Published: 19 August, 2026 Thinking about starting a family is an exciting time. If you are living with type 1 or 2 diabetes, planning ahead can help you prepare for a healthy pregnancy. While diabetes needs some extra care and preparation, most people with diabetes can have a healthy baby. Why pregnancy planning is important The first few weeks of pregnancy are critical for the growth of your baby’s organs. If blood glucose levels are above your recommended target range before and during early pregnancy, the risk of health problems increases for you and your baby. These can include: pregnancy loss (miscarriage) birth defects high blood pressure during pregnancy pre-eclampsia having a large baby. The good news is that planning ahead and managing your diabetes before pregnancy can help reduce these risks and support the healthiest possible start for your baby. If you are not ready to become pregnant, talk to your health professional about contraception that’s safe and suitable for you. When to start preparing for pregnancy Start planning for pregnancy three to six months before you try to conceive. This gives you time to: manage your blood glucose levels review your medications check for any existing diabetes-related complications build healthy lifestyle habits meet with health professionals who will support your pregnancy. The earlier you start preparing, the more time you have to make changes that can benefit you and your baby. Your pregnancy planning checklist The National Diabetes Services Scheme (NDSS) pregnancy planning checklist can help you understand what to discuss with your health care team and the steps to take before pregnancy. Building your pregnancy support team Pregnancy care is often a team effort. As you prepare for pregnancy, your diabetes health care team may expand to include: your GP endocrinologist credentialled diabetes educator obstetrician midwife psychologist social worker. Together, this team can help you develop a plan tailored to your individual needs. They will work with you throughout your pregnancy. If you live in a regional, rural, or remote area, ask your GP about telehealth or a shared service with a major hospital. What if my pregnancy wasn’t planned? Not every pregnancy is planned, and that’s okay. If you find out you’re pregnant unexpectedly, make an appointment as soon as possible with your doctor or a health professional who specialises in diabetes and pregnancy. The earlier you receive support, the sooner you can focus on managing your diabetes and creating the best outcome for you and your baby. Pregnancy and diabetes resources The NDSS has resources to support women with type 1 or type 2 diabetes before, during and after pregnancy. These include: Having a healthy baby booklet for women with type 1 diabetes Having a healthy baby booklet for women with type 2 diabetes Pregnancy planning checklist You can also access diabetes and pregnancy resources in your language. For First Nations people, the Australasian Diabetes in Pregnancy Society has developed contraception and pregnancy resources for Aboriginal and Torres Strait Islander women living with diabetes. Give your baby the best possible start Aim for a healthy lifestyle before you conceive. Eating well, being physical activity, maintaining a healthy weight, and managing your blood glucose levels can benefit both you and your baby during pregnancy and beyond. By planning ahead, seeking advice early and working closely with your diabetes health care team, you can feel confident you’re giving yourself and your baby the best possible start.
