Tommy's PregnancyHub

Your baby after giving birth with type 1 or 2 diabetes

The levels of glucose in your blood can directly affect your baby’s glucose levels when he is born.

Babies have lower blood sugar levels compared to older children and adults, and this is normal.

Your baby should be able to stay with you unless there is a medical problem or any signs that he needs intensive or special care. If your baby needs care in the neonatal unit, it may be possible for you to keep him on your ward and take him to the neonatal unit when staff need to monitor or treat him.

But if your baby has been producing a lot of insulin to respond to the high-glucose blood, this can increase the risk of their blood glucose level being too low. However your team will be aware of these risks and will monitor your baby closely.

If you were able to harvested colostrum in the third trimester this can be used to help your baby's sugar levels stabilise.

'My baby was slightly hypo for the first 24 hours because my blood-sugar had been a little high during labour. Thankfully I'd been able to express colostrum in the weeks leading up to the birth so didn't need to give him much formula to get his levels back up again.' Maria, mum of one

Your baby will need feeding as soon as possible after he is born. The healthcare team should test his blood glucose level 2-4 hours after birth. They will do this by pricking his heel to get a drop of blood for testing. Your baby will only feel discomfort for a moment.

If your baby shows any signs of congenital heart disease or a heart condition, such as heart murmur, your team may also arrange a scan to look at his heart.

If your baby’s blood glucose level remains low, he might need some extra help to increase his blood glucose levels – for example, by putting him on a glucose drip or feeding him through a tube.

He may also have jaundice (which is usually harmless if treated) or breathing difficulties. He may need to spend some time being monitored in the neonatal unit – especially if he is born prematurely. Many of these things can also occur in babies where diabetes isn’t a factor.

Ask questions

Don’t be afraid to ask questions if you’re not sure what’s happening. Talk to a staff member who you feel comfortable with, or phone one of these helplines.

Read more

  1. NICE (2015) Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period, NICE guideline, National Institute for Health and Care Excellence
  2. NHS Choices. Newborn jaundice http://www.nhs.uk/conditions/jaundice-newborn/pages/introduction.aspx 
Review dates

Last reviewed: 1 September, 2015
Next review: 1 September, 2017

Also in this section

  • Type 1 or 2 diabetes and pregnancy: who will be involved in your care?

    Different local areas have different arrangements for type 1 and 2 diabetes care in pregnancy, but your team will include specialists in a number of different areas.
    Type 1 or 2 diabetes and pregnancy: who will be involved in your care?

  • Long term effects of type 1 or 2 diabetes in pregnancy

    The fact that you have type 1 or 2 diabetes in pregnancy does not mean that your baby will get it as a child. But they will have an increased risk of getting it later due to genetics.
    Long term effects of type 1 or 2 diabetes in pregnancy

  • Using insulin in pregnancy with type 1/2 diabetes

    The treatment you were using to manage your diabetes before you became pregnant may change during pregnancy. If you were using tablets, you may have to start using insulin.
    Using insulin in pregnancy with type 1/2 diabetes

  • Second trimester with Type 1 or 2 diabetes

    By the second trimester, as your baby grows and starts to kick, you may need more insulin. Your medication and insulin needs will be regularly reviewed with you.
    Second trimester with Type 1 or 2 diabetes

  • Testing your glucose levels with type 1/2 diabetes

    If you have type 1 or 2 diabetes, managing your blood glucose levels can now be much harder in pregnancy. Testing is an important part of self-care.
    Testing your glucose levels with type 1/2 diabetes

  • How type 1 or 2 diabetes might affect your pregnancy

    Having diabetes can increase the possibility of problems in pregnancy. But managing your diabetes before and during your pregnancy will help to reduce these.
    How type 1 or 2 diabetes might affect your pregnancy

  • Type 1 or 2 diabetes in pregnancy and your emotional health

    Pregnancy can be an emotional experience for anyone, but you may need support with your emotional wellbeing if you have type 1 or 2 diabetes.
    Type 1 or 2 diabetes in pregnancy and your emotional health

  • Hyperglycaemia and pregnancy

    Hyperglycaemia is caused by blood glucose levels rising too high. Read more about how this might affect you during pregnancy.
    Hyperglycaemia and pregnancy

  • After the birth with type 1 or 2 diabetes

    If you have diabetes, you will need to make changes to your medication and monitor your glucose levels carefully after you’ve had your baby.
    After the birth with type 1 or 2 diabetes

  • Hypoglycaemia and pregnancy

    Hypoglycaemia happens when your blood glucose levels drop too low. This is more likely to happen if you treat your diabetes with insulin.
    Hypoglycaemia and pregnancy

  • Diet and exercise with type 1/2 diabetes

    If you have diabetes, you may be able to use diet and exercise alone to keep your blood glucose levels within safe limits during pregnancy.
    Diet and exercise with type 1/2 diabetes

  • Third trimester with type 1 or 2 diabetes

    If you are treated with insulin in pregnancy, by the third trimester your insulin requirements are likely to be much higher than they were before.
    Third trimester with type 1 or 2 diabetes