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You’ve heard about morning sickness, mood swings, and weird cravings, but what about gestational diabetes? It is a type of diabetes that can occur in the second or third trimester.1 Understanding it and working with your healthcare provider to manage it can help you stay healthy and help ensure the best outcome for both you and your baby. Rest assured, you’ll find helpful information in this article to reference if you need to.This guide is for informational purposes only. Always consult your healthcare provider for advice, or if you have any questions or concerns. What is it? Gestational diabetes develops during pregnancy when your body can’t produce enough insulin, resulting in high blood sugar. It affects about 3% to 20% of pregnant women, depending on risk factors.3 Most women with gestational diabetes did not have diabetes before pregnancy, and the diabetes usually goes away after birth.1 How does mom know if she has it? Fortunately, pregnant women are offered a blood glucose screening test between 24 and 28 weeks of pregnancy.3 This test, known as a "glucose challenge," is used to evaluate how your body is handling sugar levels.3 If other risk factors are present, such as obesity, the test may be offered earlier and then repeated. Getting a blood glucose screening is a great way to keep an eye on your health and prevent further complications. If you do have gestational diabetes, you can manage it by working closely with your healthcare provider to keep your blood sugar levels in a healthy range.3 What does this mean for mom and baby? The good news is that with proper treatment and lifestyle changes, most women can manage gestational diabetes and reduce risks. If untreated, gestational diabetes can lead to complications for you and your baby. Speak to your healthcare professional to learn more. Remember, there are excellent treatments for gestational diabetes. Working closely with a healthcare professional helps most women with gestational diabetes have normal deliveries and healthy babies.3 How to prevent it? Here are three things you can do: Maintain a healthy pregnancy weight: Work with your healthcare professional to manage your pregnancy weight gain within recommended guidelines.2 Stay active: Low-impact activities (think walking, swimming, or yoga) can help manage pregnancy weight gain and provide other benefits for you and your baby.2 Routine checkups: Regular doctor visits help monitor both your health and your baby’s. Most women will also undergo routine screening to test for gestational diabetes at around 24 to 28 weeks.2 This is a great time to ask any questions you may have. Top takeaways You can take steps to reduce the risks of developing gestational diabetes, but if you are diagnosed, it is manageable with the right care. By eating a healthy diet, staying active, managing your pregnancy weight gain, and working closely with your healthcare team, most women continue to have a healthy pregnancy and baby. Consult your doctor for advice and support every step of the way. References1. Diabetes Canada. Gestational diabetes. Accessed January 2025. https://www.diabetes.ca/about-diabetes/gestational 2 HealthLink BC. Gestational diabetes. Updated June 2023. Accessed January 2025. https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/risks-and-complications-during-pregnancy/gestational-diabetes-13. Society of Obstetricians and Gynaecologists of Canada. Pregnancy Info. Glucose testing – screening for gestational diabetes. Accessed January 2025. https://www.pregnancyinfo.ca/your-pregnancy/routine-tests/glucose-testing/

Here are some strategies and tips you can use to ease the journey.

