Diabetes in pregnancy: management from preconception to the postnatal period

Research recommendations coming out of this guidance

• What are the roles of insulin pump therapy (continuous subcutaneous insulin infusion) and
  continuous glucose monitoring in helping women with diabetes to achieve blood glucose targets
  before pregnancy?

• When should testing for gestational diabetes take place – in the first or second trimester?

• What are the barriers that women experience to achieving blood glucose targets?

• How can fetuses at risk of intrauterine death be identified in women with diabetes?

• Are there effective long-term pharmacological interventions to prevent the onset of type 2
  diabetes that can be recommended postnatally for women who have been diagnosed with
  gestational diabetes?

• In women with type 1 diabetes who are planning to become pregnant, what is the most effective method of glucose monitoring to improve maternal and baby outcomes:

  • continuous glucose monitoring

  • flash glucose monitoring

  • intermittent capillary blood glucose monitoring?

• In women with type 1 diabetes who are already pregnant, what is the most effective method of glucose monitoring to improve maternal and baby outcomes:

  • continuous glucose monitoring

  • flash glucose monitoring?