Let’s Talk Sugar, Mama (The Real Kind, Not Just the Cravings 😉)
So here we are—Week 24, baby is growing, your bump is definitely bumpin’, and you might be feeling stronger, more connected, and a little more “in the groove” of pregnancy.
But then your OB or midwife mentions that it’s time for something called the glucose test, and your brain goes:
“Wait… do I have to worry about gestational diabetes now?” 😳
Totally normal reaction. The words “gestational diabetes” can sound scary at first—but here’s the truth:
You don’t need to panic.
You don’t need to feel guilty.
And you definitely don’t need to feel ashamed if your test comes back positive.
This post is your stress-free guide to understanding gestational diabetes (GD)—what it is, why it happens, how to prevent it if possible, and what to do if it shows up on your pregnancy path.

1️⃣ What Is Gestational Diabetes, Really?
Let’s keep it simple:
Gestational diabetes is a temporary form of diabetes that occurs during pregnancy.
It means your body has trouble processing sugar (glucose) effectively while you’re pregnant. Normally, your body uses insulin to help sugar move from your bloodstream into your cells. But during pregnancy, hormones from the placenta can make you more resistant to insulin.
When your body can’t keep up? Your blood sugar rises—and that’s when gestational diabetes can show up.
📌 It usually develops between 24 and 28 weeks—right where you are now.
2️⃣ Why Does It Happen? Did I Do Something Wrong?
First of all—no, you didn’t do anything wrong.
Gestational diabetes is caused by hormonal changes that happen to support pregnancy. Even super healthy, active mamas can get it.
However, certain factors can increase your risk, such as:
- Being overweight before pregnancy
- A family history of type 2 diabetes
- Previous pregnancy with GD
- Being over age 35
- Having PCOS (polycystic ovary syndrome)
- Carrying multiples
But again—even if none of these apply, you can still develop it. That’s why everyone is screened.
3️⃣ What Are the Symptoms? (And Do You Feel Anything?)
Here’s the tricky part:
Most women with gestational diabetes don’t feel any symptoms at all.
That’s why the glucose screening test is so important—because it helps catch it even if you feel totally fine.
Sometimes, when blood sugar is really high, a few signs might show up:
- Feeling very thirsty
- Needing to pee more than usual
- Fatigue (beyond the usual pregnancy tired)
- Blurred vision
📌 But again—most cases are silent, which is why testing is routine and super helpful.
4️⃣ What’s the Glucose Test Like? What Should I Expect?
Ah yes, the famous sugary drink test. You’ve probably heard mixed reviews—so here’s what really happens:
🥤 The Glucose Screening (First Step)
- Usually done between 24–28 weeks
- You’ll be given a sweet drink (often orange, lemon-lime, or fruit punch flavored)
- After drinking it, you’ll wait one hour
- Then they’ll draw your blood to see how your body handled the sugar
📌 You don’t need to fast for this one (unless your provider says otherwise).
If your levels are high, they’ll schedule a follow-up glucose tolerance test, which is a longer, more detailed version.
5️⃣ What Happens If I’m Diagnosed with Gestational Diabetes?
First of all—breathe.
GD is very manageable, and most mamas go on to have healthy pregnancies and healthy babies with the right care.
Here’s what you can expect:
📋 Lifestyle Adjustments
You’ll likely be asked to:
- Monitor your blood sugar daily
- Eat a balanced, lower-sugar diet
- Pair carbs with protein and fiber
- Stay active (even light walking helps)
💊 Medication (Sometimes)
If lifestyle changes aren’t enough, you may be prescribed insulin or other meds. This doesn’t mean you’ve failed—it just means your body needs extra support right now.
🩺 More Monitoring
You may have a few more check-ups or ultrasounds to make sure baby is growing well.
📌 The goal: keep your blood sugar steady to reduce the risk of complications (like a larger baby or early delivery).
6️⃣ Can Gestational Diabetes Be Prevented?
You can’t always prevent GD, but you can take steps to reduce your risk—especially early in pregnancy or if you’re planning ahead.
Try:
- Eating whole, nutrient-dense foods
- Choosing complex carbs over refined ones (think oats, quinoa, whole grain bread)
- Pairing carbs with protein and healthy fats
- Getting regular movement (walks, yoga, swimming)
- Managing stress (yep—stress affects blood sugar too!)
📌 But remember—this isn’t a “do it perfectly or else” situation.
It’s about supporting your body, not blaming it.
7️⃣ What About Baby? Is Gestational Diabetes Dangerous?
When managed well, most babies are completely healthy.
But if left untreated, gestational diabetes can increase risks like:
- Larger baby size (macrosomia), which can affect delivery
- Preterm birth
- Low blood sugar in baby at birth
- Increased chance of c-section
- Higher risk of type 2 diabetes later for both mom and baby
📌 This is why regular prenatal care and monitoring matter so much—it’s not about fear, it’s about keeping both of you safe and healthy.
8️⃣ What Other Mamas Say About Their GD Journey
“I was so scared when I got the diagnosis, but once I met with a nutritionist and got into a rhythm, it honestly felt manageable. And my baby was perfect.” – Julia
“The glucose drink wasn’t as bad as people say. Mine tasted like flat orange soda. Not great—but not terrible!” – Sasha
“I learned how to eat better because of GD, and those habits stuck even after pregnancy. Silver lining, I guess!” – Monica
Final Thoughts: You’re Not Alone, and You’re Doing Just Fine
Mama, this part of the journey might feel a little overwhelming—but remember:
You are not your diagnosis.
You are not your glucose numbers.
And you are not alone in this.
Gestational diabetes is just one of the many curveballs pregnancy can throw—but with support, knowledge, and a good team around you, you’ll handle it like the strong mama you already are.
This is not about perfection. It’s about taking care of you and baby, one day and one step at a time. 💛