Type 2 diabetes in pregnancy guidelines

Pregnancy changes insulin needs and affects how glucose is interpreted. Your team may review home readings, kidney and eye health, blood pressure, medicines, eating patterns, and activity. Ultrasound monitoring may assess fetal growth when clinically indicated. The plan should be adapted to your stage of pregnancy, existing health, and response to treatment.

Attend scheduled antenatal visits and bring your glucose records, medication list, and questions. Take prescribed treatment as instructed; do not change insulin or tablets independently. Ask for a dietitian or diabetes educator if meals, nausea, or low readings make control difficult. A glucose tolerance test is used in selected situations, while a growth scan may form part of fetal monitoring.

Contact your maternity or diabetes team for repeated readings outside your agreed range, frequent low readings, inability to keep food down, or reduced ability to take prescribed medicine. Get urgent care for confusion, fainting, severe breathing difficulty, heavy bleeding, or markedly reduced fetal movement according to your maternity unit's advice.

Ask for your personal glucose targets, testing schedule, medication instructions, sick-day plan, and the dates or reasons for scans and reviews.