At around 14 weeks, your pregnancy is entering an exciting new phase—the second trimester! Many women find this to be the most comfortable trimester, as some early symptoms like nausea and fatigue may begin to ease. However, a whole bunch of new physical and emotional changes are on the way. Here are some of the common symptoms you might experience as you move through your second trimester. Always consult your doctor about the unique needs of your pregnancy. What you can expect and what you can do The first signs of a baby bumpBy about 16 weeks, something exciting starts to happen: your baby bump becomes visible!1 You may also notice a dark line running from your belly button to your pubic area, called the linea nigra. This is completely normal and should fade after birth.1 Breast changesDuring the second trimester, your breasts may become fuller, heavier, and more tender as they prepare for breastfeeding. Your areolas may darken and expand, and some women even begin to leak small amounts of colostrum—the first milk your body will produce. If you experience leaking, consider wearing breast pads to stay comfortable and avoid any spots on your clothes. SwellingCarrying a baby is certainly not an easy task, and in your second trimester, you may experience mild swelling in your feet and ankles. As your body produces more blood and your baby grows, fluid can build up in your lower limbs, causing mild puffiness.3 To manage this, try resting with your feet elevated when you can and avoid wearing tight shoes or socks with elastic bands. Talk to your doctor if the swelling is sudden or if you have swelling in your face or hands. Digestive issuesYour uterus is growing something wonderful which can put pressure on your digestive organs. For some women, this can sometimes lead to heartburn and constipation and may worsen as your pregnancy progresses. If heartburn becomes bothersome, try avoiding spicy or greasy foods, and consider eating smaller, more frequent meals. For constipation, drinking plenty of water, eating fibre-rich foods, and staying active can help keep things moving.3 Back and pelvic painAs your body’s centre of gravity shifts and pregnancy hormones relax your joints and ligaments, the changes can cause lower back pain and pelvic discomfort.1 To ease back pain, sit with proper posture, avoid heavy lifting, wear comfortable shoes, and sleep on your left side with a pillow for support. A massage, warm bath, gentle stretching, or using a warm compress may help to relieve discomfort. Nasal congestion and nosebleedsThese can be surprisingly common in the second trimester due to increased blood flow and hormonal changes.2 To ease these symptoms, use a cool mist humidifier, drink plenty of water, and try saline nasal drops. Massaging your sinuses or inhaling steam from a hot shower can also help. Avoid antihistamines unless advised by your doctor. Lots of emotionsGrowing a baby can bring a rollercoaster of emotions, so be kind to yourself and know it’s normal to still experience a mix of emotions as your hormones shift. You may find that your pregnancy is starting to feel more real. You may struggle with sleep, feel excited, nervous, overwhelmed, or all of the above! This is a great time to celebrate your pregnancy, talk to your baby, gently massage your belly, or start a pregnancy journal to document your feelings and milestones. Feeling baby moveThe second trimester is when many mothers begin to feel their baby’s first movements, often referred to as "quickening".2 This may feel like gentle flutters or bubbles in your belly. These early movements can be reassuring and exciting as they serve as a reminder that your baby is growing strong and active inside you. Be sure to note the date of your first movements to share at your next appointment with your doctor. Top takeawaysThe list of possible physical changes from pregnancy is certainly a long one. Whether you're dealing with discomforts like back pain or digestive issues, or feeling emotionally overwhelmed, remember that these changes are all part of the journey! Be kind to yourself, lean on your loved ones, and reach out to your healthcare provider if you have any concerns.  Above all, enjoy the excitement of this special time. You’re doing great, and with each passing week, you’re getting closer to meeting your little one! References 1 HealthLink BC. Body changes during pregnancy. Updated December 2024. Accessed December 2024. https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/body-changes-during-pregnancy2 HealthLink BC. Mother's physical changes during the second trimester. Updated August 2013. Accessed December 2024. https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/your-second-trimester/mothers-physical-changes-during-second3 Public Health Agency of Canada. Healthy pregnancy guide. Government of Canada. Updated September 2024. Accessed December 2024. https://www.canada.ca/en/public-health/services/health-promotion/healthy-pregnancy/healthy-pregnancy-guide.html4 Society of Obstetricians and Gynaecologists of Canada. Healthy pregnancy. Pregnancy Info. Accessed December 2024. https://www.pregnancyinfo.ca/your-pregnancy/healthy-pregnancy/

Pregnancy is full of beautiful changes and moments, but morning sickness is not one of them

