Pregnancy

Pregnancy in women with type 1 or type 2 diabetes usually results in a normal delivery with no effects on the mother’s or the child’s long-term health. However, poorly controlled blood glucose levels during pregnancy can have long term effects for mum and baby, as well as complications during delivery.

You can have a healthy pregnancy and a good outcome with planning, multidisciplinary care and excellent control of blood glucose levels.

If you develop diabetes during pregnancy, it is called gestational diabetes. Learn more about gestational diabetes.

Pre-pregnancy care for people with diabetes

DA NSW

First talk to your doctor, credentialled diabetes educator and obstetrician for pre-pregnancy planning and care. You can receive advice and guidance on blood glucose management, a review of all self care skills and knowledge, an assessment of diabetes equipment and management of hypoglycaemia and hyperglycaemia.

High blood glucose levels can increase the risk of having a baby with a birth defect. However this can be minimised by ensuring excellent blood glucose control at the time of conception and during the first eight weeks of pregnancy.

Careful attention to nutrition is essential, not only for good diabetes control, but to meet the body’s increased nutritional requirements during pregnancy.

Exercise is also helpful in maintaining general fitness and good blood glucose control.

Breast-feeding

There is no reason why women with diabetes should not breast-feed. Insulin requirements are generally slightly lower during this time. Insulin does not pass into the breast milk and is not harmful to the baby.

Hypoglycaemia can be an issue. You should discuss with your doctor or credentialled diabetes educator about strategies to minimise hypoglycaemia.

Resources

Type 1 Diabetes and Pregnancy- Having a Healthy Baby: A guide to planning and managing pregnancy for women with type 1 diabetes

A free booklet has been developed by NDSS and is for women with type 1 diabetes who are planning now or in the future for pregnancy. It provides information on preparing for pregnancy, how to manage diabetes during pregnancy and once the baby is born.

Download the ebook

A guide to planning and managing pregnancy for women with type 1 diabetes

or access the PDF version

This booklet replaces the information contained in the Can I have a Healthy Baby? booklet for women with type 1 diabetes.

Type 2 Diabetes and Pregnancy- Having a healthy baby – a guide to planning and managing pregnancy for women with type 2 diabetes

This booklet is for women with type 2 diabetes who are planning a pregnancy now or in the future. It provides information on planning and preparing for pregnancy, managing type 2 diabetes during pregnancy, birth and beyond. The booklet has been written by health professionals with expertise in pregnancy and diabetes, with input from women with diabetes. It has been endorsed by the Australasian Diabetes in Pregnancy Society (ADIPS).

This booklet is available as an ebookand a PDF version is also available for download.

More Information

Diabetes and pregnancy

Australasian Diabetes in Pregnancy Society