Which of the following are signs of complications in a pregnancy due to gestational diabetes?

Complications in pregnancy due to gestational diabetes can manifest in several ways, and one key indication is the presence of abdominal pain combined with hyperglycemia. When a pregnant person experiences high blood sugar levels (hyperglycemia) along with abdominal pain, it can suggest that there are issues related to gestational diabetes that could potentially lead to adverse outcomes for both the mother and the baby. Elevated glucose levels can affect the mother's metabolism, leading to symptoms such as abdominal discomfort, and can also pose risks such as preeclampsia or ketoacidosis, which are serious conditions requiring immediate medical attention.

In contrast, signs like fever and chills typically indicate an infection rather than complications directly related to gestational diabetes. Inconsistent blood pressure readings may indicate other health issues but are not specific signs of gestational diabetes complications. Normal glucose levels would imply that there’s no concern regarding gestational diabetes at that moment, which does not identify any complications stemming from the condition. Thus, the combination of abdominal pain and hyperglycemia is a crucial warning sign that necessitates further evaluation and monitoring.