Continue with counseling:

R 1.1 Even from early postpartum period, we recommend that preconception counseling is provided to all women with overt diabetes who are considering pregnancy. (1++)

Women who have had GDM are at high risk for later development of impaired fasting Glu, impaired Glu intolerance, overt DM and metabolic syndrome. Infants born to mothers with GDM are at increased risk of later development of obesity or DM type 2 (T2DM). Therefore:

R 2.4d We recommend that all women who have had GDM, receive counseling on:

• lifestyle measures to reduce the risk of T2DM, 
• the need for future pregnancies to be planned and
• the need for regular diabetes screening, especially before future pregnancies. (1+)