About Diabetes and Pregnancy


Dr Spiel performs an ultrasound on pregnant patient

Whether you develop diabetes during pregnancy (gestational diabetes) or have type 1 or type 2 diabetes prior to pregnancy, it’s important to carefully manage your condition to avoid complications. Our multidisciplinary team of maternal-fetal medicine specialists, nutritionists, nurses and social workers partner with experts at Joslin Diabetes Center to provide highly specialized care for women with diabetes before, during and after pregnancy.

Whenever possible, we encourage patients with type 1 or type 2 diabetes to begin planning with your medical team before conception to put the steps in place to ensure a healthy pregnancy. These steps may include bringing your blood sugar control into a good range for pregnancy, making sure your medication regimen is safe for pregnancy and working on diabetes self-care such as diet and exercise.

Once it is confirmed you are pregnant, you will be evaluated by an endocrinologist as soon as possible to ensure good control of blood sugar in the critical early weeks of pregnancy. You will also meet with maternal-fetal medicine specialists during your first trimester to discuss symptoms and evaluate any concerns.

If you develop gestational diabetes during pregnancy, we will develop a plan for you to ensure a healthy pregnancy. This plan may include meeting with a nutritionist and making changes to your lifestyle to keep your blood sugar level under control. Read tips for managing gestational diabetes from our experts.

Our team of experts offer highly specialized care for patients with diabetes, and we collaborate with other specialists to carefully evaluate and treat the needs of you and your baby.