Diabetes Now Affects 1 In 6 Pregnancies: Who Recommendations On Risks, Challenges, And Management
Introduction Diabetes in pregnancy is rising at an alarming pace, especially in countries like India where family history, lifestyle changes, and lack of awareness make women more vulnerable. According to global estimates, 1 in every 6 pregnancies is affected by high blood sugar, either due to pre-existing diabetes or gestational diabetes mellitus (GDM)—a condition where blood sugar first rises during pregnancy. This condition can affect both mother and baby if not managed well. The good news is that most complications are preventable with timely diagnosis, proper pregnancy care, lifestyle changes, and the right medical supervision. The World Health Organization (WHO) has issued updated recommendations to improve screening, management, and long-term health outcomes for mothers and newborns. This detailed guide explains risks, causes, symptoms, diagnosis, treatment options, diet tips, WHO guidelines, preventive strategies, and answers to 50 common FAQs—designed specially for Indian mothers. What Is Diabetes in Pregnancy? Diabetes in pregnancy refers to: Pre-existing Type 1 or Type 2 Diabetes Women who already have diabetes before conception. Gestational Diabetes Mellitus (GDM) High blood sugar first detected during pregnancy. Gestational diabetes is more common in India due to genetic predisposition and rising obesity levels. WHO: 1 in 6 Pregnancies Now Affected The World Health Organization reports that: 16% of pregnancies globally are affected by high blood sugar. 75–90% are gestational diabetes cases. South Asia, including India, has some of the highest rates of GDM. Urban Indian women have a 25–30% higher risk than rural counterparts. Why Is Diabetes in Pregnancy Increasing in India? Several factors contribute: 1. Sedentary lifestyle Reduced physical activity and long working hours increase insulin resistance. 2. Higher average maternal age More women conceive after age 30. 3. PCOS (Polycystic Ovary Syndrome) Very common among Indian women and closely linked to insulin resistance. 4. Unhealthy diet High carbohydrate consumption, especially white rice, sweets, fried food. 5. Family history Genetic predisposition is strong in India. Types of Diabetes in Pregnancy 1. Gestational Diabetes Mellitus (GDM) Most common; usually appears after 24 weeks. 2. Pregestational Diabetes Women with Type 1 or Type 2 diabetes before pregnancy. 3. Overt Diabetes High sugar first discovered in pregnancy but above the threshold for normal GDM. Causes & Risk Factors You are at higher risk of gestational diabetes if you have: Age above 25–30 years Overweight or obesity (BMI > 25) Previous GDM Family history of diabetes PCOS Sedentary lifestyle High blood pressure Past stillbirth or recurrent pregnancy losses Indian/South Asian ethnicity Symptoms of Diabetes in Pregnancy Most women have NO symptoms. Routine screening is crucial. When symptoms do appear, they include: Excessive thirst Frequent urination Fatigue Blurry vision Repeated infections Nausea beyond normal morning sickness ALSO READ:Ai In Healthcare: 7 Ways It Will Replace Your Doctor Sooner Than You Think Diagnosis: WHO Recommended Screening WHO recommends: 1. Universal Screening All pregnant women should be tested—especially between 24–28 weeks. 2. Oral Glucose Tolerance Test (OGTT) Gold standard test. Values: Fasting: ≥ 92 mg/dL 1 hour: ≥ 180 mg/dL 2 hours: ≥ 153 mg/dL 3. Early screening High-risk women should be screened at the first antenatal visit. 4. HbA1c Useful for women with suspected pre-existing diabetes. Complications of Diabetes in Pregnancy For the Mother High blood pressure (preeclampsia) C-section delivery Preterm labour Recurrent UTIs Excessive amniotic fluid Higher future diabetes risk For the Baby Large baby (macrosomia) Breathing problems after birth Low blood sugar Shoulder injury during birth Childhood obesity Higher lifetime diabetes risk WHO Guidelines: Management of Diabetes in Pregnancy 1. Lifestyle Management First-line therapy for most women. Balanced diet Controlled carbohydrates Regular physical activity Weight monitoring 2. Medical Nutrition Therapy (MNT) Dietician-supervised meal plan customized for Indian foods. 3. Blood Sugar Monitoring Targets (WHO & ADA aligned): Fasting: < 95 mg/dL 1-hour post-meal: < 140 mg/dL 2-hour post-meal: < 120 mg/dL 4. Medication If lifestyle changes are not enough: Insulin is the safest and first choice. Oral medicines like Metformin are allowed but only under specialist supervision. 5. Regular Antenatal Checkups WHO recommends at least 8 antenatal visits. 6. Fetal Monitoring Growth scans every 4–6 weeks. 7. Delivery Planning Most women deliver at 38–40 weeks unless complications arise. Diet Plan for Diabetes in Pregnancy Foods to Include Whole grains Multigrain roti Brown rice in moderation Green leafy vegetables Lean proteins (dal, eggs, chicken) Low-GI fruits (apple, berries, guava) Nuts & seeds Buttermilk & curd Foods to Avoid Sweets Sweetened beverages White rice in large amounts Refined flour (maida) Fried food Packaged snacks Exercise Recommendations WHO suggests at least: 30 minutes of activity daily Walking after each meal Prenatal yoga Avoid high-intensity exercise unless cleared by doctor Prevention Tips Maintain healthy weight before pregnancy Eat balanced Indian meals Stay active Manage PCOS Get early antenatal care Avoid sugary drinks When to See a Doctor Urgently Visit your doctor immediately if you have: Severe headaches Abdominal pain Vision changes Reduced baby movements Persistent vomiting Signs of high blood pressure Postpartum Care Indian women have 9 times higher risk of developing Type 2 diabetes