Care at NUH

Planning for Pregnancy

2024/06/24

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Women with Type 1 Diabetes can experience safe and successful pregnancies with proper care and preparation. 

BEFORE PREGNANCY
Consult your healthcare team about your plans to conceive. Use reliable contraception until you are ready. 

Work with your healthcare team to achieve optimal blood glucose control before conception. Your doctor will also screen for any diabetes-related complications. 

Your team might recommend using a continuous glucose monitoring sensor or an insulin pump during pregnancy, possibly starting before conception.  
DURING PREGNANCY

Expect significant changes in insulin needs and blood glucose levels throughout pregnancy. Regular follow-ups with your diabetes team and obstetrician are crucial. 

Targets during pregnancy are more stringent than those for non-pregnant individuals. 

An example of blood glucose targets during pregnancy: 

TimingTarget
Before meals4.4 to 5.5 mmol/L
2h after a meal5.5 to 6.6 mmol/L

Achieving these targets requires regular blood glucose monitoring (up to seven times daily) or the use of a continuous glucose monitoring sensor. Familiarize yourself with flexible insulin dosing principles from our resource page to maintain tight glucose control during pregnancy. 

AFTER DELIVERY
Insulin requirements may decrease substantially after delivery. Breastfeeding is encouraged, but insulin doses may need further reduction to prevent hypoglycaemia. Your healthcare team will work with you for insulin dose adjustments during this period. Discuss with your doctor the timing for your next pregnancy and appropriate contraception for family planning. 
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