Target blood glucose goals before getting pregnant
- Premeal (before eating): 60-119 mg/dl
- 1 hour after meals: 100-149 mg/dl
Your health care provider may have you use goals such as these, but check with your own team about your specific goals.
Along with getting your blood glucose levels in your target range, it’s also important to establish a set of healthy lifestyle habits that will reduce the risk for complications and improve the health of your baby. For women with diabetes, this means an A1C as normal as possible (less than 7%), achieving or maintaining a healthy body weight, improving diet and exercise, and having a
A pre-pregnancy exam by your doctor typically includes: measuring your A1C level to make sure blood glucose levels are under control. It also will include an assessment of any complications, such as high blood pressure, heart disease, and kidney, nerve, and eye damage. If you have type 1 diabetes, your doctor will likely check the function of your thyroid.
You should also review all you medications and supplements with your doctor to make sure they are safe to continue using with pregnancy. Drugs commonly used to treat diabetes and its complications may not be recommended in pregnancy, especially statins, ACE inhibitors, ARBs, and most noninsulin therapies.
While you are getting your blood glucose levels under control and your healthy lifestyle habits where you want them to be, its important to have a family planning method in place. Women with diabetes have the same birth control options as women without diabetes. The pill, the intrauterine device (IUD), implants, barrier methods such as a diaphragm or condoms, and spermicides are all ways to reduce the risk of unplanned pregnancy. Which method you choose will depend on your own health history and you and your partner’s preferences.
If you have any concerns, be sure to bring them up with your health care team.