Pregnancy can be a joyful yet challenging journey, and for millions of women worldwide, diabetes makes it even more complicated. To support mothers and their babies, the World Health Organization (WHO) has released its first-ever global guidelines specifically for managing diabetes during pregnancy.
Diabetes during pregnancy can be pre-existing, like type 1 or type 2 diabetes, or appear for the first time while expecting, known as gestational diabetes. Experts say about one in six pregnancies worldwide are affected, roughly 21 million women each year. If left unchecked, it can increase risks of high blood pressure, complications during delivery, and health problems for both mother and baby.
The new guidelines put women at the centre of care. They encourage personalised support, recognising that every pregnancy and health journey is unique. Women are advised to monitor their blood sugar, follow healthy diets, stay active safely, and, if necessary, take medication. For those with pre-existing diabetes, care teams involving obstetricians, endocrinologists, dietitians, and diabetes educators are recommended.
“Every mother deserves care that fits her needs, protects her health, and safeguards her baby,” WHO says. These guidelines offer a clear path for governments, doctors, and health workers to make that a reality.
Importantly, the WHO urges health systems to integrate diabetes care into routine pregnancy services, especially in countries where resources are limited. For women with gestational diabetes, lifestyle measures often work, but medicine or insulin is added when needed.