“…Surprisingly, a smaller proportion of visits by women with diabetes, when compared with women without diabetes and after adjusting for the amount of time spent in the health care system, include preconception counseling and discussion of contraception. Women with diabetes are also less likely to receive highly effective long-acting reversible methods of contraception, despite the proven efficacy of these methods and the very low risk of contraception complications in the majority of women with diabetes ( 13 ). Many providers are unaware that all forms of contraception, even in high-risk women, are considerably safer than the risks associated with pregnancy.…”