There is a higher risk of fetal malformations for women with diabetes, but this risk is minimizedif the pre-conception glucose control is tight (normal levels). Pre-conception folic acid supplementation also helps to reduce the risk of spina bifida.
Will my diabetes worsen during the pregnancy?
Yes, your insulin requirements will definitely increase, especially in the second and third trimesters. Your Obstetrician / Maternal Fetal Medicine expert will manage the pregnancy with an Endocrinologist / diabetologist. Regular checks of your BP, kidney function and glucose levels are needed.
Will my pregnancy get complicated?
Yes, there is a higher risk of hypertension, worsening renal function, deterioration of the eye / retina, in some, but not all, women. The baby may get too big (macrosomia) which may necessitate a Caesarean delivery.
Where should I deliver?
Ideally your care should be in a multidisciplinary hospital. You need co-ordinated care between a Maternal-Fetal expert / Obstetrician and an endocrinologist/diabetologist. A good NICU (neonatal intensive care unit) is also recommended.