Household

Family & parenting

By Khai Hashim 23 April 2025 3 min read

Costs & Guidelines to Manage Gestational Diabetes for Malaysian Mothers

Pregnant Lady

Gestational diabetes affects approximately 1 in 5 expectant mothers in Malaysia. Whether newly diagnosed or simply looking to educate yourself, this guide aims to empower you with knowledge and resources to manage gestational diabetes.

Additionally, we'll break down the financial aspects, giving you a clear picture of potential expenses related to gestational diabetes and its management. This will help you plan ahead and ensure the best care possible during your pregnancy.

 

How does diabetes during pregnancy affect the mother and baby?

Pregnancy during diabetes is medically called gestational diabetes mellitus (GDM).

More commonly known as gestational diabetes, GDM is when a pregnant woman who didn’t have diabetes before develops high blood sugar levels during pregnancy. This typically occurs in the second or third trimester and goes away after the baby is born.

Although it is typically a temporary condition, gestational diabetes can increase the chances of complications for both mother and baby. According to a medical study published in “Sains Malaysiana” under Universiti Kebangsaan Malaysia (UKM), the risks of gestational diabetes for Malaysian mothers include:

  • Macrosomia (abnormally large baby with birth weight over 4kg):
    04 times more likely than normal pregnancies.
  • Cesarean delivery (C-section):
    31 times more likely than normal pregnancies.
  • Pre-eclampsia (hypertension in pregnancy):
    44 times more likely than normal pregnancies.

The potential costs associated with these complications are as follows:

Type of medical assistance

Estimated costs in private hospitals

Estimated costs in public hospitals

Assisted delivery for babies with macrosomia (forceps/breach/vacuum)

RM1,300 - RM4,000

RM50 - RM600

Cesarean section

RM11,520 - RM14,400

RM100 - RM1,200

Hypertension-related treatments

RM2,927 - RM4,716 (costs per hospital admission)

RM1 - RM5 (monthly medication costs)

 

Babies of mothers with gestational diabetes have a higher risk of developing jaundice, a condition caused by a buildup of bilirubin in the blood that leads to yellowing of the skin. The potential costs associated with treating neonatal jaundice are as follows:

Type of medical assistance

Estimated costs in private hospitals

Estimated costs in public hospitals

Rental machines at-home costs

Phototherapy

RM999+

RM1.50 per day in NICU

RM150 - RM250 per day

 

Managing gestational diabetes through diet and lifestyle changes

The good news is that gestational diabetes can often be effectively managed with the right care and adjustments to your daily routine. By making informed lifestyle and dietary changes, you can keep your blood sugar levels within a healthy range and support your well-being and your baby’s development.

Here’s how you can take control:

  • Focus on nutrient-rich foods
    Focus on nutrient-rich foods with low glycemic index (GI), such as whole grains like oat and barley, lean proteins, and lean white fish without high levels of mercury such as tilapia to maintain stable blood sugar levels.

    Nutrient rich foods with low GI

    Cost range

    Rolled oats (800g)

    RM8 - RM11

    Barley (500g)

    RM4 - RM10

    Lean beef

    RM28 - RM52

    Skinless chicken breasts (1kg)

    RM13 - RM36

    Tilapia (1kg)

    RM14 - RM18

  • Reduce intake of white rice
    White rice, a carbohydrate with high GI, can significantly impact blood sugar levels. Since white rice is a staple in the Malaysian diet, it can be difficult for many Malaysian mothers to reduce it. The good news is that you can switch to rice with a lower GI, such as brown or basmati rice.

    Alternate rice grains with low GI

    Cost range

    Brown rice (5kg)

    RM20 - RM33

    Basmati rice (5kg)

    RM33 - RM50

  • Practice portion control
    Eating smaller, more frequent meals throughout the day can prevent large fluctuations in blood sugar levels. Avoid skipping meals.
  • Engage in regular physical exercise
    Incorporating regular physical activity into your routine can help your body use insulin more effectively, which is crucial for managing blood sugar levels. Activities like walking, swimming, or prenatal yoga are generally safe for pregnant women and can make a big difference.
  • Monitor your blood glucose
    Regularly checking your blood sugar levels is essential to managing gestational diabetes.

