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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