Why You Feel Fine and Still Have GDM
Reviewed by CDE Mehandi Sharma · Updated
The most common reaction to a GDM diagnosis is disbelief, because nothing felt wrong. That reaction is entirely reasonable and the diagnosis is still correct.
GDM often has no symptoms at all. Where symptoms do appear they are mild and easily explained away by pregnancy itself — being thirstier than usual, or needing to pass urine more often. Both of those describe most pregnancies.
This is why GDM is a screening diagnosis rather than a symptomatic one. It is found by testing everyone at the right point in pregnancy, not by waiting for someone to feel unwell and investigating.
The practical consequence is important. Feeling well is not evidence that your blood sugar is normal, and it is never a reason to skip or postpone the screening test. By the time GDM produced symptoms you could feel, it would have been affecting your baby's growth for some time.
It also means you cannot monitor GDM by how you feel once diagnosed. Your readings are the only way to know what is happening, which is the whole reason for home testing.
So if the diagnosis came as a shock because you had no warning, that is the normal experience — not a sign the test was wrong.