Now examine whether glycemic control is sufficient or not

The former steps are considered of equal importance, yet glycemic control is a major criterion that has to be met before encouraging a woman, diagnosed with DM, starting tries to conceive. So:

R1.2 Suggest women diagnosed with DM seeking to conceive, strive to achieve blood Glu levels and HbA1c as close to normal as possible without undue hypoglycemia. (2++)

According to the values listed above, determine whether glycemic control is sufficient or not.

  • R 3.2d HbA1c < 7% (ideally < 6.5%) (2+) and
  • R 3.2a Fasting plasma Glu < 95mg/dL (1++) or R 3.2b < 90 mg/dL, if safe without undue hypoglycemia (2+) and
  • R 3.2a Premeal plasma Glu < 95 mg/dL (1+) and
  • R 3.2c 1-h post-meal Glu < 140 mg/dL and 2-h post-meal Glu < 120 mg/dL, when these targets can be safely achieved without undue hypoglycemia (2+)

Is glycemic control sufficient?

  • Yes
  • Νο

Map: Management of women with diabetes mellitus (DM) in preconceptional period (295)
Node: 7650
Score:

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  • Now examine whether glycemic control is sufficient or not

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