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Pregenecy and Diabetic (under control)
Am 32 years old, and I have recently tested positive for pregnancy. This is my third pregnancy, and my previous two deliveries were normal.
Regarding my health history: In December 2025, my HbA1c was 7.0. Through strict diet and exercise, I successfully brought it down to 5.6 and reduced my weight from 66 kg to 58 kg by March 2026.
Since I am now pregnant(5 week LMP 26 feb), I have a few specific concerns:
Is it safe for me to continue my current weight-management diet during this pregnancy, or should I make any adjustments for the baby's growth?
Since I achieved diabetes remission (bringing HbA1c from 7.0 to 5.6) before conceiving, is there a high risk of my sugar levels rising again during pregnancy?
What precautions or monitoring should I follow to ensure a healthy pregnancy. Pls advice
Answers (14)
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diabetic diet to be followed..and frequenct physician visit
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Well-controlled pregestational diabetes = good prognosis
🔹 Diet:
Continue healthy balanced diet
🔴avoid strict weight-loss diets
🔹 Sugar control and Monitoring:
• Fasting & PP sugars regularly
• HbA1c each trimester
• Early + repeat anomaly scan
• Growth scans in 3rd trimester
🔹 Precautions: continue folic acid and regular ANC
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Not safe to continue any weight management diet during pregnancy.
Never try to loose weight during pregnancy.
Stay with balanced diet , there s a diet chart for each trimester wise. Follow it.
Great for ur journey !
Stay active by doing yoga or excercises under guidance to have good harmonal control and sugars
Next Steps
you are 5 weeks now, go check ur Hba1c , Fasting for now as a baseline thing.
USG to conform intrauterine infection.
Health Tips
don't worry, just have Antenatal check ups regular ly .
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There is always a risk of diabetes during pregnancy
Kindly connect
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Dr. Parru Singh
Gynecologist/Obstetrician
9 yrs exp
Lucknow
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Dr. Parthvi Patel
Gynecologist/Obstetrician
10 yrs exp
Surat
Next Steps
Diabetic diet
Health Tips
Regular ultrasound to check for like around baby and blood supply to baby
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Dr. Padala Dhana Swarupa Rani
Obstetrician
3 yrs exp
Kakinada
Yes, your sugar levels may rise during this pregnancy. A strict control of diabetes is required and also maintenance of diabetic diet and check your sugar is a regular intervals under follow-up is required.
Coming to the restrictive diet for weight loss, I don’t think more weight loss is suggestible at this time because right now you are at ideal weight
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Dr. Pendekanti Malleswari
Obstetrician
24 yrs exp
Bangalore
During pregnancy following strict low carb diet not ideal. Take Nutritious diet with no extra Sugars,fats .Take Nutrition specialist advice for diet for your height and weight. Keep checking your sugars to keep a track, and during pregnancy there is a possibility of Gestational diabetes.
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Dr. Kinnari Amin
Gynecologist
12 yrs exp
Ahmedabad
As hba1c is within normal range, no health issues to baby as such
Consult dietician for changes in diet
Keep track of your blood sugar levels
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Dr. Shruti Dahiya
Gynecologist
5 yrs exp
Delhi
Since your sugars are well controlled (HbA1c 5.6), that’s a great start 👍
Diet: Do not continue a strict weight-loss diet now. Pregnancy needs balanced nutrition. Shift to a controlled, balanced diet (complex carbs, protein, healthy fats) rather than calorie restriction.
Weight: Aim for gradual, appropriate weight gain, not weight loss.
Diabetes risk: Yes, pregnancy hormones can increase sugar levels, so there is a chance of sugars rising again.
Monitoring: Check fasting and post-meal sugars regularly and repeat HbA1c as advised.
Precautions: Stay active (walking), avoid sugars/refined carbs, and have regular antenatal checkups.
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Dr. Sharmila Krishnamoorthy
Obstetrician
5 yrs exp
Erode
That depends on the type of diet
For diabetes you should follow low glycemic index food during pregnancy. But balanced food is the priority. Don't compromise on protein content. Walking 30 min a day.
During pregnancy fasting and postprandial sugar levels should be checked every 14 days if under control. If not under control you need a personalised protocol
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Dr. T Meena
Gynecologist
6 yrs exp
Chennai
Yeah. There is risk for diabetes during pregnancy. Consult for diet plan
.
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Dr. Neha Vashisth
Obstetrician
12 yrs exp
Jaipur
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