If you are planning a pregnancy getting pregnant, you extra care when you have diabetes, and with this care most women will deliver a healthy baby.
Occasionally diabetes is discovered for the first time during pregnancy. This is called Gestational Diabetes. A specialist obstetrics and diabetes team will help you manage your care during your pregnancy.
If you have diabetes and are thinking of becoming pregnant talk to your GP and Diabetes Team 6-9 months before you try to become pregnant so your diabetes can be monitored and you can be supported to achieve very good blood glucose control between 4-7mmol/l. Effective contraception is very important at this stage.
Download our UHL Diabetes Pre-pregnancy Planning booklet
It is always important to plan for a pregnancy whether you have diabetes or not. However when you have diabetes there are some extra things to consider before you become pregnant:
Transition period It is very important to discuss pregnancy with your diabetes team around three months before you consider becoming pregnant. This gives your diabetes team time to review and change any medications that should not be taken during pregnancy AND get you sorted out with safe medications that you can take throughout your pregnancy. When you change medications there is always a transition to go through in order to get doses correct for you to ensure you start your pregnancy with well managed blood glucose and blood pressure.
Folic Acid supplements- Around three months before you hope to conceive you should start taking 5mgs of Folic Acid daily from the time they decide to try for a baby until the 12th week of pregnancy.
Eyes and Kidney function test- Have your kidney function and eyes tested.
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This gives you and your baby the best possible start and will reduce the possibility of problems arising later.
If you become unexpectedly pregnanct it is essential you contact your GP or diabetes team immediately.
If your diabetes is not controlled properly during pregnancy there are a number of problems that can affect your baby. These include:
You will be closely supervised with frequent pregnancy clinic visits beginning as soon as possible after conception. You will also have regular ultrasound scans to assess the size of the baby and to check for any of the abnormalities mentioned above.