K.W. states she and her husband were planning to have another child in a year to two. She
wants to know if her DM will affect a pregnancy. Pregnancy in persons with DM is a complex
issue. What basic information can you share with K.W.
today without overwhelming her?
Women with DM have the same fertility rate as women who do not have DM. DM care during
pregnancy has improved greatly over the years; however, women with DM and their infants are
still at risk for a number of complications. To reduce these risks, it is essential to achieve normal
or near normal glucose and HbA1c levels for 3 to 6 months before conception. These levels need
to be maintained throughout the pregnancy. In the meantime, she should continue her current
contraception methods until she has achieved her glucose goals and is ready to engage in further
preconception counseling.
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