Diabetes education for the adult - position statement

ABSTRACT

There is a fourfold increase in the incidence of major malformations in pregnant diabetic women who have poor metabolic control during the period of organogenesis. The goals of preconception care are Screening for underlying non-diabetic medical conditions, assessment of diabetes-related complications, obstetric evaluation, intensive education of woman and family, attainment of optimum diabetic control, timing and planning of pregnancy. To achieve these goals, education must be implemented to ensure that the woman understands the effects of diabetes on pregnancy. She must undergo a review of self-management skill; that is nutrition counselling, insulin administration, exercise, blood glucose monitoring. The feasibility and cost-effectiveness of such programmes can be assessed in terms of the successful outcomes for both mother and child.(AU)