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Resources to support preconception care for women with diabetes<br />
Pregnancy Planning Checklist<br />
Plan and prepare at least 3-6 months before you start<br />
trying for a baby<br />
What you need to do BEFORE you fall pregnant<br />
Use contraception until you are ready to start trying for<br />
a baby (ask your doctor if this is the most reliable<br />
contraception suitable for you)<br />
Talk to your doctor for general pregnancy planning advice<br />
Make an appointment with health professionals who<br />
specialise in pregnancy and diabetes<br />
Aim for an HbA1c of less than 53mmol/mol (7%) if you<br />
have type 1 diabetes or 42mmol/mol (6%) or less if<br />
you have type 2 diabetes<br />
Review your diabetes management with your diabetes<br />
health professionals<br />
Have all your medications checked to see if they are<br />
safe to take during pregnancy<br />
Start taking a high-dose (2.5mg-5mg) folic acid<br />
supplement each day<br />
Have a full diabetes complications screening and<br />
your blood pressure checked<br />
Aim for a healthy weight before you fall pregnant<br />
For women<br />
with type 1<br />
or type 2<br />
diabetes<br />
Use this checklist as a guide to discuss with your health professionals<br />
www.pregnancyanddiabetes.com.au<br />
This checklist is intended as a guide only. It should not replace individual medical advice and if you have any<br />
concerns about your health or further questions, you should contact your health professional.<br />
The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Government administered with the assistance of Diabetes Australia.<br />
Figure 1. Pregnancy planning checklist, to help women with diabetes<br />
prepare for a healthy pregnancy. Produced by the National Diabetes<br />
Service Scheme.<br />
Other resources<br />
The Australasian Diabetes in Pregnancy<br />
Society (ADIPS)-endorsed Pregnant<br />
with Diabetes app has been developed<br />
for pregnant women with diabetes, and<br />
women with diabetes who intend to<br />
become pregnant (Figure 3). It is written by<br />
Prof. Elisabeth R Mathiesen and Prof. Peter<br />
Damm and is based on the recommendations<br />
of the Centre for Pregnant Women with<br />
Diabetes at Rigshospitalet in Copenhagen,<br />
Denmark. The Australian version has been<br />
adapted by an Australian working party<br />
to reflect the ADIPS guidelines. The app<br />
can be downloaded from app stores free<br />
of charge. The information covered in the<br />
app is suitable for women with gestational,<br />
type 1 and type 2 diabetes and covers<br />
topics such as: how to plan for pregnancy,<br />
Figure 2. Booklets for women with type 1 and type 2<br />
diabetes. Produced by the National Diabetes Services<br />
Scheme.<br />
goal blood glucose levels, gestational weight<br />
gain, diet and carbohydrate intake, physical<br />
activity and insulin dosing.<br />
52 Diabetes & Primary Care Australia Vol 2 No 2 2017
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