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Spotting in early pregnancy is fairly common, but it should never be considered normal, and it always warrants a call to your ob-gyn, Dr. Landy says. Although the presence of spotting does not always indicate a miscarriage, it is a sign that something abnormal may be going on in the pregnancy, she adds.
1 If you are overweight, the doctor might recommend that you try to lose weight before getting pregnant as part of the plan to get your blood sugar in control. 2  See Your Doctor Early and Often During pregnancy, a woman with diabetes needs to see the doctor more often than a pregnant woman without diabetes. See Your Doctor Early and Often During pregnancy, a woman with diabetes needs to see the doctor more often than a pregnant woman without diabetes. 2  Together, you and your doctor can work to prevent or catch problems early.