If an initial preconception consultation reveals poorly controlled diabetes—HbA1C >86 mmol/mol (10%)—avoidance of pregnancy should be clearly stipulated.
This should be reinforced by discussion of current contraception methods and advice given accordingly. Any follow-up should be arranged to monitor glycaemic control and provide ongoing education and advice as to when is safe to start a family.
It is important to provide education in a supportive environment and in language and literature that is appropriate to the woman’s level of understanding. Attendance of partners and/or family members should be encouraged where possible.