Diabetes in pregnancy. Implementing NICE guidance. 2 nd edition – March 2012. NICE clinical guideline 63. Guideline review . Guideline issue date: 2008 First review : 2011 2011 review recommendation The guideline should be updated.
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Implementing NICE guidance
2nd edition – March 2012
NICE clinical guideline 63
The importance of avoiding unplanned pregnancy should be an essential component of diabetes education from adolescence for women with diabetes.
Offer pre-conception care and advice to women with diabetes who are planning to become pregnant before discontinuing contraception.
If it is safely achievable, women with diabetes should aim to keep fasting blood glucose between 3.5 and 5.9 mmol/litre and 1-hour postprandial blood glucose below 7.8 mmol/litre during pregnancy.
Advise women with insulin-treated diabetes of the risks of hypoglycaemia and hypoglycaemia unawareness in pregnancy, particularly in the first trimester.
At the booking appointment screen for risk factors
associated with gestational diabetes.
Offer testing for gestational diabetes if any
one risk factor identified.
Offer women who were diagnosed with gestational diabetes:
This slide also includes costs and savings for implementing the
NICE guidance on antenatal care
Costs correct at March 2008.
Costs not updated for 2nd edition
Click here to go to NICE Pathways website
To be added- the latest NHS evidence image
Visit NHS Evidence for the best available evidence on all aspects of diabetes.
Click here to go to the NHS Evidence website
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