Our Diabetes in Pregnancy Program is one of the leading programs in the United States, and is part of The Ohio State University Wexner Medical Center’s Maternal Fetal Medicine practice. Our group serves expectant mothers who have diabetes prior to becoming pregnant, as well as women who develop diabetes during pregnancy.
Our physicians offer complete, personalized care, addressing both your diabetes as well as your unique prenatal needs. We provide your diabetes care while working closely with your referring obstetrician/gynecologist or medical endocrinologist. Annually, we guide nearly 800 women who have diabetes successfully through their pregnancy and delivery.
Diabetes in pregnancy can affect both mother and baby. With early intensive diabetes education and management, we can optimize your glycemic control to reduce the risks to your pregnancy, including birth defects, miscarriage, preeclampsia and birth injuries. Beyond pregnancy, we address your health after you deliver, provide education about the long-term health complications associated with diabetes and assist you in coordinating your diabetes care after having your baby.
Our Diabetes in Pregnancy Patients
Although diabetes is a spectrum of diseases, most of our patients can be classified as having either gestational diabetes or pre-gestational/pre-existing diabetes.
Gestational diabetes is common and occurs in 5 – 7 percent of all pregnancies. Typically it is diagnosed between 24 and 28 weeks on a routine screening test. Patients who have developed gestational diabetes are referred to our program by their obstetrician for co-management. We assist in managing your diabetes during the final months of pregnancy, implementing a personalized plan designed to help you have the healthiest pregnancy possible. Throughout your care with us, our recommendations are immediately communicated to your primary obstetrician.
Because most women with pre-existing diabetes have long known they are at high-risk if they become pregnant, they typically come to us before or at the beginning of pregnancy for co-managed care with their primary obstetrician. In addition to managing your diabetes, our group manages all of the concurrent medical conditions associated with long-standing diabetes — including hypertension, thyroid dysfunction and diseases of the eyes, heart and kidneys — either in our office or by drawing upon our network of Ohio State’s Wexner Medical Center physicians. Your referring obstetrician will continue to see you as well, and will receive regular reports of all our findings and recommendations.
If, at any point in your pregnancy, you and your obstetrician decide to transfer the complete care of your pregnancy to our practice, we can manage your entire continuum of care, from routine exams through delivery and postpartum checkups.
Why Choose The Ohio State University Wexner Medical Center for the Diabetes in Pregnancy Program
Our specialists are national leaders in diabetes care. For more than 25 years, Ohio State’s Diabetes in Pregnancy Program has cared for women in central Ohio, and is one of the leading programs in the United States. Well-known for our cutting-edge work in diabetes research and education, our physicians have directed multiple clinical trials and authored numerous, comprehensive research papers examining many facets of care in gestational diabetes that now guide how women with diabetes are managed across the United States.
Our physicians have the most experience in central Ohio caring for women with the most challenging-to-control diabetes. We have helped thousands of women have the healthiest and safest pregnancies possible. In addition to our highly qualified team of Maternal Fetal Medicine specialists, dietitians and nursing staff, our High-Risk Pregnancy Program has nurses dedicated solely to diabetes education.
Our Diabetes in Pregnancy Services
The Diabetes in Pregnancy Program team offers a variety of patient services personalized to meet your unique needs, including:
Education — During your initial visit, you will meet with both a dietitian and a certified diabetes educator. Because careful self-management of your condition is an important part of the success of your treatment, we discuss with you the effects of diabetes during pregnancy, how to manage your diet, exercise plan recommendations and how to manage your condition through self-glucose monitoring and medication when necessary.
Ultrasounds — At 18-20 weeks of pregnancy, we perform targeted anatomy ultrasounds, also known as Level 2 ultrasounds, in our office. These provide detailed anatomy images that check for all of the unique abnormalities associated with diabetes in pregnancy, such as cardiac malformations and birth defects such as spina bifida.
Fetal Echocardiogram — Particular to women who have diabetes prior to pregnancy, this screening assesses the structure and function of the baby’s heart before birth, including the presence of heart defects. Performed at 20-22 weeks of pregnancy, a pediatric cardiologist conducts this screening in our office.
Growth Scans — Because diabetes in pregnancy is associated with the development of exceptionally large or small babies, our practice conducts routine growth scans to track your baby’s size. These are conducted monthly through the third trimester and more frequently if needed.
Regular Glucose Reviews — Through routine clinic visits and phone calls by our nursing staff, we work with you to review your self-glucose monitoring records to initiate or adjust insulin as needed.
Insulin Pumps and Continuous Glucose Monitoring Sensors — Our physicians have the experience of managing diabetes during pregnancy using the latest technology. This includes utilizing continuous insulin pumps in conjunction with continuous glucose monitoring sensors. When used together, insulin pumps and glucose monitoring sensors can be powerful tools for maintaining normal blood sugar levels by detecting and avoiding impending high or low conditions.
Preconception Consultations — For women with pre-existing diabetes who wish to plan for a pregnancy, we provide preconception consultation — in conjunction with the care provided by your endocrinologist — to help you understand the importance of good glucose management before and during pregnancy. During this visit, we will recommend a personalized evaluation to identify any concerning medical problems before you choose to get pregnant. Also, we offer assistance to achieve good sugar control before conception to minimize the early complications associated with poor diabetes control in your next pregnancy, such as miscarriage and birth defects.
Our Diabetes in Pregnancy Experts
Our Diabetes in Pregnancy Experts
Mark Landon, MD, Stephen Thung, MD,
Our Diabetes in Pregnancy Program Locations
Martha Morehouse Medical Plaza
2050 Kenny Road, 5th Floor Tower
Columbus, OH 43221
OSU Obstetrics and Gynecology at Kenny Road
2020 Kenny Road
Columbus, OH 43210
1581 Dodd Drive
Columbus, OH 43210
For more information, talk to your primary Ob/Gyn or call Ohio State’s Maternal Fetal Medicine Division at 614-293-2222.