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 (Helen Probert and Wendy Preen) email: rcht.diabetesmidwives@nhs.net or 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- Alison Parker with the subject heading pre-conception: diabetesspecialistnurses@nhs.net

 

Review date	16/08/2024
Next review date	16/08/2026
GP speciality lead	Dr Melanie Schick
Contributors	Alison Parker, Clinical Nurse Specialist Diabetes