New Information about Planning a Family, Pregnancy & Diabetes
Most women with diabetes have normal pregnancies resulting in healthy babies but
having diabetes does increase the chances of serious complications both for the
mother and baby.
For women with diabetes, who do not plan their pregnancy, the
risk of a serious complication is about 1 in 10. That is, they have a stillbirth or
an infant with a malformation.
For women without diabetes about 1 in 50 have a serious
complication when they get pregnant.
If you plan your pregnancy with your diabetes team, your risk of
serious complications returns to much nearer that of women without diabetes.
Most of the damage is done very early (first six to seven weeks)
in pregnancy, so it is important to get advice about preventing these complications
if you are thinking about having a baby i.e. before you stop your contraception to
What are the risk factors for serious complications during pregnancy in women
- Your pregnancy was not planned with your diabetes team.
- Blood glucose levels higher than is healthy for your baby in the first six
to seven weeks of pregnancy.
- Not starting 5mgs of folic acid daily when you stop your contraception (this
is higher than the usual 400µg dose recommended for women without diabetes).
- Taking medication, other than insulin, for your diabetes. This includes some
tablets taken for blood sugar control, blood pressure (ACE inhibitors) and
- Smoking yourself, or passively from other people you live with.
- Being overweight before pregnancy.
- If you are not immune to Rubella.
If any of these risk factors are true for you, then if you even
start thinking about having a baby, please contact your GP or diabetes care team.
They can help you reduce your risks of serious pregnancy complications
How You Can Plan Your Pregnancy?
- See your GP as soon as you even start thinking about having a baby.
- Make an appointment with your diabetes team, if you are thinking about
having a baby within the next 12 months. They will review your diabetes
treatment, as you may want to change it to get the best possible control you can
manage, before stopping contraception.
- Ask your GP to review all your medications especially tablets for blood
sugar control, blood pressure and cholesterol.
- Ask your GP for folic acid 5mgs daily.
- Start monitoring your blood glucose levels at least 4 times daily.
- Stop smoking or discuss this with the people you live with.
- Ask for support on food choices to provide you and your baby with the best
- Ask if you have been vaccinated against Rubella.
What if I am pregnant and did not plan it?
- See your GP as soon you think you might be pregnant.
- Discuss your diabetes and ask for an urgent referral to see your antenatal
diabetes team. Expect an appointment within 1-2 weeks.
- Check that all your tablets are safe during early pregnancy.
- Start monitoring your blood glucose levels regularly so that your diabetes
treatment can be made safe and effective as quickly as possible.
- Ask to be put on folic acid 5mgs immediately.
For more information about pregnancy and diabetes contact your
local diabetes care team.
Are you thinking about having a baby?
Would you like to have a baby?
Then please contact your GP or diabetes care team. They
can help you reduce your risks for serious complications and improve the chances
of a healthy pregnancy for you and your baby.
For more information, see the other leaflets on this
Planning a Pregnancy,
Managing Diabetes during
Pregnancy, Gestational Diabetes
leaflet has been produced by EASIPOD - The East Anglia Study Group - Improving
Pregnancy Outcomes in Diabetes.
You can also view it as a
More information about EASIPOD can be found on the
Diabetes UK website.