Women's bodies are often considered to be a subject of public discussion and scrutiny. Is she sexy enough? Skinny enough? Modest enough? Assertive enough? Demure enough? There's no winning. So you can imagine how much worse this gets when a woman is pregnant. And our society, in no uncertain terms, hates fat people. So you can imagine how it can feel to be fat and pregnant. There's so much we, as a culture, can do to make fat pregnant women feel less awful, including refusing to assume fat pregnant women have gestational diabetes.
I just missed being labeled with gestational diabetes during my first pregnancy, but was diagnosed relatively early on with my second. Let me tell you: it's a pain in the ass. Actually, to be more accurate, it's a pain in the fingertips you constantly have to prick in order to monitor your blood sugar. But people just looking at me couldn't tell I had gestational diabetes, just like you can't look at anyone and make a medical diagnosis strictly based on physical appearance.
And yet fat pregnant women are subjected to the assumption that they have gestational diabetes all the damn time. And this is on top of all the assumptions they endure all: they must be unhealthy, they must not exercise, they must have a terrible diet, they must smell, they must not be sexually attractive to anyone, and so on and so on into a never-ending spiral of awfulness. That multiplies by, like, a million when they're fat and pregnant because of the added crap people feel entitled to have a vocal and expert opinion on when any woman is pregnant. People are quick to assume that a fat pregnant woman must need a C-section, they must not have known they were pregnant initially because they're heavy, they must have a dangerous, and they must have a high-risk pregnancy.
It should be easy to see why these assumptions are not just garbage but harmful, yet people continue to make them every single day. So with that in mind, here's why you shouldn't assume someone is afflicted with this proverbial pain in the butt (but, again, actually fingers!) just because of their size: