Women with diabetes should be seen every 2 weeks by their multiprofessional team. they should expect the following care at every antentatal visit:

• Blood pressure and urinalysis check
• Weight
• Monitoring of HbA1c
• Referral in each trimester of pregnancy for retinal screening
• Overview of blood sugar control and possible adaptation of insulin medication
• Advice re diet and lifestyle
• Advice re management of hypos; care of insulin injection sites
• Referral to featal cardiologist ultrasound at approximately 24 weeks
• Serial ultrasound scans from 28 weeks for fetal weight estimation
• 3rd trimester fetal assessment including cardiotocograph monitoring
• Parentcraft education including advice with regard to breastfeeding
• Plan for vaginal birth at 40 weeks gestation