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A mother with gestational diabetes will generally have above normal blood sugar levels during the critical first trimester. Luckily, gestational diabetes complications are usually manageable and preventable, and a doctor can help by carefully controlling blood sugar levels by promptly diagnosing gestational diabetes when present. When too much glucose is present in maternal blood, the fetus'' pancreas will sense it by producing more insulin to try to use the glucose and will convert extra glucose to fat. This can cause the fetus to grow excessively large, increasing risk of suffering a birth injury. A fetus with a pancreatic injury or with a condition where any insulin production, or too little insulin production, will not allow adequate compensation of the mother''s high glucose level can be at risk for serious health complications.