As you embark on this exciting journey, being active will benefit both you and your baby. Experts recommend that, unless there is a complication that prevents exercise, pregnant women  should aim for at least 150 minutes of moderate-intensity exercise per week.1 Don’t worry, it’s not as overwhelming as it may sound. We’ve made a guide to help you every step of the way. Consult your healthcare provider before starting any new exercise or if you have any questions.  Being active is important for you and baby Exercise offers numerous benefits, from boosting your mood to improving your physical health. It can also be a prescription for reducing the risk of complications like gestational diabetes, preeclampsia, and excessive weight gain.1  In addition, exercise can help prevent back pain, relieve constipation, improve sleep, and boost your energy levels, making those first few months of pregnancy more comfortable.2 And it’s not just beneficial to you! Regular exercise can also be beneficial for your baby.1 Research shows that exercise can lower the chance of birth complications, such as a larger-than-average baby (macrosomia) or the need for a Caesarean section.1 Choose exercises with low risk of falling and talk to your doctor if you think you have any condition that may prevent you from exercising. How much exercise do you need? The goal is at least 150 minutes of moderate-intensity physical activity per week, ideally spread across at least three days.1 You can start with short sessions, especially if you're new to exercise, and work your way up. For example, begin with 15-minute sessions three times a week and gradually increase as your energy and stamina build. If you're already active, aim for 30-minute sessions five times a week, mixing in both aerobic and resistance exercises.  What types of exercise are best? Variety is key to getting the most out of your workouts. Incorporate different types of activities to keep things interesting and impactful. Aerobic activitiesAerobics help strengthen your heart and lungs. Aim for activities that are low-impact and avoid anything where you risk falling. Think brisk walking, swimming, or dancing.  Strength trainingStrengthening your muscles and bones can improve your posture and make daily tasks easier as your body changes. Try modified weight training or resistance band exercises. Be sure to always listen to your body and avoid overexertion. Flexibility and stretchingPregnancy puts extra strain on your muscles and joints, making gentle stretching or yoga good choices. These activities help keep your body mobile, improve balance, and relax your mind. Pelvic floor exercisesExercises like Kegels strengthen the muscles that support your bladder and uterus. These are especially important as they help reduce the risk of urinary incontinence and support recovery after birth. Making and modifying your routine  Staying consistent with exercise is all about building it into your routine. If you’re struggling to stick to your solo workout schedule, try joining a group class! It’s a great way to stay motivated and an opportunity to meet other parents. As your pregnancy progresses, your body will change, and your exercise routine may need to be adjusted. If you experience discomfort, make modifications to ensure you’re still comfortable and safe, and talk to your doctor if you have concerns. If you’re just starting, take it slow. The key is to enjoy the process and focus on how exercise makes you feel. Whether it's the energy boost or the improved mood, the benefits are worth it.  Safety tips While staying active is encouraged, there are a few precautions to keep in mind. Avoid overheating: Pregnancy makes it harder for your body to regulate temperature, so be sure to drink plenty of water and avoid exercising in hot conditions. Wear the right gear: Make sure you dress comfortably! Proper shoes and a supportive bra are essential (especially as your breasts become tender). Take breaks: If you feel faint, dizzy, or short of breath, stop and rest. Steer clear of risks: Stay away from exercises that involve a risk of falling or contact, like high-impact sports, horseback riding, or scuba diving. Top takeaways Staying active during pregnancy is an important part of keeping you and your baby healthy. Exercise doesn’t have to be complicated and overly time-consuming. Prioritize finding fun ways to stay active that make you feel good. Here’s to a happy, healthy pregnancy—one step at a time!   References 1 Mottola MF, et al. Joint SOGC/CSEP Clinical Practice Guideline No. 367. 2019 Canadian Guideline for Physical Activity throughout Pregnancy. JOGC. 2018;40(11):1528-1537. 2 Society of Obstetricians and Gynaecologists of Canada. Exercise during pregnancy. Pregnancy Info. Accessed December 2024. https://www.pregnancyinfo.ca/your-pregnancy/healthy-pregnancy/exercise-during-pregnancy/ Public Health Agency of Canada. Healthy pregnancy guide. Updated September 2024. Accessed December 2024. https://www.healthlinkbc.ca/pregnancy-parenting/pregnancy/your-health-during-pregnancy/exercise-during-pregnancy Society of Obstetricians and Gynaecologists of Canada. New Canadian guideline prescribes exercise for healthier pregnant women, healthier babies. Updated May 2019. Accessed December 2024. https://sogc.org/en/en/content/featured-news/new-canadian-guideline-prescribes-exercise-for-healthier-pregnant-women-healthier-babies.aspx

Your baby’s stomach is tiny, so they’ll need small, frequent feedings to keep them full and with a happy belly.

