Diabetes Standards of Care and Resources for Clinicians and Educators
Optimally, pregnancies in women with diabetes of all ages are planned for, including achieving preconception glycemic control and switching to medications that are safe to use in pregnancy. While this goal is not always achieved in adult women, it is even less likely to occur in adolescent girls. Hyperglycemia, as well as certain diabetes-related medications (e.g., statins, ACE inhibitors, ARBs), are potentially toxic to the developing fetus. As such, providers need to be proactive in regard to contraception and to anticipate the possibility of unplanned pregnancies. Women with diabetes often have comorbid issues that affect the selection of an optimal contraceptive method.