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:

Contact-Diabetes Specialist Midwives, email: helen.probert@nhs.net, wendy.preen@nhs.netor 01872 253199.


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: janet.prout@nhs.net     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