Standard 20
Pregnant women with established diabetes and those developing gestational diabetes (GDM) should have access to prompt expert advice and management, with follow-up after pregnancy. Those with diabetes of child-bearing age should be advised of optimal planning of pregnancy including the benefits of pre-conception glycaemic control. Those not wishing for a pregnancy should be offered appropriate contraceptive advice as required.
Key practice points
The prevalence of gestational, type 1 and type 2 diabetes is increasing, particularly among women of Māori, Pacific, Asian and South Asian ethnicity. Women with pre-existing diabetes should be aware of risks associated with poor glycaemic control and pregnancy.
Women with pre-existing diabetes should receive pre-conception planning and care to minimise these risks.
Gestational diabetes carries increased risk of morbidity and mortality for the mother and baby and should therefore be screened and managed according to national guidelines.
Read this standard in conjunction with the equality and diversity section in the Introduction to the Toolkit.
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