Diabetes care areas - click here to navigate to care area page
- Cardiovascular care
- Children and young people
- Diagnosis and continuing care
- Education
- Emotional and psychological support
- End of life
- Equality in diabetes
- Prevention and risk management
- Eye services
- Footcare
- Emergency and inpatient
- Kidney care
- Mental health and learning difficulties
- Neuropathy care
- Pregnancy
- Services for older people
- User involvement
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The team does not and cannot offer clinical advice. If you have any urgent medical enquiries we urge you to contact your GP, or NHS Direct at www.nhsdirect.nhs.uk or by calling 0845 4647. In an emergency call 999
Care Pathway: Initial Clinic Visit with Specialist Diabetes Team
Up to one hour appointment with specialist team competent and trained to discuss and advise on the risks associated with pregnancy: It is recommended that this team consists of: Diabetes Consultant, Diabetes Specialist Nurse, Dietitian, Diabetes Obstetric Consultant, Diabetes Midwife and interpreter if necessary.
Links:
- Providing advice and infromation on planning pregnanacy to all women with diabetes of childbearing age
- Agree care plans to help women with diabetes prepare for a safe and healthy pregnanacy
- Support and review care plans to help women with diabetes prepare for a safe and healthy pregnanacy
Discussion
- Discussion of the risks and implications of having diabetes on pregnancy and how these risks can be reduced
- Discussion of the risks of pregnancy on diabetes (and how this can be reduced)
Assessment
- Assessment of current glycaemic control
- Assessment of diabetes related complications
- Assessment of current medications with regard to safety in pregnancy
- Assessment of additional obstetric risks
Advice
- Advice on smoking and alcohol reduction
- Advice on diet, body weight and exercise
- Prescription of 5mg Folic acid
- Management of effective contraception and discontinuation of contraception
- Work with patient (and partner) to develop individual plan to optimise management of diabetes preconception
Signposting
- Provide contact numbers of team
- Stratify risk to inform follow-up requirements
- Signposting and fast track to other services e.g. structured education, insulin pump and weight loss programmes
- Provision of appropriate literature to take away - e.g. SAFER leaflet (PDF 591KB)
