Gestational Diabetes (GDM): Discharge Instructions After Delivery

FOLLOW-UP APPOINTMENTS:

Please keep ALL follow-up appointments after you leave the hospital.

 If you experienced GDM during pregnancy, you have an increased risk of developing GDM with future pregnancies and developing type 2 diabetes during your lifetime.

• It is very important that you have a follow-up appointment with your doctor after delivery.
• Talk with your doctor about follow up screening for diabetes during your postpartum follow-up appointment. Rescreening should happen between 6 to 12 weeks postpartum after delivery and every one to three years with your primary doctor during your annual health exam.
• Talk to your doctor before you plan to get pregnant again because of the high risk of having diabetes in your next pregnancy. If you become pregnant again, tell your doctor at your first appointment that you have a history of gestational diabetes.

BREASTFEEDING:

• Your blood sugar may be low around the time you are breastfeeding
• Milk production can cause low blood sugar
• It is especially important when you are breastfeeding to monitor your blood sugar levels closely

PHYSICAL ACTIVITY:

• Exercise can help to control blood sugar and prevent type 2 diabetes
• Check with your health care provider before starting a new exercise program

NUTRITION:

• Talk to your doctor about a diet that is right for you
• Limit empty calories from fried foods, sugary beverages, desserts, and sweetened cereals
• Choose foods low in fat
• Eat foods high in fiber such as vegetables, whole grains, fruits, and cereals
• Drink plenty of fluids (at least six 8-ounce glasses of water each day)

IF YOU HAD A C-SECTION:

• If you have diabetes and your blood sugars are not in control, you could be at an increased risk for infection
• A nutritious and balanced diet and good blood sugar control are essential for wound healing