This site is intended for healthcare professionals only

Pregnancy in diabetics

Written by: | Published:

Two to five per cent of pregnancies in the UK are complicated by pre-existing diabetes and the prevalence of diabetes is increasing.1 Women with diabetes have a higher risk of miscarriage, preterm labour, congenital anomalies, pre-eclampsia and macrosomia. Diabetic retinopathy can also deteriorate during pregnancy.

There is an increased risk of adverse outcomes in women who become pregnant during a period of poor glycaemic control. Improving glycaemic control before conception minimises the risk of complications associated with diabetes. Women with diabetes should be advised that unplanned pregnancy is best avoided. Diabetic woman should be counselled about contraceptive options from adolescence onwards.2

Aiming for a body mass index (BMI) below 27 prior to pregnancy may be beneficial.1 Women should be counselled on taking folic acid supplements (5mg per day), glycaemic control, possible medication changes, self-monitoring of blood glucose levels, recognising symptoms of hyper/hypoglycaemia, and renal and retinal assessments.

Oral hypoglycaemic agents should be stopped during pregnancy with the exception of metformin. Diabetics who are hypertensive should have angiotensin-converting enzyme inhibitors and angiotensin-II receptor antagonists stopped in favour of safer alternatives. Statin therapy should not continue during pregnancy.


Please login or register to read the rest of the article and to have access to downloads and comments.


What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Most read articles from Practice Nursing Journal

Practice Nursing Journal latest issue and most read articles.

Click here to read a selection of free to access articles from Practice Nursing Journal

Newsletter

Sign up to the newsletter

About

Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.

Newsletter

Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.

Archive

Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team

Authors

Find out how to contribute to Independent Nurse here.