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HomeAnswersObstetrics and Gynecologydiabetes during pregnancyWhat is the optimal HbA1C for a vaginal delivery?

Is there a specific A1C number I should aim for before trying to get pregnant?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At April 11, 2018
Reviewed AtDecember 20, 2023

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.

Answered by Dr. Uzma Arqam


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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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