Frequent symptoms of either hypo or hyperglycemia may occur, but if symptoms are unknown to the woman may be associated with normal pregnancy announces and not followed up on. "The severity of the symptoms and the rate at which they develop may differ, depending on the type of diabetes." (Clark, 2004, p. 3) Increased urine production, glucose in the blood and urine, ketones (undigested protein) in the blood or urine, increased number of infections and decreased or limited healing of such infections, weight loss, or weight gain and occasionally (in extreme cases) numbness and/or tingling in extremities and vision disturbances are all symptoms of diabetes but as one can see from the list if such changes occur during pregnancy they could be attributed to normal pregnancy related changes, unless they become severe.

Particular attention should be paid to hypoglycemia and ketosis. Blood sugar control is essential, even in the first...
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