Dr. Uzma Arqam
Obstetrics and Gynecology
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Patient's Query
Hello doctor,
I am 26 years old and have been a type-1 diabetic for 24 years. I am considering getting pregnant. Is there a specific A1C number I should aim for before trying to get pregnant? Aside from having a great A1C and taking prenatal vitamins, is there anything else I should be doing to prepare for diabetic pregnancy? Also, is there a chance of delivering vaginally? I have heard that diabetics almost always have to have c-sections, but I would like to avoid it if possible.
Thank you.
Hello,
Welcome to icliniq.com.
A diabetic patient like you should have preconception counseling regarding your sugar levels, HbA1c as for conception you need to have your HbA1c below 6.1 %. HbA1C level above 10 % is strongly against pregnancy. So, try to avoid it if you have this level as more chances of miscarriage, fetal congenital anomalies, etc. A diabetic patient having BMI greater than 0.03 lb/sq.inch and want to conceive is advised to reduce weight before trying for conception.
Thank you.
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Obstetrics and Gynecology
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