We present a case of a female patient with long lasting unsatisfactory compensation of diabetes mellitus and late organ complications before planned pregnancy. Improved compensation after a switch from intensified regimen: insulin aspart (NovoRapid) and glargine (Lantus) to a treatment with insulin pump: insulin aspart (NovoRapid) was a significant precondition of a successful progress of the pregnancy, even in the presence of diabetic nephropathy and retinopathy.
A premature delivery of a fetus with symptoms of diabetic fetopathy occurred despite the satisfactory compensation during the treatment with insulin pump.