Type 2 diabetes treatment in pregnancy

The aim is to keep glucose within the range agreed for you while avoiding low readings. Some people need insulin or a medicine review as pregnancy progresses. Your clinician considers your previous treatment, kidney function, eating pattern, other conditions, and home readings. Care may also include blood-pressure checks, eye and kidney assessment, and ultrasound review of fetal growth.

Check glucose at the times your team sets and bring the readings to appointments. Take medicine exactly as prescribed and learn how to recognise and manage a low reading. Do not skip meals to force a better result, and ask for practical advice if nausea or vomiting affects eating. Antenatal care, a glucose tolerance test when indicated, and growth scans can each have a specific place in your plan.

Call your diabetes team if readings stay outside target, lows recur, or you cannot keep medicine, fluids, or food down. Seek urgent care for severe weakness, confusion, fainting, difficult breathing, or reduced fetal movement. Ask your maternity unit how to respond to bleeding, contractions, fluid loss, or other pregnancy concerns.

Ask which medicine is planned, how doses are adjusted, what to do during illness, and how glucose control will affect appointments and fetal monitoring.