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Diabetes and Pregnancy Program

Women with diabetes need comprehensive, specialized care before and during pregnancy. If you have type 1 or type 2 diabetes or if you've been recently diagnosed with gestational diabetes, our team of specialists wants you to have a healthy pregnancy and optimize the outcome for both you and your baby. Working with a specialist to manage your blood sugar before and during pregnancy can decrease the risk of complications and make it more likely that you can carry your baby to term.

Services Include:

  • Preconception counseling when you’re considering pregnancy, to optimize your blood sugar control and decrease chances of complications
  • Complete and personalized prenatal care throughout your pregnancy, with perinatologists who specialize in treating women with diabetes
  • Medication management, including insulin pumps
  • Frequent ultrasounds and nonstress testing at end of pregnancy
  • Diabetes nurse educators who will teach you about diabetes, how to monitor your blood sugar, and how to administer insulin (if necessary)
  • Nutrition, diet, and physical activity support, including help planning menus that are acceptable for your family
  • Social workers and maternal health specialists to assist you with personal, family, or financial needs
  • Surveillance for complications such as hypertension and preeclampsia, and prompt intervention and coordinated care if complications do exist
  • Delivery planning and onsite NICUs (neonatal intensive care unit) at both of our hospitals 
  • Referrals to our Maternal Weight and Wellness team for weight-gain management

We can see you for all pregnancy-related visits or you can continue seeing your regular provider for routine obstetrics care, including delivery at your provider's hospital.

About Pregnancy and Diabetes

Approximately one in five women delivering babies in San Diego County begin their pregnancies with diabetes, and others develop gestational diabetes during pregnancy. These women are at risk for complications during pregnancy and after delivery, including high blood pressure, eye disease, kidney disease, too much weight gain, severe hypoglycemia (low blood sugar), and diabetic ketoacidosis (DKA). Their babies are also at increased risk for complications, including macrosomia (high birth weight), higher rates of miscarriage and stillbirth, birth defects, delivery complications, and jaundice.

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