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Diabetes Management

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Pregnancy & Diabetes Program

What is Gestational Diabetes?

When a pregnant woman has high blood sugar (glucose) but has never had diabetes before, she is said to have gestational diabetes.  This condition affects about four percent (4%) of all pregnant women, which translates to about 135,000 cases of gestational diabetes in the United States each year.

Gestational diabetes begins when a mother's body is not able to make and use all the insulin it needs for pregnancy.  Without enough insulin, glucose cannot leave the blood and be changed to energy.  Glucose then builds up in the blood to high levels, which is called hyperglycemia.

For more extensive information on gestational diabetes and how it may affect mother and baby, learn more from the American Diabetes Association

Diabetes and Pregnancy Program

Gestational education and consultation is offered on:

  • WakeMed Raleigh Campus
  • WakeMed Cary Hospital
  • WakeMed North


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The Diabetes and Pregnancy Program at Raleigh Campus offers Diabetes Self-Management Training for patients with gestational diabetes.  The program is designed for the patient who has developed diabetes at any stage of pregnancy or for the patient who has diabetes prior to conception. 

The components of the program include: 

  • Review of the pathophysiology of gestation diabetes management, including risk to mother and fetus
  • Individualized meal plan
  • Weight goals
  • Benefits of exercise during pregnancy
  • Instruction in self-blood glucose monitoring
  • Ketone testing instruction, if appropriate
  • Evaluation of meal plan and adjustments as needed throughout pregnancy
  • Review of blood glucose records and glycemic control

A physician referral is required. 

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