Preconception Care In Diabetes

Preconception care for women with Diabetes.

Women with Diabetes of childbearing age should be informed about: 

◦the importance of carefully planning a pregnancy with advice from their diabetes care team

◦how pregnancy and labour can affect and be affected by their diabetes ◦the need for effective contraception and avoiding pregnancy until they have good HbA1c control

◦the need for regular self-monitoring and monthly HbA1c measurements prior to pregnancy with any improvement in HbA1c being encouraged

◦the fact that being pregnant with diabetes will require more frequent monitoring and interventions, with frequent contacts with healthcare professionals

◦the increased risk of pregnancy complications associated with diabetes

◦hypoglycaemia and the treatment options of hypoglycaemia

◦hyperglycaemia—how to check for ketones at home (for those with type 1 diabetes) and what to do if unwell (for every woman with diabetes)

◦the need to check that current medications are suitable for use in pregnancy

◦their baseline retinal (eye) and nephropathy (kidney) results

◦the advantages of healthy eating and taking folic acid supplements in an appropriate dose ◦smoking cessation advice

◦cutting down or cutting out alcohol

◦the importance of losing excess weight prior to conception

For more information on Pre-conception care for women with Diabetes please see the attached link below.

https://www.diabetes.org.uk/Professionals/Position-statements-reports/Specialist-care-for-children-and-adults-and-complications/Preconception-care-for-women-with-diabetes

Due to the current COVID-19 crisis and unprecedented demands on General Practice, GPs are having to change the way they work such that patients are being managed over the telephone, via some form of eConsultations and video consultations. Non-urgent work is being halted or postponed until it is deemed safer to do so. For more information please click this message to view the Practice statement on COVID-19.