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Diabetes Discussion
Type 1 Diabetes
Pregnancy/preconception - Issues or unrealistic expectations?
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<blockquote data-quote="dje55" data-source="post: 2400374" data-attributes="member: 392659"><p>Hi there,</p><p></p><p>Your diabetes team should offer pre conception care. This is usually bloods to check current health status (kidneys, thyroid, Hba1c), medication check (to ensure that they are safe for pregnancy), referral for retinal screening and advice on diet/nutrition.</p><p></p><p>5mgs Folic acid daily absolutely should be taken for at least 3 months before pregnancy and up until 12 weeks gestation.</p><p></p><p>This is all detailed in NICE guideline NG3, available online.</p><p></p><p>There will be differences between care here and USA, but it should be broadly similar to NZ. Bear in mind that some services have been scaled back during Covid. Our local trust has only restarted a pre conception clinic recently and it is all done by phone, apart from bloods obviously.</p><p></p><p>Hope this helps.</p><p>D x</p></blockquote><p></p>
[QUOTE="dje55, post: 2400374, member: 392659"] Hi there, Your diabetes team should offer pre conception care. This is usually bloods to check current health status (kidneys, thyroid, Hba1c), medication check (to ensure that they are safe for pregnancy), referral for retinal screening and advice on diet/nutrition. 5mgs Folic acid daily absolutely should be taken for at least 3 months before pregnancy and up until 12 weeks gestation. This is all detailed in NICE guideline NG3, available online. There will be differences between care here and USA, but it should be broadly similar to NZ. Bear in mind that some services have been scaled back during Covid. Our local trust has only restarted a pre conception clinic recently and it is all done by phone, apart from bloods obviously. Hope this helps. D x [/QUOTE]
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