A focused preconceptional and early pregnancy program in women with Type 1 diabetes reduces perinatal mortality and malformation rates to general population levels

Barriers and facilitators to attending pre‐pregnancy care services: the ATLANTIC‐DIP experience

“…However, women have indicated that pre‐pregnancy care programmes can impact negatively on their experiences of pregnancy, birth and psychological well‐being . Efforts to attain and then maintain euglycaemia for an indefinite period of time prior to conception and throughout pregnancy can be stressful for women and their support networks . One area highlighted by the participants in the present study was fear of criticism by health professionals as being a clear obstacle to attendance.…”

Normalization of pregnancy outcome in pregestational diabetes through functional insulin treatment and modular out‐patient education adapted for pregnancy

“…Others have demonstrated that pre‐pregnancy care in diabetes is effective [2]. Periconceptional near‐normoglycaemia in diabetic women [1] can reduce malformation rates [2]. However, pregnancy planning in diabetes rarely occurs [31,32].…”

“…The outcome of pregnancy in women with diabetes represents the degree of glycaemic control achieved [1–3]. Preconceptional care and interdisciplinary co‐ operation [2,4,5] can improve outcomes. In our setting we use structured, out‐patient group education due to limited resources.…”

Is pregnancy a risk factor for microvascular complications? The EURODIAB Prospective Complications Study

“…The risks associated with pregnancy in diabetic women have fallen in recent years, especially the risk of foetal malformations in planned pregnancies [1–4]. Some studies demonstrate a worsening during diabetic pregnancy of microvascular complications [5], particularly retinopathy [6] or nephropathy [7], the latter often associated with pre‐eclampsia.…”