If you have diabetes, not knowing this before planning a pregnancy can be very difficult
For women with diabetes (Type 1 or Type 2), pregnancy needs extra planning because high blood sugar in the early weeks can affect both the mother and the baby. Many women don’t know this, and by the time they realize they’re pregnant, the crucial early weeks are already passed.
Why this matters
- High sugar in early pregnancy is risky
It increases the chances of birth defects, miscarriage, and complications. These risks reduce drastically if blood sugar is controlled before conception. - Your body needs preparation
Good levels of HbA1c, proper medications, healthy weight, and kidney/eye checks are important before becoming pregnant. - Some diabetes medicines are unsafe in pregnancy
Certain tablets need to be stopped or switched to insulin before trying to conceive. - Pregnancy hormones make sugar control harder
So having stable blood sugar from the beginning helps keep both mother and baby safe.
What should be done before planning pregnancy
- Get an HbA1c test and aim for a healthy range (usually below 6.5–7%, as advised by doctor).
- Visit a diabetologist + gynecologist for pre-conception counseling.
- Adjust medications, diet, insulin, and lifestyle properly.
- Start folic acid before trying to conceive.
- Keep blood pressure, kidneys, eyes, nerves checked.
The main message
Pregnancy is absolutely possible and safe with diabetes — but only when planned. Knowing these things in advance prevents complications and gives a healthy start to the baby.
