Pregnancy of women with type 1 and type 2 DM is associated with a high risk of developing maternal and fetal complications despite ongoing care. In the mother, diabetes can lead to the development and progression of chronic diabetes-associated complications.
Optimal diabetes control before and during pregnancy reduces the risk of congenital malformations and other perinatal complications. Pregnancy of diabetic women should therefore be planned, ideally at a time of satisfactory diabetes control.