Diabetes and Pregnancy

[cassij89]

hi everyone,

recently i have decided to try for a baby, my hba1c is 7.7 or below, my sugars are 99% of the time in the correct range, i was just wondering if it takes longer to conceive or not

cassie

[Lisa Holmes]

If your blood sugars are well controlled and assuming there are no other health problems then there should be little reason why this should cause issues in becoming pregnant. I would suggest though that you contact your GP, consultant or DSN so they are aware as they may change your review pattern when you become pregnant or want to review you beforehand. Also remember to tell the midwife when it does happen and make sure you are taking folic acid supplements from when you start trying for a baby.

[Dr Masud Haq]

Hi Cassie

It would be sensible to see your GP or practice nurse to let them know you wish to plan a pregnancy.
You need to start high dose folate - 5mg daily as soon as possible.
Certain drugs are best avoided if you wish to conceive, so its essential you discuss this with your GP.

Your glycaemic control should also be reviewed to see if any further changes are required but it sounds as if your control is reasonably good. Depending on local practice most GP's would refer you for pre-conception advice / review with your local diabetes specialist team.

I normally run such a clinic and always advise my patients to stop smoking. Your rubella status should be checked and you should have an up to date retinal screening photograph.

With regards to whether it takes longer to concieve I would agree with Lisa. It shouldn't take any longer if your control is reasonably well controlled.

Best of luck.
Masud