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Planning for pregnancy, for women with type 2 diabetes

Before you fall pregnant

If you are thinking about having a baby, here is a guide to what you need to do before you start trying for a baby.

Contraception

Timing your pregnancy is important. Contraception enables you to plan your pregnancy around your personal circumstances, general health and diabetes management.

No single method of contraception is perfect for everyone. Different methods suit different couples and there are many forms of contraception suitable for women with diabetes.

Ask your GP, endocrinologist or obstetrician for help to choose the best contraception for you and your partner when planning your pregnancy. Seek advice on planning and preparing for pregnancy.

Why plan?

Women with diabetes can have a healthy baby, but there are a number of extra risks associated with having diabetes during pregnancy.

To reduce diabetes-related risks, it is best that you become pregnant at a time when your diabetes is well managed and there are no other health issues. It is important that you plan your pregnancy and seek out specialist pre-pregnancy care during this planning period.

The best preparation for a healthy pregnancy starts with getting the right advice and assistance before you become pregnant. It is recommended that you have a review of your diabetes, and general health, at least three to six months before you start trying for a baby.

The first eight weeks of pregnancy is the time when a baby’s major organs develop, so it is important for your blood glucose levels to be as close to target as possible when you conceive and in the first part of your pregnancy.

Blood glucose levels within the target range reduces the risk of health problems in the developing baby and the chances of an early miscarriage.

There are other aspects of planning for a healthy pregnancy too, such as screening for diabetes-related complications, taking nutrient supplements, a review of your current medications and having routine blood tests.

Make an appointment with your diabetes health professionals as soon as you start thinking about having a baby. If you are not sure who to contact or if you live in a rural area where there are limited services, ask your GP about the best options for managing your diabetes during pregnancy. This may include shared care between local services and a diabetes and pregnancy team in a major hospital. Services such as telehealth may be an option to link your local health professionals with specialist diabetes in pregnancy services.

If you find you are pregnant sooner than expected, organise an immediate appointment at your closest maternity hospital or see an endocrinologist, diabetes educator/diabetes nurse practitioner with expertise in managing diabetes and pregnancy. They will work with you to achieve the best outcome for you and your baby.