My Maternal Fetal Specialist (MFM) put me on low dose aspirin to help protect my kidneys and eyes. Also, keeping your blood sugar as stable as possible without many fluctuations is important (which of course I am sure you would try to do anyway… although, perfection is impossible, so don’t get too worried if there are swings in your bs because there absolutely WILL be).
I think the concern with pregnancy is the increased blood flowing through your body (twice as much as non-pregnant) and even the possibility of increased blood pressure (…from my understanding, anyway). The c-section is recommended to prevent hemorrhages caused by the pressure of labor, according to my OB.
MFM told me to see my eye doc once each trimester so they could just monitor my eyes. I had laser surgery for retinopathy about 8 years ago, but since then had had no issues. My 1st trimester eye appointment came back with nothing new and then I didn’t go back until my third trimester and there were some new trouble spots, which is why the c-section was recommended, to prevent them from getting worse. If I had no changes, then I likely would have been given the green light to have a vaginal delivery (although my ob would not let me go past 38 1/2 weeks due to increased chances of the placenta getting worn down, although, many women with diabetes go to their due date without any problems…my ob is just extra cautious).
Please let me know if you have any more questions… I am happy to help however I can!!