Can gestational diabetes be inherited by the baby?

Written by Tang Zhuo
Endocrinology
Updated on May 01, 2025
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Gestational diabetes refers to hyperglycemia that starts or is first identified during pregnancy, including previously undiagnosed glucose intolerance and diabetes before pregnancy. Although most patients’ blood sugar levels may return to normal after delivery, whether or not it normalizes postpartum, it is considered gestational diabetes. The harm during pregnancy endangers the health of both the fetus and the mother. The effects on offspring mainly manifest in the following ways: First, it increases the risk of complications such as fetal intrauterine death and congenital anomalies. Second, the risk of giving birth to a large baby is increased. Third, the incidence of neonatal hypoglycemia, jaundice, polycythemia, and hypocalcemia increases. Fourth, the risk of obesity, glucose intolerance, and diabetes increases during adolescence and young adulthood. Therefore, while gestational diabetes is not inherited by the baby, it does increase the risk of obesity, glucose intolerance, and diabetes in the baby during adolescence or young adulthood.

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Written by Liang Yin
Endocrinology
1min home-news-image

How is gestational diabetes treated?

The treatment of gestational diabetes includes dietary therapy, exercise therapy, and insulin therapy. For dietary therapy, we mainly control the total calorie intake and supplement with elements such as calcium, iron, folic acid, and various vitamins; in exercise therapy, we aim to control the speed of weight gain, improve the peripheral tissues' utilization of glucose, and improve the lipid profile. For patients whose blood glucose levels do not meet the standards after two weeks of diet and exercise therapy, we initiate insulin therapy. The goal of insulin therapy is to control fasting blood glucose below 5.3 and postprandial blood glucose below 6.7. The methods of insulin therapy include twice daily injections, multiple daily injections, or the use of an insulin pump.

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Written by Chen Xie
Endocrinology
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Effects of gestational diabetes on the fetus

The impact of gestational diabetes on the fetus mainly manifests in early stages as spontaneous miscarriage, fetal malformations, and abnormal fetal development. As the fetus grows, the high maternal blood sugar levels can lead to a large fetus, which increases the risk of birth injuries during delivery. Due to the high insulin levels in the mother, the fetus may have hyperinsulinemia, which can cause recurrent hypoglycemia at birth. Additionally, the development and maturation of the fetal lungs are delayed, making the newborn more susceptible to respiratory distress syndrome. Furthermore, gestational diabetes also increases the risk of preterm birth.

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Written by Zhang Hui
Obstetrics and Gynecology
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Should pregnant women with gestational diabetes drink whole milk or skim milk?

If a pregnant woman has been diagnosed with gestational diabetes, she needs to be very careful about her diet. Whether to drink full-fat or skim milk during pregnancy depends on the individual's caloric needs. Considering the different amounts of calories produced by fats and proteins, skim milk generally has lower calories. Therefore, a pregnant woman with gestational diabetes can drink skim milk, but she should also be cautious about the total amount of milk consumed. She should not drink too much at once or consume milk excessively, because both full-fat and skim milk can lead to a significant increase in blood sugar levels.

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Written by Chen Xie
Endocrinology
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How to reduce blood sugar in gestational diabetes

Gestational diabetes cannot be treated with oral medications, as they can affect the fetus. Currently, the main treatment for gestational diabetes in China is insulin, with options for short-acting or rapid-acting insulin. If fasting blood glucose is high, long-acting insulin can be used to control fasting blood glucose levels. If post-meal blood glucose is high, short-acting or rapid-acting insulin can be used to control post-meal blood glucose levels. The blood glucose control standards for gestational diabetes are fasting blood glucose between 4.0 and 5.3, and two hours post-meal blood glucose between 4.4 and 6.7.

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Written by Luo Juan
Endocrinology
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Can pregnant women with gestational diabetes eat dragon fruit?

For patients with gestational diabetes, it is permissible to eat dragon fruit. Since dragon fruit contains relatively low sugar levels, it can be consumed. However, it should not be eaten in excess, as excessive consumption can still lead to fluctuations in blood sugar levels. In the treatment of gestational diabetes, we should not cause the pregnant woman's weight to decrease, hence a low-calorie treatment is not advocated. Generally, the total calories are calculated based on standard weight, approximately 30 to 35 kcal per kilogram of body weight per day. Sugars should make up about 50%, proteins 20%-25%, and fats 25%-30%. It is best to divide these into three main meals and three snacks, adjusting the proportion and calorie content of the diet according to body type. Therefore, patients with gestational diabetes can eat dragon fruit, and it can be consumed as a snack between main meals.