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 South Dakota
Gestational Diabetes Care Guidelines
Pre-Existing Diabetes Mellitus
- It is beyond the scope of this document to cover management of pre-existing
type 1 or type 2 Diabetes Mellitus during pregnancy.
- Because patients with a history of GDM are at risk of developing
type
2 DM, the following points emphasize the importance of appropriate postpartum
counseling and follow-up after a GDM pregnancy.
- Preconception euglycemia decreases the risk of both miscarriage
and congenital anomalies in patients with DM to levels equal to
that of normal patients. Therefore documentation of euglycemia
by hemoglobin A1C and/or home monitoring in the 3 to 6 months prior
to conceptionis recommended.
- Diabetes and its co-existing medical complications may result
in adverse maternal medical and obstetrical outcomes. Therefore,
all women with diabetes should have preconception counseling which
addresses both obstetrical and medical considerations.
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Page last modified: December 20, 2005
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation
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Diabetes & Me