HbA1c levels above this are associated with increased risks of miscarriages and fetal abnormalities. Your doctor or diabetes educator will work closely with you to help you attain this goal. For most women, this means focusing more than ever on their diabetes management to achieve a successful balance between insulin, food and activity. You will need to start testing your blood glucose at least 4 times a day. Have your eyes and kidneys checked Your eyes and kidneys need to be assessed prior to, as well as during, pregnancy.
Pregnancy can affect eye and kidney complications.
Women with significant protein in the urine before pregnancy are at risk for high blood pressure during pregnancy. Use a folic acid supplement Take a folic acid supplement of 0.4-1mg daily prior to pregnancy to reduce the risk of a neural tube defect in the baby. This should be increased to 4mg daily if a neural tube defect occurred in a previous pregnancy. A neural tube defect is an abnormality affecting the spinal column or the brain. Switch to insulin if appropriate If you have type 2 diabetes and take pills to control your diabetes, your doctor will suggest switching to insulin before you become pregnant.