Conception in diabetes advice

GPs should advise diabetic women trying to conceive to establish good glycaemic control, according to NICE.

The final guidance on diabetes in pregnancy recommends that women with diabetes aim for a fasting blood glucose of 3.5-5.9mmol/l and one hour postprandial blood glucose below 7.8mmol/l if planning to conceive and while pregnant.

Women diagnosed with gestational diabetes should be offered advice on diet and exercise, and offered a fasting plasma glucose test at the six-week postnatal check and annually thereafter.

NICE has also released guidance on care and support for women in pregnancy and on diet and nutrition for babies.

Under the guidance, GPs must tell women who are pregnant and those planning to conceive to avoid alcohol because it can increase miscarriage risk in the first trimester.

Women should be informed of the importance of maintaining vitamin D levels during pregnancy and while breastfeeding. If required, women should be offered vitamin D supplements.

NICE guidance on diabetes in pregnancy 2008

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