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Gestational diabetes mellitus (GDM) affects approximately 6% of pregnancies in the United States, and it is increasing in prevalence. Pregnant women without known diabetes mellitus should be screened for GDM after 24 weeks of gestation. Treatment of GDM results in a statistically significant decrease in the incidence of preeclampsia, shoulder dystocia, and macrosomia. Initial management includes glucose monitoring and lifestyle modifications.
Have had gestational diabetes before; Have high blood pressure or other medical complications; Have given birth to a large baby before (greater than 9 pounds) Have given birth to a baby that was stillborn or had certain birth defects; Diagnosis. Gestational diabetes usually happens in the second half of pregnancy. Your doctor will check to see if you have gestational diabetes between weeks 24 and 28 of your pregnancy. Your doctor may test sooner if you're at high risk. To test for gestational diabetes, you will quickly drink a sugary drink. This will raise your blood sugar levels.