Pre-conception advice for women with diabetes or previous gestational diabetes

Within the hospital trust where I work, until the end of 2023, the availability of pre-conception clinics was one morning clinic per month, with waiting lists. This was then increased to 17 clinics per month between diabetes consultants, and diabetes specialist nurse and midwife clinics. This has seen waiting lists reduce dramatically, a five-fold increase in patients attending the pre-conception clinic and, ultimately, women are entering pregnancy with improved glycaemia (for those planning pregnancy). Through my experience of these clinics, alongside the antenatal clinic covering type 1, type 2 and gestational diabetes, I have created this table as a visual guide to what is required for different elements of care for those planning pregnancy with pre-existing or previous GDM.