Diabetes and pregnancy

Women with Type 1/Type 2 diabetes, it is important to prepare for a pregnancy, if possible. By having good diabetes blood glucose (BG) control and ensuring any medication you currently take, whether for diabetes or any other medical condition, is safe to take in a pregnancy, then this will help reduce your risks of complications, like miscarriage or abnormalities in the baby.

Specialist advice on a one to one basis with the specialist midwife is available through NEEDS, you can ask your GP practice to refer or you can contact us yourself.

Attending some of the structured education available through NEEDS may also help you to achieve better BG control, so start preparing early!

All women with diabetes must have a blood glucose meter to test regularly. Some of you will need to test before and after every meal, others on waking and after meals. Pregnancy targets are intentionally tight in order to ensure normal growth rate of baby and can be quite hard to achieve without support, all fasting levels should be less than 5.3mmol/l and the post meal test if done 1 hour after less than 7.8mmol/l, or if 2 hours after less than 6.4mmol/l. You will be given the contact number for the Specialist Midwife to ring if need any advice to achieve this.

Women who developed Gestational Diabetes (GDM) in a pregnancy, are at risk of it reoccurring in a further pregnancy or possibly developing diabetes themselves. We recommend an annual blood test (HbA1c) through your GP practice, to check that you haven’t developed diabetes and also try to lose weight between pregnancies. If thinking of having another baby, then again the specialist midwife can talk to you about screening in the pregnancy for diabetes, contact NEEDS for an appointment.

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