Question

A 40-year-old woman with type 1 diabetes is planning to conceive. According to NICE guidelines, which recommendation regarding pre-conception glycaemic control is most appropriate?

Accepted Answer

Aim for HbA1c <48 mmol/mol (6.5%) if safely achievable

Answer

Continue current insulin with target HbA1c <53 mmol/mol (7.0%)

Answer

Stop insulin and switch to oral hypoglycaemics

Answer

Use a sliding scale insulin regimen only in pregnancy

Answer

No specific glycaemic targets needed

Practice question

A 40-year-old woman with type 1 diabetes is planning to conceive. According to NICE guidelines, which recommendation regarding pre-conception glycaemic control is most appropriate?