later. WHO recommends: OGTT test at 6–12 weeks postpartum Yearly blood sugar check Breastfeeding (helps control sugar) Healthy diet and exercise Conclusion Diabetes in pregnancy is more common than ever—but also highly manageable with early screening, proper pregnancy care, and lifestyle changes. WHO emphasizes universal testing, continuous monitoring, and team-based antenatal care to protect both mother and baby. Indian women must be especially cautious due to genetic and lifestyle risks. With timely diagnosis, appropriate diet, and regular medical visits, most women deliver healthy babies and stay healthy themselves. Quickobook CTA Looking for a Gynecologist or Diabetologist near you? Book trusted doctors instantly on Quickobook. Need pregnancy care or diet counseling? Find specialists, compare fees, and schedule appointments in seconds. Your health. Your baby. Your choice—made easy with Quickobook. 50 FAQs on Diabetes in Pregnancy (Short, Clear, AEO Style) 1. What is diabetes in pregnancy? Diabetes in pregnancy refers to high blood sugar during pregnancy, either pre-existing or gestational. It needs timely management for a healthy outcome. 2. What is gestational diabetes? Gestational diabetes is high blood sugar first detected during pregnancy. It usually appears after 24 weeks. 3. Can diabetes in pregnancy harm my baby? Yes, if not controlled it may cause large baby size, breathing issues, or low blood sugar after birth. 4. Who is at risk for gestational diabetes? Women who are overweight, have PCOS, are above 25, or have a family history are at higher risk. 5. What test diagnoses gestational diabetes? The Oral Glucose Tolerance Test (OGTT) is the gold standard. 6. When should I get screened? Between 24–28 weeks, or earlier if high-risk. 7. Can gestational diabetes be controlled without medicine? Yes, many women manage it with diet, exercise, and monitoring. 8. Is insulin safe during pregnancy? Yes, it is safe and the preferred treatment when required. 9. Can I eat rice if I have GDM? Yes, in small portions and preferably brown or semi-brown rice. 10. Is walking helpful? Yes, walking after meals helps control post-meal sugar. 11. Will my baby definitely be big? Not always; good control reduces this risk significantly. 12. Can I have a normal delivery with GDM? Yes, many women have normal deliveries with well-controlled sugars. 13. Does gestational diabetes go away after delivery? Usually yes, but you must recheck sugar after 6–12 weeks. 14. Can I breastfeed with diabetes? Yes, breastfeeding is recommended and helps lower sugar. 15. Will I get diabetes later? There is a higher lifetime risk; maintaining lifestyle helps prevent it. 16. Can GDM return in the next pregnancy? Yes, the risk is higher if you had it once. 17. Does PCOS increase the risk? Yes, PCOS is strongly linked to insulin resistance. 18. What are safe snacks for GDM? Nuts, seeds, sprouts, fruits in moderation, and boiled chana. 19. Can I drink fruit juices? Avoid juices; whole fruits are safer. 20. How often should I check my sugars? Usually fasting and post-meal, as advised by your doctor. 21. Are sugar substitutes safe? Most are safe in moderation. 22. Can stress raise blood sugar? Yes, stress increases hormones that raise sugar. 23. Does GDM cause miscarriage? Poorly controlled diabetes can increase risks. 24. Can I fast during pregnancy? Not recommended for women with GDM or diabetes. 25. What happens if GDM is untreated? Risks include high blood pressure, large baby, and birth complications. 26. Do I need insulin immediately? Not always; lifestyle changes are tried first. 27. Can I eat bananas? Yes, small-sized bananas and controlled portions. 28. Is metformin safe in pregnancy? It is used when needed but only on doctor’s advice. 29. Will diabetes affect baby movements? Uncontrolled sugar may affect the baby's health; monitor movements daily. 30. Can I travel during pregnancy? Yes, but keep medicines and snacks handy. 31. What is hypoglycemia? It is low blood sugar; take quick sugar if symptoms appear. 32. Can I continue yoga? Yes, prenatal yoga is helpful. 33. Is obesity linked with GDM? Yes, overweight women have higher risk. 34. Does family history matter? Yes, genetics play a major role. 35. Can twins increase the risk? Twin pregnancies have slightly higher risk. 36. Should I avoid fruits? No; choose low-GI fruits and limit quantities. 37. Can GDM cause early labour? Yes, if sugars are high. 38. Is C-section compulsory? No; depends on baby’s size and medical factors. 39. Should I avoid ghee? Take small amounts; excess causes weight gain. 40. Does diabetes affect breastfeeding? Diabetes does not reduce milk production; it may even help control sugar. 41. Should I monitor weight gain? Yes, controlled weight gain improves outcomes. 42. Can I eat outside food? Occasionally, but choose healthy options. 43. Will the baby have diabetes? Not immediately, but long-term risk is higher. 44. Can I drink coconut water? Yes, in moderation and check sugar response. 45. How often should I visit the doctor? More frequent visits are needed compared to normal pregnancy. 46. What is the safest exercise? Walking, stretching, and prenatal yoga. 47. Does fasting sugar matter more? Both fasting and post-meal sugars matter. 48. Can I skip meals? No, regular meals help maintain stable sugar. 49. What if I feel dizzy? Check sugar immediately and inform your doctor. 50. Can gestational diabetes be prevented? Healthy weight, balanced diet, and regular exercise help lower the risk. Medical Disclaimer This blog is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified doctor for concerns related to pregnancy or diabetes.
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