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If you鈥檝e been diagnosed with gestational diabetes mellitus you鈥檙e at increased risk of developing type 2 diabetes later in life. That doesn’t mean it’s a certainty.

It means that you may have an opportunity to change that scenario. Not just for yourself, but also for your baby. A baby exposed to high blood glucose levels during pregnancy and is large at birth is also at risk of developing health concerns such as obesity, early puberty and type 2 diabetes.

If a woman gains excess weight before her pregnancy, this increases her chances of developing gestational diabetes and exposing her baby to the effects of excess weight and high blood glucose levels.

Steps towards change

This cycle of diabetes from one generation to the next can be changed.

• Managing your diabetes聽well聽during pregnancy is a good start.聽You could also arrange with your doctor a preconception diabetes pathology check. Alternatively, diabetes聽can be聽checked聽early in your next pregnancy.聽Having gestational diabetes increases the chances of it occurring聽in聽your next聽pregnancy.
• Detecting diabetes means that you have an opportunity to reduce baby鈥檚 exposure to high blood glucose levels.聽Whether that聽occurs聽before a pregnancy or early in a pregnancy, it鈥檚 an opportunity to work with your health care team to achieve this聽aim.
• Aiming to prevent gestational diabetes in future pregnancies聽may also be an option for you. Research has shown that聽you聽increase聽your聽chances of developing gestational diabetes聽in a future pregnancy as you increase your body weight.聽However,聽by聽achieving a 丑别补濒迟丑测听飞别颈驳丑迟聽before聽pregnancy you can reduce the chances of developing gestational diabetes.
• 颁辞苍蝉颈诲别谤听产谤别补蝉迟蹿别别诲颈苍驳 your baby. Breastmilk offers a wide range of benefits to both mother and child. It is for this reason that the (WHO) recommends that all women breastfeed exclusively for the first six months. For you, even three months of providing breastmilk to baby could delay or prevent your development of type 2 diabetes. For baby, you may help to reduce overweight. Of course, there are other ways to encourage your child to grow within a healthy weight range. This includes providing healthy foods in moderate portions, encouraging daily physical activity and limiting screen time.
• Seek help from your medical team, family, friends and community programs and services. A pregnancy with diabetes requires more contact with your medical team to check that your pregnancy is as expected and to offer support when needed. To continue the lifestyle changes that you know worked during your previous pregnancy, you may need support from family and friends. Community programs can also help you maintain these healthy lifestyle choices. If there are areas of your parenting that you鈥檇 like to change or develop, your family doctor, paediatrician or child health nurse is available. There are positive parenting programs that could help you understand baby and how to encourage his or hers social, physical and emotional development.

To break this cycle of diabetes between one generation to the next requires time, effort and assistance. For some women, it is possible.