Infant of a Mother with Diabetes
What is an infant of a mother with diabetes?
An infant of a mother with diabetes is a baby who is born to a mother with diabetes.
Because the mother has diabetes, the baby is at risk for problems.
People with diabetes have high levels of sugar in their blood (hyperglycemia). Over
time, this can lead to serious health problems. Keeping your blood sugar under control
lowers your risk for complications. You can manage diabetes by eating a nutritious
diet, getting regular exercise, and taking medicine.
Two types of diabetes can happen in pregnancy. These are:
- Gestational diabetes. In this condition, you don’t have diabetes before pregnancy. You develop it during pregnancy.
This type of diabetes goes away after your baby is born.
- Pre-gestational diabetes. In this condition, you have diabetes before getting pregnant. You may have type 1
or type 2 diabetes.
- People with type 1 diabetes don’t make insulin. Your body needs insulin to use blood
sugar. You’ll need to take insulin shots.
- People with type 2 diabetes can’t use the insulin they make. Or their bodies don’t
make enough insulin. You’ll need blood sugar-lowering medicine and possibly insulin.
It’s important to manage your blood sugar during pregnancy. This can lower your baby’s
risk for problems.
What causes problems for an infant of a woman with diabetes?
In pregnancy, the placenta gives a growing baby nutrients and water. It also makes
hormones you need for healthy pregnancy. Some of these hormones can block insulin.
This often starts at 20 to 24 weeks of pregnancy.
As the placenta grows, it makes more of these hormones. This means that the pancreas
must make more insulin. Normally, the pancreas is able to make enough insulin. If
it doesn’t, gestational diabetes occurs.
Pregnancy may also change the insulin needs of a woman who already has diabetes. If
you have type 1 diabetes, you may need more insulin. If you have type 2 diabetes,
you may need to start using insulin or you may need more insulin.
An infant of a woman with diabetes is at risk for many problems. These issues can
happen in pregnancy and after birth. The problems happen when your blood sugar isn’t
Who is at risk for gestational diabetes?
The following factors increase your risk for gestational diabetes:
- Older than 25
- Overweight and obesity
- Gestational diabetes in past pregnancies
- Family history of diabetes
- Have given birth to a very large baby
- Have had a stillbirth
- Are African American, American Indian, Asian American, Hispanic, Latina, or Pacific
What are the symptoms in the infant of a mother with diabetes?
During pregnancy, the following can happen to your baby:
- Birth (congenital) defects and miscarriage. These are more likely to occur in women
who had diabetes before pregnancy.
- High blood sugar
- Low oxygen levels
- Low blood iron levels
- High blood pressure
- Enlarged heart
- Poor nervous system development
- Poor lung development
The following problems may happen to your baby after he or she is born:
- Large size (macrosomia). Big babies are more likely to get hurt during delivery. These
include shoulder injuries.
- Low blood sugar (hypoglycemia)
- Low blood calcium
- Low blood iron
- High levels of red blood cells and thickened blood
- High levels of bilirubin from the breakdown of red blood cells
- Birth defects. Most affect the heart, blood vessels, brain, and spinal cord.
- Premature birth
- Enlarged heart
- Breathing problems
- Long-term problems. Babies born to mothers with diabetes are more likely to have diabetes
and be obese later in life.
How is diabetes during pregnancy diagnosed?
Your doctor will check you for diabetes during pregnancy.
If you have risk factors for type 2 diabetes, such as being overweight, your doctor
will check you early in pregnancy. Your doctor may test you during your first checkup.
Your healthcare provider will screen you for gestational diabetes between 24 and 28
weeks of pregnancy. This screening is done using an oral glucose tolerance test (OGTT).
An OGTT checks a woman's blood sugar levels after she has sugar (glucose). You may
have one of these tests:
- One-step test. After not eating (fasting), you’ll have 75 grams of glucose. Your healthcare provider
will check your blood sugar after a set amount of time.
- Two-step test. You’ll have 50 grams of glucose (you don’t need to fast). Your healthcare provider
will check your blood sugar after a set amount of time. If your blood sugar is high,
you’ll do another OGTT with 100 grams of glucose.
How are pregnant women with diabetes and their infants treated?
During pregnancy, your healthcare provider will watch you and your baby closely. You
may be treated by a specialist who cares for pregnant women with diabetes.
Controlling your blood sugar levels is a must. This is the best way to reduce your
baby’s risks. You’ll likely need to do the following to care for your diabetes:
- Watch your blood sugar levels closely. Your healthcare provider may ask you to test
your blood sugar at home.
- Take insulin as prescribed. Your dose of insulin may change throughout pregnancy.
- Watch your weight. Your doctor may tell you to gain less weight if you’re overweight
Your baby’s treatment depends on how well you controlled your blood sugar in the last
part of pregnancy and during labor and delivery. Treatment will also depend on your
child’s symptoms, age, and general health. It will also depend on how severe the condition
Your baby’s healthcare provider may draw his or her blood. This will check your baby’s
blood sugar, blood calcium, and other levels. This may be done through a heel stick,
a needle in your baby's arm, or an umbilical catheter (a tube placed in your baby's
Your baby may need a glucose and water mixture as an early feeding. Or your baby may
need glucose given into a vein (intravenously or IV). Your baby’s healthcare provider
will closely watch his or her blood sugar levels. This is done in case your baby’s
blood sugar levels drop too low.
Help with breathing
Your baby may need oxygen or a breathing machine to breathe better.
Your child may need extra care if he or she has birth defects or injuries. Your child
may need to see a specialist. This depends on his or her condition.
Can gestational diabetes be prevented?
Caring for your diabetes well can lower your baby’s risks. Eating a nutritious diet,
testing your blood sugar, and taking insulin can help you care for your condition.
Having gestational diabetes raises your risk for diabetes later in life. If you had
gestational diabetes, your healthcare provider will test you for diabetes after you
give birth. This is often done 6 to 12 weeks after your baby is born. Your healthcare
provider will continue to check you for diabetes because of your risk.
After birth, your child’s healthcare provider should also regularly check him or her
for diabetes. An early diagnosis and treatment can lower his or her risk for problems.
Key points about an infant of a mother with diabetes
Two types of diabetes can happen in pregnancy. One is gestational diabetes and the
other is pre-gestational diabetes.
- All women are screened for gestational diabetes. This is done between weeks 24 and
28 of pregnancy.
- Having diabetes during pregnancy can harm your baby.
- Your baby’s treatment depends on how well you control your blood sugar in the last
part of pregnancy and during labor and delivery.
- Controlling your blood sugar is the best way to reduce your baby’s risks.
Tips to help you get the most from a visit to your child’s healthcare provider:
- Know the reason for the visit and what you want to happen.
- Before your visit, write down questions you want answered.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments,
or tests. Also write down any new instructions your provider gives you for your child.
- Know why a new medicine or treatment is prescribed and how it will help your child.
Also know what the side effects are.
- Ask if your child’s condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if your child does not take the medicine or have the test or procedure.
- If your child has a follow-up appointment, write down the date, time, and purpose
for that visit.
- Know how you can contact your child’s provider after office hours. This is important
if your child becomes ill and you have questions or need advice.