You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is 28 year old pregnant woman with no known medical condition comes for first prenatal visit. You notice her to have fasting blood glucose level of 144mg / dL and 3 + Glycosuria. How do you counsel her about risk of fetal anomalies and explain in detail?
Incidence of fetal anomalies in women with gestational diabetes is four times more than in normal women.