Managing Diabetes in Pregnancy, Together
Diabetes care in pregnancy centers on monitoring your baby’s growth and well-being while you keep your blood sugar in a healthy range. Patients with gestational diabetes are typically seen every four weeks for growth ultrasounds, with weekly biophysical ultrasounds added near the end of pregnancy. If medication is needed, visits become more frequent. Care is coordinated as a team with your OB and any other specialists involved.
A clear plan brings peace of mind
A diabetes diagnosis in pregnancy can feel overwhelming at first. The reassuring reality is that it’s highly manageable, and a clear, specialized care plan is what makes the difference.
What your monitoring involves
Patients with gestational diabetes can expect to be seen every four weeks for growth ultrasounds, and then weekly biophysical ultrasounds as you get closer to the end of your pregnancy. If your care includes medication, your visits will become more frequent so we can follow you closely.
A team around your care
We work as a multidisciplinary team and collaborate with your OB and any other specialists involved in your care. If you’re already being managed by an endocrinologist for your blood sugar, that endocrinologist typically continues to direct your diabetes management, while we focus on maternal-fetal monitoring, meaning your baby’s growth and well-being throughout the pregnancy. We coordinate and share recommendations as needed.
The most important thing to know
Two messages matter most here. The first is encouraging: with diabetes in pregnancy, your daily choices truly make a difference. Unlike many parts of pregnancy that are outside anyone’s control, blood sugar is an area where healthy eating, staying active as recommended, monitoring your levels, and honest communication with your team genuinely shape outcomes. We ask you to share every reading, including ones above your target range, because those numbers help us spot patterns and adjust your plan. The goal is never to judge a number. It’s to use it to support the healthiest outcome for you and your baby.
The second is reassuring: a gestational diabetes diagnosis usually does not mean you have diabetes outside of pregnancy. It develops because pregnancy hormones make it harder for the body to use insulin, and for most patients, blood sugar returns to normal after delivery. It’s a common, manageable condition, and most patients go on to have healthy pregnancies and healthy babies.
This is a partnership
Managing diabetes in pregnancy is a day-by-day effort, and it’s one we navigate together, with a plan that adapts as your pregnancy progresses.
A gestational diabetes counseling appointment gives you a clear understanding of your diagnosis and a practical plan to manage it. Your physician discusses what gestational diabetes means for your pregnancy and how to manage your blood sugar, and a medical assistant shows you how to use your glucose meter, reviews educational materials, offers meal-planning guidance, and confirms your pharmacy so your meter can be ordered. In some cases, a lab test such as a hemoglobin A1C is ordered to guide care.
Walk in with questions, walk out with a plan
The goal of diabetes counseling is for you to leave informed and empowered, not overwhelmed. You’ll understand your diagnosis, why it happens, how it can affect your pregnancy, and exactly what to do about it.
What the appointment involves
Your physician talks you through the diagnosis, its potential impact on your pregnancy, and the strategies for managing your blood sugar. A medical assistant then shows you how to use your glucose meter, reviews educational materials with you, offers meal-planning guidance, and confirms your pharmacy information so your glucose meter can be ordered. In some cases, an additional lab test such as a hemoglobin A1C is ordered to help guide your care.
By the end, you’ll understand how to manage your blood sugar through nutrition, meal planning, activity, monitoring, and medication if it’s needed, along with individualized guidance you can rely on for the rest of your pregnancy.
Who you’ll meet with
Your counseling is conducted by both a physician and a medical assistant, so you get medical expertise and hands-on, practical instruction in the same visit.
Care in your language
Counseling is offered in both English and Spanish, and we have an interpreter service available for other languages as well. Clear understanding is the entire point, and that’s easiest in the language you’re most comfortable with.
Please note: Diabetes counseling is provided in person. We do not currently offer virtual or telehealth counseling sessions.
Support that meets you where you are
Understanding your plan is the foundation of managing it well, and we navigate that learning curve together, at a pace that works for you.
FAQ
Patient Feedback
Dilcia C.
I had my first appt. today at Pembroke Perinatal, the experience was superb. From the front desk staff, to our very sweet ultrasound technologist, Marta, and Eileen, everyone was very kind and professional. Dr. Romary was truly excellent and willing to answer any questions we had. Overall wonderful experience!!
Belkis P.
Nice, courteous and quick service. Dr. Romary is very kind and patient, answers all questions with details and simple
Megha M.
Had great experience, Dr.Romary and her staff is great. So courteous all are. Each appointment I looked forward too as they gave detailed information and answered all my questions on baby growth. I had gestational diabetes and with that too, Dr. Romary guided me well to manage it with diet. She followed up to make sure my sugars were in limits and it will not affect baby’s growth. Love this place!!
