Pregnancy is a delicate time for the mothers as they must take many precautions that will ensure their and their babies' health. What many people do not realize is that diabetic mothers can have complications during pregnancy. As many people lack awareness about this, researchers from the Endocrine Society have come up with important rules and guidelines that will ensure the safety and wellbeing of new mothers and their babies. New guidelines suggest that doctors should talk to diabetic women at every visit about whether they plan to have children. This is to make sure they receive the right medical care before getting pregnant. The goal is to help prevent problems like miscarriages and birth defects in women who have diabetes before they become pregnant. Experts created these guidelines because more women of childbearing age are developing diabetes, and very few currently get the necessary care before conception. How Does Diabetes Affect Pregnancy?Pregnancy causes hormonal and body changes that affect your blood sugar levels. Even if you've had diabetes for years, you might need to change your meal plan, exercise routine, or medications. If you weren't on insulin before pregnancy, you might need to start it. It's common to need more insulin as your due date gets closer, sometimes even double or triple the amount. Your blood sugar levels can also change quickly during and after delivery, so your healthcare team will monitor them closely.The National Institute of Diabetes and Digestive and Kidney Diseases explains that if you have diabetes and are thinking about having a baby, it's really important to get your blood sugar levels as close to your target range as possible before you get pregnant. High blood sugar levels can be harmful to your baby, especially in the first 8 weeks of pregnancy when their organs (like the brain, heart, and kidneys) are forming. This can increase the chance of birth defects. High blood sugar during pregnancy can also increase the risk of your baby being:Born too earlyLarger than average sizeHaving breathing problems right after birthHaving low blood sugar (hypoglycemia) right after birthSometimes, babies might need special care in the hospital after delivery if there's a risk of low blood sugar or other health issues. High blood sugar can also increase your risk of miscarriage or stillbirth (when the baby dies in the womb in the second half of pregnancy). Furthermore, if your blood sugar levels are high during pregnancy, your baby has a higher chance of developing obesity or type 2 diabetes later in life.Key Recommendations for Care These new guidelines cover several important areas, including: Regular Discussions about Pregnancy Doctors should ask all diabetic women of childbearing age about their desire to conceive at every appointment, regardless of why they're seeing the doctor. Timing of Delivery For pregnant women with diabetes, delivering the baby before 39 weeks might be safer. This is because the potential risks of continuing the pregnancy could be greater than those of an earlier delivery. Medication Adjustments Women should stop using GLP-1 weight-loss drugs before pregnancy.Metformin should be avoided in pregnant women who are already taking insulin.Advanced Insulin Management For pregnant women with type 1 diabetes, using hybrid closed-loop insulin pumps with continuous glucose monitoring is recommended. These devices help manage blood sugar more effectively. Family Planning Women with diabetes should engage in family planning and use contraception until they are truly ready to become pregnant. These recommendations are based on strong scientific evidence from research studies. They also address important topics like proper nutrition and treatment approaches for women with type 2 diabetes, especially since obesity and related diabetes are increasing globally. These new guidelines are supported by many major health organizations, including the American Diabetes Association and the American College of Obstetricians and Gynecologists.