How to avoid gestational diabetes? Steps for healthy pregnancy

This blog is for educational purposes only and does not replace professional medical advice or diagnosis. If you have health concerns, consult an AHPRA-registered telehealth doctor or request a medical certificate online if clinically appropriate. Please note: Hola Health does not currently offer Mental Health Care Plans.

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Pregnancy – it's exciting, life-changing, and sometimes a little bit daunting. With so much information from all directions, it's easy to feel overwhelmed. One topic that often causes concern is gestational diabetes.  Don't worry, we will break it down here for you in a way that's easy to understand and empower you to take control of your health. 

What exactly is gestational diabetes?

In simple terms, gestational diabetes is a type of diabetes that some women develop during pregnancy.  Essentially, your body isn't producing enough insulin to manage your blood sugar levels. You can think of it like this: insulin is a key that unlocks the doors to your cells, allowing glucose (sugar) to enter and provide energy.  During pregnancy, hormonal shifts can sometimes make your cells a bit resistant to insulin, like the lock is getting a bit rusty. This can lead to a build-up of glucose in your blood. 

When do gestational diabetes symptoms start?

The tricky thing about gestational diabetes is that it often doesn't have any obvious symptoms. That's why routine screening is crucial, usually offered between 24 and 28 weeks of pregnancy.  However, keep an eye out for increased thirst, needing to pee more often, feeling tired all the time, or experiencing blurry vision – these could be signs, but it's always best to check with your midwife or doctor. 

What are the causes?

While there's no single cause of gestational diabetes, several factors can increase your risk: 

• Hormonal havoc: Pregnancy hormones can interfere with insulin's ability to do its job effectively. It's like the key (insulin) is struggling to turn in the lock (cell) because the hormones are playing havoc! 
• Weight: Being overweight or obese before pregnancy can increase your chances of developing gestational diabetes. 
• Family history: If diabetes runs in your family, you might be more predisposed to it. 
• Age: Women over 25 have a slightly higher risk. 
• Ethnicity: Some ethnicities, such as South Asian, Black Caribbean, and Middle Eastern, are statistically more likely to develop gestational diabetes. 

What can I do to lower my risk?

The good news is that you can take proactive steps to minimise your risk: 

Find your healthy weight:

If you're thinking about starting a family, aiming for a healthy weight beforehand can make a real difference. Even small changes can have a big impact. 

Nourish your body:

Focus on a balanced diet with plenty of whole grains, fruits, vegetables, lean protein, and healthy fats. 

Get moving:

Regular exercise, even moderate activities like a brisk walk in the park or a swim, can improve your body's response to insulin. Think of it as keeping those "insulin keys" well-oiled and working smoothly. 

Stress less:

Stress can affect your blood sugar levels, so finding healthy ways to manage it is important. Try incorporating relaxation techniques like yoga, meditation, or simply spending time outdoors into your routine. 

Can I still have a healthy pregnancy if I develop gestational diabetes? 

Absolutely!  With careful management, most women with gestational diabetes have healthy pregnancies and deliver perfectly healthy babies.  This usually involves: 

• Keeping a close eye on things: You'll need to monitor your blood sugar levels regularly, usually with a simple finger-prick test. 
• Eating smart: A registered dietician can help you create a personalised meal plan that keeps your blood sugar levels stable throughout the day. 
• Staying active: Continue with your exercise routine, as long as your doctor gives you the green light. 
• Medication (if needed): In some cases, your doctor might prescribe medication, such as metformin or insulin, to help manage your blood sugar levels. 

How often will I need to check my blood sugar?

Your doctor or diabetes educator will advise you on how often to test your blood sugar levels, but it's typically several times a day. This helps to identify any patterns and make adjustments to your diet or medication as needed. 

Will my baby be affected?

With proper management, the outlook for babies born to mothers with gestational diabetes is excellent.  However, if gestational diabetes isn't well-managed, it can increase the risk of complications for your baby, such as: 

• Macrosomia (a larger baby): This can sometimes lead to difficulties during labour and delivery. 
• Premature birth: Babies born prematurely may experience breathing problems or other health issues. 
• Low blood sugar after birth: Your baby's blood sugar levels will be monitored closely after they're born. 
• A slightly increased risk of developing type 2 diabetes later in life. 

When should I contact a doctor?

It's important to get in touch with your doctor or midwife straight away if you notice any of the following: 

• Blood sugar levels that are consistently high, despite your best efforts to manage them. 
• Any signs of infection, such as a fever or burning sensation when you pee. 
• Reduced movements from your baby. 
• Any other concerns or questions you may have – no matter how small they seem! 

How can telehealth with an online doctor help?

Telehealth can be a convenient way to access healthcare support, offering:

• Remote support: Some telehealth platforms allow you to share health updates with your healthcare provider remotely, making it easier to stay connected and monitor your progress.
• Virtual appointments: You can discuss any concerns or questions with your doctor via video call, saving you trips to the clinic.
• Online resources: Access helpful information and connect with an online GP from the comfort of your home.

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How Hola Health may be able to help

Hola Health is an Australian telehealth platform that connects you with registered doctors and nurse practitioners — from the comfort of your home, at a time that suits you. Depending on your situation, a Hola Health clinician may be able to help with:

• 24/7 General medical advice via telehealth doctor consult — talk through symptoms or health concerns with a registered doctor or medical practitioner
• Medical certificate online  — for work or personal leave, when clinically appropriate
• Referrals to specialists - or in-person services when needed
• Online prescriptions — at a clinician's discretion and where clinically suitable
• Pathology or imaging requests — when assessed as appropriate by your treating clinician

Hola Health clinicians are AHPRA-registered Doctors and medical practitioners in Australia. They will always recommend an in-person consultation, specialist referral, or emergency care if that is in your best interest. Note: Telehealth is not suitable for all conditions. Hola Health does not replace your regular GP, specialist, or emergency services. If you are unsure whether telehealth is right for your situation, we recommend speaking with your usual healthcare provider. In emergencies, call 000.

In a nutshell

Being diagnosed with gestational diabetes can feel a bit overwhelming. By taking proactive steps to look after yourself, you can significantly reduce your risk and have a healthy and happy pregnancy.  Focus on a balanced diet, regular exercise, and maintaining a healthy weight. And most importantly, don't hesitate to lean on your healthcare team for support and guidance. They're there to help you every step of the way, and together, you can navigate gestational diabetes and welcome your little one into the world with confidence and joy.