September 21, 2000
Question from Salt Lake City, Utah, USA:
My friend’s daughter was diagnosed as diabetes Type 2 at age 22, is controlled by diet alone, and is now pregnant at age 24. Does prenatal care differ in this situation versus care for women with Type 1 diabetes who are pregnant or women with gestational diabetes?
If the glucose is managed only with diet, then the management of the pregnancy is essentially the same as someone who does not have diabetes. However, if a patient comes into the pregnancy with diabetes, then additional fetal and maternal testing is required (detailed ultrasounds on the fetus, frequent blood glucose checks on the mother, etc.).