A healthy pregnancy is a priority for every mother-to-be, but for women who have diabetes, including those who are diagnosed with gestational diabetes, their health care can become more complex.

Women with diabetes who are diagnosed prior to pregnancy have a higher risk for complications, including miscarriage and birth defects. As the pregnancy progresses, women with diabetes are at risk for high blood pressure, preeclampsia, eclampsia, preterm  and prolonged labor, cesarean section and its associated complications.

Up to 9.2 percent of women have gestational diabetes, according to the Centers for Disease Control and Prevention (CDC), and for these women in particular, their babies have a higher risk for high birth weight and shoulder dystocia, a complication during delivery. Babies born with low blood sugar (hypoglycemia) will likely have to be in the NICU for a few days after birth.

The good news is that with a plan, healthy strategies and support, you can control you diabetes, have a healthy pregnancy, and deliver a healthy baby.

Follow these expert tips:

1.     See your doctor before you get pregnant.

If you have diabetes and plan to conceive, you should talk to your doctor to make sure your A1C levels are normal, talk about medication if its necessary or ask for a referral to a nutritionist. Women with Type 1 diabetes should ask their doctors about a kidney function test, a thyroid test and an eye exam because other conditions can worsen, said Dr. Lois Jovanovic, an endocrinologist and clinical professor of medicine at the Keck School of Medicine of the University of Southern California in Los Angeles.

2.      Lose weight.

One of the best ways to ensure you will have a healthy pregnancy is to make sure you start out at a normal weight. If your pregnancy was unplanned 50 percent are dont despair.

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