The national diabetes in pregnancy audit highlighted that only 1 in 5 women with diabetes are well prepared for their pregnancy. The key points are to have an HbA1C below 48, be off any potentially harmful medications and to take a higher than usual dose of folic acid (this needs to be prescribed). Optimising weight is also important. If your HbA1C is very high it increases the risk of problems in pregnancy and it would be advisable to wait until it is in a more ideal range. When you are nearing being ready to start a family speak to your GP or practice nurse about how they can help you. They may refer you to a diabetes or obstetric specialist if needed. There is more information about planning for a pregnancy with diabetes on the Diabetes UK website www.diabetes.org.uk.

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