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I have had it with two of my pregnancies, and basically you will need to see a nutritionist to help with your diet. You follow the diet and check your blood sugar to see if you can control your glucose levels with the diet or if you will need insulin. It really helps to keep a food diary so you know how your body responds to different foods...and read labels.
Doesn't change too much.... You will have to watch your diet and blood sugar levels...If you cant control your blood sugar levels with diet and exercise then they will put you on insulin. I`ve have GD with both pregnancies and the hardest part is not giving in to the sugar-carb cravings.
Risks are having a very large baby (which increases risk of having c-section) or baby born hypoglycemic. oh and you may get induced 1 or 2 weeks early depending on how big your baby gets.
Its a totally manageable and temporary condition (just annoying that u cant indulge when u really want to)!