The decision to introduce or supplement with formula doesn’t mean it’s the end of your breastfeeding journey. Many parents successfully use a combination of breastfeeding and formula feeding to support their baby’s healthy growth and development. If you’re wondering about supplementing with formula, a conversation with your doctor can help you decide what’s best for your baby’s needs. They can provide guidance based on your baby’s health, feeding habits, and growth patterns. Tips for Introducing Formula Before making changes to your baby’s feeding routine, please speak with your doctor to ensure it is the best decision for your family. If you are looking to make the transition to supplementing easier, follow these tips: If you can, wait to supplement until breastfeeding is established. Try bottled breast milk to help them adjust to a bottle. Maintain the breastfeeding parent’s breast milk supply by pumping after each bottle feeding. Pick a time when your baby is calm and happy to introduce the bottle, take a gradual approach. Position your baby properly and in a semi-upright position, skin-to-skin when possible. Consider combo-feeding – alternating between breast milk and formula feedings. Formula should always be prepared separately from breast milk. For step-by-step instructions on introducing your baby to formula, read our guide. Choosing the Right Formula for Your Baby If you decide to begin supplementing with baby formula, look for a formula with: Partially broken-down proteins: These are proteins broken down into smaller pieces, making them easy to digest. Probiotics: Probiotics are part of what gives breast milk its natural protective qualities and helps support the development of a healthy tummy.2 2’-FL: 2’-FL is one of the most abundant types of human milk oligosaccharide (HMO) present in breast milk, and has been shown to support baby’s digestive health and developing immune system.3,4 DHA: DHA is an Omega-3 fatty acid naturally found in breast milk that supports baby’s brain and eye development. Good Start® Plus 1 formula, our closest formula to breast milk, contains the unique combination of our exclusive Comfort Proteins®, which are 100% whey proteins partially broken down for small tummies, Probiotic B. lactis, 2’-FLǁ, and expert recommended levels of DHA5. References : ǁ Not derived from human milk.  1. Cleveland Clinic, 2024. Feeding Your Baby: How and When to Supplement With Formula. Accessed 2024 September. https://health.clevelandclinic.org/breast-milk-formula 2. Holscher H, et al. JPEN. 2013;36(1):106S-116S. 3. Bode L, et al. Glycobiology. 2012;22(2):1147-1162. 4. Goehring K, et al. PLoS One. 2016;146(12):2559-2566. 5. ADA/DC. J Am Diet Assoc. 2007;107:1599-1611.

Discover the link between gut health and immunity.

Learn as much as you can about feeding before your baby arrives.

Taking care of yourself after giving birth is just as crucial as caring for your newborn.

As the much-awaited moment of childbirth approaches, it's completely normal to feel uncertain or nervous about your labour and delivery.

Here are some examples of common symptoms that you may experience and tips on how to help maximize your comfort.

Your little one's nursery should be a sanctuary of safety and comfort. As you prepare this special space, consider the following tips.

Let's dive into the ultimate hospital bag checklist to make sure you're prepared for the big day! 

You may be thinking about changing your baby’s formula whether it’s due to their age or digestive issues like fussiness, gas and spitting up.

