When You’re Wondering ‘Why Me?’: The Truth About Gestational Diabetes

You might be excited for your pregnancy, dreaming up names, shopping for tiny clothes—when, out of the blue, your doctor mentions a routine glucose test. Weeks later, the results come in. You’ve got gestational diabetes (GDM).

If you’re like most women, the first question is: Why me? Why do some women get gestational diabetes, while others don’t? Is it something you did—or didn’t do? Is it just the luck of the draw? Several things can play a role in women who develop gestational diabetes.

What Exactly Is Gestational Diabetes (GDM)?

It is a type of diabetes that develops only during pregnancy. It’s when your blood sugar levels get too high because your body either becomes resistant to insulin (the hormone that controls blood sugar) or doesn’t make enough of it to keep up with the new demands of pregnancy.

Most women won’t notice any symptoms. That’s why screening—usually between the 24th and 28th week—is routine. Sometimes, you might feel extra thirsty or notice more trips to the bathroom, but many women are completely unaware until the test results arrive.

Also Read: The Importance of Gut Health: Why It Matters More Than You Think

Comparing “Why Me?” Stories: A Human Reality

It can be really confusing that your neighbor who’s always snacking on sweets throughout pregnancy with perfect blood sugar, while you—possibly a healthy eater—end up with GDM. The truth? It’s not about blame, but about biology, background, and a mix of risk factors mostly out of your control.

The Main Risk Factors for Gestational Diabetes

For many women, it’s a combination, not a single cause.

1. Family History and Genetic Roots

If a close relative (like your mom or sibling) has type 2 diabetes, your risk of GDM jumps.

Certain genetic markers, inherited from either parent, may make your body less responsive to insulin. Some modern studies point to genes like TCF7L2 and MTNR1B as common culprits.

2. Your Weight and Body Composition

Being overweight or obese before getting pregnant significantly increases the chance of developing GDM. The heavier you are, the higher your risk.

Overweight: about twice the risk

Obese: up to 8 times the risk

Weight gain in pregnancy also matters. Even women at a healthy weight who gain a lot quickly can see their risk rise.

Also Read: Healthy Living is Self-Care: Why Taking Care of Yourself is Essential Healthcare

3. Age: The Clock Matters

Women over age 25—and especially over 35—are more likely to develop gestational diabetes.

As our bodies age, we naturally become more resistant to insulin, and pregnancy turbocharges this effect.

4. Past Pregnancy Experience

Did you have GDM in a previous pregnancy, or give birth to a baby weighing more than 4kgs? The risk returns (and increases) in future pregnancies.

Recurrent issues hint at a persistent metabolic tendency.

5. Underlying Medical Issues

Polycystic Ovary Syndrome (PCOS) and prediabetes (higher-than-normal blood sugar not yet in the diabetes range) both increase GDM risk.

7. Lifestyle Factors: How Much Do They Matter?

Low levels of physical activity before and during early pregnancy are linked to higher GDM risk—even when other risk factors are accounted for.

A sedentary lifestyle is a global risk factor for many non-communicable diseases, and GDM is no exception.

8. Smoking and Rare Factors

Smoking doubles the risk of gestational diabetes.

Some studies even suggest that short stature may slightly increase risk, though this is less well understood.

Also Read: Pregnancy Precautions: A Guide to a Safe and Healthy Journey

Why Does This Happen During Pregnancy?

Pregnancy naturally makes your body more resistant to insulin. The placenta produces hormones that send extra sugar to your baby. Most of the time, the pancreas makes more insulin to handle this. But if it can’t keep up, your blood sugar rises, and that can lead to gestational diabetes.

Why Doesn’t Every Woman Get It?

This is where biology, genetics, and background combine. Some women simply have more “reserve”—their pancreas can make enough insulin, even when pregnancy hormones do their worst. Others, because of genetic, lifestyle, or metabolic factors, just can’t keep up.

Also:

Some risk factors—like age or ethnicity—are unchangeable.

Others—like pre-pregnancy fitness and weight—are partly under personal control.

But here’s a vital point: Up to 60% of women diagnosed with GDM have no obvious risk factors at all. That’s why all women, regardless of history or health, are screened during pregnancy.

Can You Prevent Gestational Diabetes?

While you can’t change your genes, some steps may cut your risk:

• Achieve a healthy weight before pregnancy, if possible.
• Stay physically active—regular, moderate exercise before and during early pregnancy is protective.
• Eat a balanced diet, rich in whole grains, low in refined sugars, and high in fiber.
• Quit smoking.
• Manage underlying conditions (like PCOS or high blood pressure) with your healthcare provider.

But remember: even women who do “everything right” can develop gestational diabetes. It’s not about fault—it’s about understanding risk and responding proactively.

Also Read: Symptoms of High Blood Pressure

The Silver Lining: What If You Are Diagnosed?

While GDM can seem scary, most women go on to have healthy pregnancies, especially with early detection and management. Treatment usually means a personalised meal plan, regular activity, and, sometimes, medication or insulin. Regular monitoring helps keep you and your baby safe.

Importantly, GDM usually goes away after birth, but it raises your risk of type 2 diabetes later. That makes post-pregnancy follow-up and healthy lifestyle changes even more important.

Key Takeaways: Compassion Over Blame

Gestational diabetes is common—affecting millions of women worldwide every year. It’s caused by a mixture of genetic, medical, and lifestyle factors—many out of your control. Anyone can develop it, even without classic risk factors. Early screening, a healthy lifestyle, and regular prenatal care stack the deck in your favor.

 Support at Omega Hospitals

At Omega Hospitals, we recognize that being diagnosed with gestational diabetes can be confusing and stressful. That’s why we offer comprehensive, personalized care tailored to each woman’s unique needs. Our experienced team of obstetricians, endocrinologists, dietitians, and diabetes educators work together to create a treatment plan that includes balanced nutrition guidance, safe physical activity recommendations, and careful blood sugar monitoring. When necessary, we provide medical treatments like insulin therapy with close supervision to keep both mom and baby healthy.

We believe in educating and empowering women throughout their pregnancy journey, helping them understand their condition without blame or fear. With advanced diagnostic tools and compassionate support, Omega Hospitals strives to ensure that gestational diabetes is managed effectively, giving you the best chance for a safe and joyful pregnancy. Your health and your baby’s well-being are our top priorities every step of the way.