The following is an excerpt from MdMD for Life 2011, available now. 
As a nurse, Lakecia Lewis knew what she needed to do to have a healthy  pregnancy, including eating better.  But when she was diagnosed with  gestational diabetes in 2006, Lewis kicked into high gear, becoming more  motivated to follow a healthy meal plan and to keep her weight gain  minimal.
“I realized it wasn’t just about me now that I was pregnant,” Lewis  says.  “The gestational diabetes was going to affect the baby, and I  wanted both of us to be healthy.”
Lewis received the support she needed through Sinai Hospital’s Diabetes  and Pregnancy Education and Management Program.  Anna Osztreicher, a  certified nurse practitioner and diabetes educator and program manager,  meets with each patient to formulate an individualized plan.
“I have a nonjudgmental attitude,” Osztreicher says of the “intimate  relationship” she develops with her patients.  “I ask about their fears  and keep everything in a realistic perspective.  These women are  obviously very concerned about their baby’s well-being.”
Gestational diabetes occurs as a result of a resistance to insulin  during pregnancy.  It is estimated that between 6 to 8 percent of all  pregnancies involve gestational diabetes, says David Schwartz, M.D.,  chief of the Department of Obstetrics-Gynecology at Sinai Hospital.   Risk factors include being overweight, having a family history of  diabetes, or being considered pre-diabetic.
The impact of gestational diabetes on the health of mother and baby should not be minimized, Schwartz says.
“Gestational diabetes can cause the baby to get too big, which can  obstruct labor or result in other complications during delivery,” he  says.  “There’s also a concern about stillbirth.  That’s why we help  these women get their blood sugar level under control.”
The number of cases are increasing, as Schwartz explains below:
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-Elizabeth Leis-Newman
 
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