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You blood pressure is so important during the 2nd trimester of pregnancy because this is when many blood pressure related complications begin to develop. High blood pressure can cause and aggravate problems like preeclampsia and gestational diabetes. Preeclampsia and gestational diabetes can cause problems to your child in a number of ways; preeclampsia in particular may be dangerous. Your doctor can diagnose gestational diabetes through a glucose tolerance test. Your doctor can diagnose preeclampsia by observing your symptoms and testing your blood pressure; a blood test and urine test are also commonly given.