Gestational Diabetes


Dear Midwife,
I am six weeks pregnant with my second child. With my first (now 3 years old) I developed a mild case of gestational diabetes.

Should I start following the gestational diabetes diet now, or wait until the glucose screening test to see if I have it again? If I follow the diet starting now, is there a better chance that I won't develop it?



Yes and yes. I would advise you to start on the diet starting four months ago (but now is good!) and keep tight control of your sugars no matter what the test says.

You are at risk for a repeat of the gestational diabetes as well as regular diabetes, so why go there, either for yourself or your baby?

-- Cynthia, CNM. PhD

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.