Pre-gestational diabetes and conception/pregnancy
Pre-gestational diabetes increases adverse pregnancy outcomes for women and babies, including congenital malformation, miscarriage, preterm delivery, pre-eclampsia, macrosomia, and perinatal mortality.
Tips for primary care for women with pre-existing diabetes for conception/pregnancy:
- Aim HbA1c 48mmol/mol without causing problematic hypoglycaemia
- Folic acid 5mg daily
- Review all medication
- DPP4, SGLT2, GLPs, ACEI, statins are all contraindicated in pregnancy
- Refer for specialist review early in pregnancy
Referral in pregnancy:
Nb. Diabetic Antenatal clinic is held weekly at the Diabetes & Endocrine centre with Dr D Browne Consultant Endocrinologist & Dr K Watkins Consultant Obstetrician.
Referral for preconception advice:
Contact- Jan Prout, CNS Diabetes email: firstname.lastname@example.org or 07920284378.
Date Reviewed 15/09/2019
Date Next Review 15/09/2020
Author Dr B Wesson, RMS GP Lead for Diabetes & Endocrinology
Version No. 1.1