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Summary/Reflection

Summary of Key Points!

Optimise Glycaemic Control Pre-Pregnancy with the help of a the Specialist Diabetes Team
5mg Folic Acid Daily
Check Medication
Obtain Baseline Retinal Assessment
Check Insulin
Look at Lifestyle
Vaccinations

You have now reached the end of the Women with Diabetes Modules.

The following short self assessment has been designed to encourage reflection on the main learning outcomes from both 'Planning for Pregnancy' and 'Diabetes and Pregnancy' Sections. Please enter your responses before printing out your certificate of completion.

If you were offering a women pre-conception advice, above which level of HbA1c should you advise her to continue contraception until optimal blood sugar control has been reached?

10% / 86 mmol/mol 6% / 42 mmol/mol 7% / 53 mmol/mol

Women with pre-existing diabetes are recommended to take folic acid preconceptually. What dose is recomended?

400mcg daily 5mg daily 5mcg daily

What level of HbA1C is recommended for healthy pregnancy?

< 8.5% / 69 mmols/mol < 6.1% / 43 mols/mol < 9.1% / 76 mols/mol

Why is folic acid important pre-conception and during pregnancy?

Helps to ensure stores in the baby's liver at birth via the placenta. Improves maternal eyesight during pregnancy. Reduces the risk of neural tube defects. Encourages hair and nail growth during pregnancy.

In relation to which risk is it particularly important that women work with their specialist diabetes care team to achieve optimal glycaemic control?

Retinopathy Congenital Abnomalies Nephropathy

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