Answer:
The answer is option d. prior to pregnancy
Explanation:
Gestational diabetes is a condition that occur during pregnancy in which there is an elevation of blood sugar level which affects the growth and development of the baby. Babies born to such mothers usually are macrosomic, develop heart disease, have high blood pressure and increased blood sugar. Risk factors include; a family history of diabetes, excessive weight gain during pregnancy, underweight (low BMI) and short stature.