (PCOS)

·       Family history of diabetes

·       Previous delivery of a baby over 9 lbs.

Gestational Diabetes Testing

Most patients will undergo gestational diabetes testing during their second trimester. If Dr. Tepper suspects you may have gestational diabetes or determines you are at a higher risk, testing can be completed during the first trimester.

The first step is to complete an initial glucose challenge test. This involves drinking a syrupy solution and completing a blood test one hour later to measure your blood sugar level. If your blood sugar is higher than the standard range, you will then complete a follow-up glucose tolerance test. You will drink another solution containing more sugar and complete another blood sugar test.

Treatment Options for Gestational Diabetes

There are two basic types of gestational diabetes: class A1 and class A2.

Class A1 gestational diabetes patients can typically manage the condition through diet and exercise. Focusing on a healthy diet with plenty of fruits, vegetables, whole grains and lean protein and limiting refined carbohydrates and sweets will help you limit gestational diabetes symptoms or complications. As needed, you can meet with a registered dietitian to learn more about a suitable meal plan that meets your nutritional needs, lifestyle, food preferences, and budget. Staying active through regular exercise will also help to keep blood sugar low. Dr. Tepper can recommend types of exercise that are safe and suitable for pregnancy. Most types of exercise can be completed during pregnancy, but Dr. Tepper may recommend modifications to prevent injury or other issues.

Class A2 gestational diabetes patients may require additional treatments. This can include insulin or other medications. As you take these medications, Dr. Tepper will advise you to maintain a healthy diet and exercise just as class A1 patients would.

Schedule an Appointment

To learn more about gestational diabetes and other obstetrical care considerations, schedule a consultation with Dr. Alex Tepper. Call our New York City office at (212) 828-0900 or contact us online to set up your first appointment.


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.