When should intensive management of women with pregestational diabetes begin?

Intensive management of women with pregestational diabetes should begin in the preconception period. This timing is crucial because optimizing glucose control before conception significantly reduces the risks of embryonic and fetal complications, such as congenital anomalies and miscarriage. A woman with pregestational diabetes should ideally achieve and maintain optimal glycemic control prior to becoming pregnant. This helps to promote a healthier pregnancy and improves outcomes for both the mother and the fetus.

Beginning management in the preconception phase allows healthcare providers to educate women on dietary modifications, the importance of exercising, and the potential need for medication adjustments, setting a strong foundation for a healthier pregnancy journey. Careful planning and preparation during this time is essential for the long-term health of both the mother and the child.