A specialist midwife
There may be a diabetes midwife or clinic lead midwife who will provide you with specialist support while you are pregnant and during and after the birth. This may be in addition to a community midwife.
An endocrinologist or diabetologist
A consultant doctor who specialises in diabetes
A consultant doctor who specialises in pregnancy and birth
A diabetes nurse specialist
A nurse specialising in caring for people with diabetes
A healthcare professional who can provide dietary advice
Kidney or eye specialists (nephrologist or opthalmologist)
If you need kidney or eye assessments or treatment these professionals will work alongside the other members of your healthcare team, such as your GP and your community midwife.
You may have a lot of questions. Your key point of contact will usually be your diabetes midwife or the diabetes nurse specialist. Make sure you are clear who to contact and how to get hold of them. You should – ideally have a direct telephone number or email address. Check what days they work so that you are sure who to call to get the support you need, when you need it – especially in an emergency.
Pregnancy and childbirth can be emotional at the best of times, but if you have diabetes to cope with too, then you have yet another load to bear.
If you are treated with insulin, by the third trimester, your insulin requirements are likely to be much higher than they were before.
If you have type 1 or 2 diabetes as soon as you suspect you may be pregnant, visit your GP or your antenatal diabetes team if you have one. You can expect to be referred to the joint diabetes and antenatal clinic immediately, or by 10 weeks at latest. Your first scan should take place at 7-9 weeks.
If you have type 1 or 2 diabetes in pregnancy you will get extra care.
You will need to manage your type 1 or 2 diabetes in pregnancy by checking your blood glucose levels and adjusting your treatment according to the results.
Women with type 1 or 2 diabetes are at higher risk of some complications but the majority have normal pregnancies and healthy babies. There is much you can do to reduce the risks, for you and baby.
Many women with type 1 or 2 diabetes go on to have a healthy birth. But you are at higher risk of complications so your healthcare team will have recommendations for the birth of your baby.
If you have type 1 or 2 diabetes, you should to talk to your healthcare team if you are thinking about having a baby. There are some things you can do now to make your upcoming pregnancy safer.
The fact that you have type 1 or 2 diabetes in pregnancy does not mean that your baby will get it as a child. But they will have an increased risk of getting it later due to genetics.
Information and support for type 1 or 2 diabetes in pregnancy
ℹLast reviewed on September 1st, 2015. Next review date September 1st, 2017.