A 26-year-old woman with type 1 diabetes plans pregnancy in the next year. Her current HbA1c is 63 mmol/mol (7.9%). She has normal renal function and ...

Question

A 26-year-old woman with type 1 diabetes plans pregnancy in the next year. Her current HbA1c is 63 mmol/mol (7.9%). She has normal renal function and no complications. What is the most appropriate advice regarding preconception glycaemic targets?

Accepted Answer

Aim for HbA1c as low as possible, ideally in the non-diabetic range without significant hypoglycaemia

Answer

No change; her current HbA1c is adequate for conception

Answer

Aim for HbA1c ≤75 mmol/mol (9.0%) before conceiving

Answer

Stop insulin before conceiving to reduce teratogenicity

Answer

Avoid pregnancy because HbA1c cannot be safely reduced

au-amc MCQ (SBA): Preconception care in diabetes

A 26-year-old woman with type 1 diabetes plans pregnancy in the next year. Her current HbA1c is 63 mmol/mol (7.9%). She has normal renal function and no complications. What is the most appropriate advice regarding preconception glycaemic targets?