Gestational Diabetes

We now know that the key to a healthy pregnancy for a woman with gestational diabetes is keeping blood glucose (sugar) in the target range.  During pregnancy -- usually at around 28 weeks or later -- many women are diagnosed with gestational diabetes.

 

A diagnosis of gestational diabetes doesn't mean that you had diabetes before you conceived, or that you will have diabetes after giving birth, but it's important to follow your doctor's advice regarding blood glucose (blood sugar) levels so you and your baby both remain healthy.

To keep your blood glucose in target range you need a diabetes treatment plan that keeps meals, exercise, and if needed, medication, in balance. You will need to check your blood glucose  and keep a record of your results. With your blood glucose in the target range and good medical care, your chances of a trouble-free pregnancy and a healthy baby are as good as they are for a woman without diabetes.

Your obstetrician referred you to our program. Our diabetes education program along with our maternal fetal specialist (perinatologist) will help you successfully manage your blood glucose. The initial education session is usually a group session of three to five women and will take about four hours. The diabetes nurse educator and dietitian will teach the class. You will be given an individualized meal plan and a blood glucose meter and will be taught how to use it to check your blood glucose everyday.

After the initial session, we will stay in contact with you by phone, fax or e-mail on a weekly basis in order to get your blood glucose readings. These blood glucose readings will be discussed with our maternal fetal specialist. We will get back to you with our doctor's recommendations. This will be done weekly until delivery.

Pre-existing Diabetes

Women with type 1 or type 2 diabetes prior to pregnancy 

We now know that the key to a healthy pregnancy for a woman with diabetes is keeping blood glucose (sugar) in the target range — both before pregnancy and during pregnancy. To do this, you need a diabetes treatment plan that keeps meals, exercise, and medication in balance. This plan will change as you change with the pregnancy. You will also need to check your blood glucose often and keep a record of your results. With your blood glucose in the target range and good medical care, your chances of a trouble-free pregnancy and a healthy baby are almost as good as they are for a woman without diabetes.

Your obstetrician referred you to our program.  Our diabetes education program along with our maternal fetal specialist will help you successfully manage your blood glucose.  The initial education session is an individualized session and will take about three and a half hours.   You will meet with a diabetes nurse educator and dietitian.  You will be given an individualized pregnancy meal plan and a blood glucose meter if you don’t already have one and will be taught how to use it to check your blood glucose everyday. 

After the initial session, we will stay in contact with you by phone, fax or e-mail on a weekly basis in order to get your blood glucose readings.  These blood glucose readings will be discussed with our maternal fetal specialist.  We will get back to you with our doctor’s recommendations.  This will be done weekly,  possibly twice a week until delivery.

Patient Forms & Documents

Gestational Diabetes Questionnaire

Pre-gestational Diabetes Questionnaire

(Complete this form only if you have had diabetes prior to your pregnancy.)

Additional Information Regarding Diabetes in Pregnancy

For more information regarding the Sweet Success Express Program and diabetes in pregnancy, please follow the link below.  

Sweet Success Hawaii

Diabetes in Pregnancy Program 

The goal of the Sweet Success Hawaii is to improve outcomes for women who have pregnancies affected by diabetes. Sweet Success Hawaii is an associate program of Sweet Success Extension Program, SSEP, a non-profit 501(c)(3), and is recognized by the American Diabetes Association as meeting the standards for diabetes self-management education. Diabetes Educators provide educational, nutritional and emotional resources to support the expectant mother and baby throughout the pregnancy and immediate postpartum experience.

 

Blood glucose values are reviewed one to two times per week and depending on these values, treatment is adjusted as needed.  All blood glucose values are physician reviewed. 

 

Most insurance plans are accepted to ensure that all women, regardless of their financial circumstances, have access to diabetes education and management.  The education provided is respectful of cultural preferences and learning needs.

Educational Information

P:808-945-2229

©2020 by Fetal Diagnostic Institute of the Pacific