Even if you’re not thinking about getting pregnant right now, it’s never too early to start preparing.
Why plan early?
- Reduce the risk of complications
- Improve your overall well-being
- Ensure a smoother, more enjoyable pregnancy experience
- Taking small steps now can lead to big benefits later
- Your future, your health - start planning today
Contraception and Diabetes
- Most women with diabetes can use any type of contraception
- If you have complications like eye, kidney, or nerve damage, your options may be more limited
- Talk to your healthcare team to choose what’s best for you
Risks of Pregnancy with Diabetes
What are the risks to you?
- Increased chance of miscarriage
- Worsening of existing eye and kidney issues
- Risk of having a larger baby, which may complicate delivery
What are the risks to your baby?
- Higher risk of heart defects, spina bifida and other disabilities
- Risk of stillbirth or neonatal death
- Possible health issues after birth requiring specialised or intensive care
Work with your healthcare team at least 12 weeks before trying to conceive.
Planning Pregnancy includes
1. Medication
Ask your doctor to review any medications you're taking, as some may harm your baby. Adjustments may be needed before pregnancy.
2. Blood Glucose Control
Tight blood glucose control is vital. Aim for an HbA1c below 48 mmol/mol before conception. Work with your healthcare team to set a safe target, avoiding both high and low glucose levels.
3. Folic Acid
Start taking 5mg of folic acid before trying to get pregnant. This is crucial to reduce the risk of birth defects and requires a prescription.
4. Lifestyle
Achieve a healthy body weight, stay active and stop smoking and drinking alcohol.
Ask your healthcare provider to refer you to the local diabetes preconception service or contact your diabetes care team for guidance if you are already under Diabetes team.
Unplanned pregnancy? Don’t panic!
Contact your healthcare team: Reach out to your doctor or nurse immediately.
Urgent referral: Request a referral to a diabetes pregnancy clinic for guidance and a management plan.
Act quickly - your healthcare team will support you
Contact: Maternity.diabetes@nca.nhs.uk
Date of Review: May 2025
Date of Next Review: May 2027
Ref No: PI_M_2087 (Oldham)