If you need extra help with your diet and exercise, you can use diet apps, talk to a dietitian, or get a gym membership and a personal trainer. To easily check your blood sugar at home, consider getting a home blood glucose monitoring kit.

Here is a summary of estimated costs for these products and services.

Product/Service to manage gestational diabetes

Estimated cost range

Popular diet & fitness apps

  • Free (with ads or limited features)
  • RM18 - RM550 per month for premium services (from basic diet plans to online dietitians and personal trainers)

Dietitian consultation

From RM50 - RM500 per consultation or consultation package.

Gym memberships

RM99 - RM300 per month

Prenatal yoga

RM60 - RM216 per class

Swimming pools

  • RM5 - RM15 per visit for public pools
  • RM50 - RM150 for hotel pool day pass

Personal trainers

Average cost of RM62 per hour and up to RM200+ per session for an elite coach.

At-home glucose monitoring kit

  • RM30 - RM250 for the glucometer
  • 30 - RM1.70 per glucose test strip

 

Medical interventions & supplements for gestational diabetes

If blood sugar levels cannot be controlled through diet and exercise, your doctor may put you on insulin therapy. Insulin is usually administered via injections using a syringe, insulin pen, or insulin pump.

Certain supplements, such as Vitamin D and probiotics, may help support overall health and manage blood sugar levels. The costs of insulin injections and recommended supplements for gestational diabetes are below.

Medication/Supplement

Estimated Cost

Dosage

Insulin injections

RM50-300 per vial

Dosage will be determined by your doctor based on your needs. A patient may require as many as six vials per month.

Vitamin D

RM0.50-1.30 per capsule

Consult your doctor on your dosage requirements.

Probiotics

RM0.55-1.30 per capsule

Consult your doctor on your dosage requirements.

 

Conclusion

With careful financial planning to support the costs of managing gestational diabetes, you can better be better prepared to support a healthy pregnancy for both yourself and your baby.

For financial support to diagnose or monitor gestational diabetes, look for medical benefits that offer full health screening packages, at the same time don’t forget to look for female insurance packages – to ensure that you are well protected too.

 

💡 The information provided above is purely for educational purposes.

 

References

1. Cheong, Lieng Teng and Foo, Ken Yong and Ka, Mun Lum and Shen, Yung Toh and Chan, Xuan Hii and Sivalingam Nalliah, UKM Journal Article Repository. (2024). “Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes”. https://journalarticle.ukm.my/17592/

2. Dr. Frank Yap, Parenting Advisor. (2024). “Cost of Maternity Care in Government and Private Hospitals in Malaysia 2020”.  https://www.onedaymd.com/2020/06/cost-of-maternity-care-in-government.html

3. Clinical Practice Guidelines. (2024). “Management of Hypertension (4th Edition)”. https://www.moh.gov.my/moh/resources/Penerbitan/CPG/CPG_Management_of_Hypertension_4th_Edition.pdf

4. PD Dr. Sandra Hummel, diabinfo. (2024). “What are the risks of gestational diabetes for the child?”. https://www.diabinfo.de/en/living-with-diabetes/gestational-diabetes/risks-for-the-child.html

5. Pantai Hospital Klang. (2024). “Jaundice Package”. https://www.facebook.com/pantaiphk/posts/pantai-hospital-klang-provides-with-most-common-treatment-for-jaundice-services-/4349254808460275/

6. Adeline Leong, The Rakyat Post. (2024). “[Watch] Tiktoker Advised Parents To Check NICU Cost And It Triggered A Conversation Online” https://www.therakyatpost.com/fun/2021/11/13/watch-tiktoker-advised-parents-to-check-nicu-cost-and-it-triggered-a-conversation-online/

7. Fiona Ho, iMoney. (2024). “Top 11 Gyms in the Klang Valley and How Much They Cost”. https://www.imoney.my/articles/how-much-do-malaysians-need-to-spend-to-get-fit-in-2016

8. Ng Mae An, ProductNation. (2024). “8 Best Glucometer in Malaysia 2024 - Top Brand Reviews”. https://productnation.co/my/29536/best-glucometer-malaysia/