“Family planning” is a term coined to describe not pregnancy or parenthood, but the period of time leading up to pregnancy and parenthood. Pregnancy doesn’t always come as a result of a plan, nor does a plan always ensure pregnancy will go smoothly. As a diabetic, however, the potential for complication is a little bit higher and warrants a bit more planning.

What to Do Before Starting a Family

Any couple, regardless of illness, should do their utmost to be healthy, fit, and ready before starting a family, but the standard list of rules has a few additions for both men and women who have diabetes.

#1. Have a Solid Period of Blood Sugar Control

Having a solid period of blood sugar control will provide the best outcomes for pregnancy. Because pregnancy can cause accelerated blood pressure and large hormone swings, blood sugar issues can exacerbate your diabetes and increase the risk of both maternal and fetal complications.

Three months is a good start. If you want to take longer, you certainly can, but giving your body 90 days to get in the habit of making healthy dietary and exercise choices will help the adjustments required of pregnancy occur without too much difficulty.

#2. Attain a Healthy Weight

Being overweight can add a host of problems to pregnancy. A healthy woman typically gains between 25 and 40 pounds during pregnancy, while a woman who is overweight or obese is advised to only gain around 15 pounds.

Attaining a healthy weight before you begin a family will help your body function at its best, which will not only help your chances of conceiving, but will help keep your body strong and fit—two things that are necessary to manage the marathon that is labor and birth.

#3. Discuss Your Plans With Your Doctor

Any time you are thinking of starting a family, meet with your doctor. Studies consistently show that seeking preconception counseling improves pregnancy outcomes, impacting both maternal and fetal health. This is particularly important for diabetic women as there are many additional factors to consider during pregnancy, including the possibility of difficulty controlling blood sugar, drastic changes in hormones and insulin production, and the onset of high blood pressure.

On their own, these changes might not be dangerous, but when coupled with pregnancy, each of these can lead to further complications such as fetal distress and eclampsia, both of which are capable of causing irreparable damage to mother and baby.

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