What is a significant risk factor for developing gestational diabetes?

• A. Age over 35
• B. Obesity
• C. Family history of diabetes
• D. Previous stillbirth

Answer: (B)

Obesity is a significant risk factor for developing gestational diabetes because it is associated with insulin resistance, which can impair glucose metabolism. Excess body weight, particularly when it is concentrated in the abdomen, can lead to changes in the body's ability to utilize insulin effectively. This is crucial during pregnancy, as hormonal changes can further increase insulin resistance. When the pancreas is unable to produce enough insulin to overcome this resistance, gestational diabetes can develop.

While age over 35, a family history of diabetes, and previous stillbirths are indeed relevant factors in assessing a woman’s risk for developing gestational diabetes, obesity strongly correlates with metabolic changes that directly impact how the body processes glucose during pregnancy. Therefore, addressing obesity prior to and during pregnancy can be an effective measure in preventing gestational diabetes.