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Challenges
- Increasing numbers of women with type 1 diabetes are not attending secondary care
- Increasing numbers of women of childbearing age have type 2 diabetes
- There is an increasing range of newer type 2 diabetes therapies that are contraindicated for use in pregnancy
As a healthcare professional involved in the care of women of childbearing age who have diabetes, can you (and your colleagues) confidently say:
- Which contraception is safe to use in women with diabetes?
- What glycaemic targets are appropriate for women with diabetes planning to become pregnant?
- What other advice is needed for women with diabetes planning pregnancy and what drugs need to be stopped pre-conception?
- What the risks are to mother and baby during pregnancies complicated by diabetes?
- If women should have retinopathy and renal screening more frequently when pregnant or planning pregnancy?
- What additional care is needed during a pregnancy complicated by diabetes? Does this differ between type 1, type 2 or gestational diabetes?
- Who is at risk of gestational diabetes and how is it diagnosed and managed?
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What can we do in practice to reduce the risk of this common yet underdiagnosed microvascular complication of diabetes?
12 Dec 2024