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Question: From Syracuse, Utah, USA: I am 29 weeks pregnant with my second child, I have just been diagnosed with gestational diabetes, I am concerned because my first pregnancy ended in a fetal death at 38 weeks, and the doctors we unable to identify the cause. I was not tested for gestational diabetes with my first pregnancy, but after research, I have discovered that I did have symptoms. Could untreated gestational diabetes cause fetal demise? Answer: The risk of a fetal demise with gestational diabetes, particularly if it is managed with diet alone is close to that of woman without diabetes. The highest risk is in women with long-standing diabetes who also have other complications such as kidney damage. Nevertheless, given your history, I would suggest close fetal surveillance in the last three months of pregnancy. Usually fetal deaths without a known cause are very unlikely to occur again. OWJ DTQ-20011201182457 Original posting 5 Dec 2001 Posted to Gestational Diabetes

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Last Updated: Sun Jan 15 12:18:36 2006
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