Health Canada recommends that, for the nutrition, immunologic protection, growth, and development of infants and toddlers, you breastfeed exclusively for the first six months and you sustain it for up to two years or longer with appropriate complementary feeding.1,2 If you need help breastfeeding, healthcare professionals, family and friends can often provide support, encouragement and advice during this period of learning to feed your new baby. There are a variety of reasons you may choose to supplement breast milk with formula, like: Baby isn’t gaining weight as quickly as your doctors would expect, mom’s milk is taking time to come in, or on rare occasions, you’ve been advised by your doctor to avoid providing breast milk in order to protect your baby due to health concerns. Here’s some information about your formula choices to help determine what’s best for you and your baby. The facts Unlike regular cow’s milk, infant formulas contain the recommended amounts of protein, carbohydrate, fat, vitamins and minerals required for baby’s healthy growth & development. Healthcare professionals recommend cow’s milk-based, commercial iron-fortified formula for infants who aren’t exclusively breastfed because it offers a complete source of nutrition for your baby during the first year.1,* All infant formulas in Canada meet strict nutritional standards, but not all formulas are the same. 100% whey, partially hydrolyzed protein is a type of cow’s milk protein that has been partially broken down into smaller pieces. Hospitals don’t carry all infant formula brands. Look for a formula with the benefits of probiotics, 2’-FL, and DHA There have been many scientific advancements to infant formulas—consider choosing a formula that contains: ProbioticB. lactis: Probiotics are part of what gives breast milk its natural protective qualities. Probiotic B. lactis contributes to baby’s healthy gut microbiota and supports their developing immune system.2 Probiotic L. reuteri: Probiotic L. reuteri contributes to baby’s healthy gut microbiota and helps to reduce fussiness3,4and mild spit-ups.5,+  2’-FL HMO: HMO are bioactive compounds found in breast milk that offer protective benefits for your baby. HMO support your little one’s digestive health and developing immune system. One of the most abundant types of HMO in breast milk is called 2’-FL.6-8 DHA: DHA contributes to your baby’s normal physical brain and eye development. Formats Infant formula comes in three different formats and you can choose one, two or all three for your baby—whatever your daily routine can handle! Ready-to-Feed Formula New to formula? This easy-to-use format was made for your convenience. Comes in a ready-to-use sterile nurser form (Attach nipple. Warm**. Feed!) Do not mix with additional water.§ Concentrate Formula "Add Water" concentrated liquid infant formula is easy to use and prepare for added convenience Requires additional amount of sterilized water§ Mixes easily (No clumps or scoops!) Powder Formula Convenient Great value! Requires powder be added to desired amount of sterilized water§   Introducing Infant Formula: Step-by-Step Follow these simple instructions to supplement breastfeeding with formula or transition to formula feeding: Substitute one mid-day breastfeeding with a bottle-feeding. Relieve your breasts between feedings by expressing small amounts of milk (only if necessary). Talk soothingly when you offer the bottle and give extra loving attention. Substitute another breastfeeding with bottle-feeding every 2-3 days until you reach your desired balance between breastfeeding and bottle-feeding. Some Additional Thoughts on Transitioning Do not replace two consecutive feedings on the same day when you first begin weaning. If you continue with breastfeeding in the morning and evening, or leave them as your last substitutions, you will have greater flexibility to return to work or share daytime feedings with others. The transition to formula may happen smoothly, but sometimes it takes a little longer. All babies and moms are different, so try to be patient, relax and enjoy your time together. * All breastfed and partially breastfed infants in Canada should receive a daily vitamin D supplement of 10ug (400 IU). +In breastfed babies. **Do not use a microwave oven to warm formula, as it can produce hot spots in the bottle that can burn your baby. § Your baby’s health depends on carefully following the label directions for preparation and use. References 1 Joint statement of Health Canada, Canadian Paediatric Society, Dietitians of Canada, and Breastfeeding Committee for Canada. Nutrition for Healthy Term Infants: Recommendations from Birth to Six Months. 2012. Nutrition for Healthy Term Infants: Recommendations from Birth to Six Months - Canada.ca 2Holscher H, et al. JPEN. 2013;36(1):106S-116S. 3Chau K, et al. J Pediatr. 2015;166(1):74-78. 4Czerkies L, et al. J Pediatr Health Nutr. 2019;1(1):19-26. 5Garofoli F, et al. Int J Food Sci Nutr. 2014;65(5):646-648. 6Bode L, et al. Glycobiology. 2012;22(2):1147-1162. 7Goehring K, et al. PLoS One. 2016;146(12):2559-2566. 8Storm H, et al. Global Pediatric Health. 2019;6:1-10.

Learn all about formula preparation for different formula formats and formula storage options.