![]() Your healthcare team will talk to you about your blood glucose targets and controlling these during pregnancy. This includes testing your levels before and after meals. It can help to check your blood sugars much more often than usual so that you really understand how your diabetes affects you. While you are getting ready to conceive, you need to start managing your blood glucose much more. As you will not know immediately when you become pregnant,the best thing to do is to get your glucose levels ready for pregnancy 2-3 months before you stop taking contraception. So, it is best to use contraception until you’ve established pregnancy ready blood glucose levels. You are unlikely to know that you’re pregnant for the first few weeks. It’s important to get glucose levels in control before conception because the first eight weeks of pregnancy are especially important for your baby’s development. If your HbA1C is very high (above 86 mmol/mol or 10%) you are strongly recommended to continue using contraception and avoid getting pregnant until you can reduce the levels. This will reduce the risk of miscarriage, birth defects, and of your baby dying before, during or after they are born. You will have your HbA1C tested every month until you reach the recommended levels. If your levels are too far above the ideal level, your team will encourage you to manage your blood glucose more tightly before you get pregnant. Your healthcare team will be able to tell you what this level is for you it is likely to be below 48 mmol/mol (6.5%). The closer it is to your ideal level, the lower the risk of miscarriage, birth defects or stillbirth. Your HbA1C gives your average blood glucose level for the previous 2-3 months. Step 1 Get your HbA1C to the recommended level There are several steps you can take before getting pregnant that will give you the best possible chance of having a healthy pregnancy. Talk to your doctor if you have any concerns about your fertility. Having diabetes should not affect your fertility (your ability to get pregnant). You will also be given details of local support you can have during pregnancy, including emergency contact numbers. You should get information about how diabetes affects pregnancy and how pregnancy affects diabetes. They may refer you to a specialist pre-conception care team. The first thing to do is talk to your GP or diabetes team. Preparing for pregnancy with type 1 or 2 diabetes You can’t avoid these risks completely, but there are a lot of things you can do to reduce them. All pregnancies come with risks, but if you have type 1 or 2 diabetes, your level of risk is higher, for the baby and for you. ![]() If you have type 1 or 2 diabetes, you need to be as healthy as possible before you conceive, and while you are pregnant. ![]() Why it’s so important to plan my pregnancy? There are some things that are best done before you get pregnant that will reduce your risk of pregnancy complications and baby loss. If you have type 1 or 2 diabetes, it is very important to talk to your healthcare team if you are thinking about having a baby. ![]()
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