Quality Statement 1: Preconception Care for People With Diabetes

All people of reproductive age who might become pregnant who are living with diabetes receive information about family planning. People with diabetes who are planning to become pregnant receive preconception care from an interprofessional care team, including counselling on optimizing diabetes management, screening for complications, and a review of medications.

Quality Statement 2: Coordinated Interprofessional Care

People with diabetes receive coordinated interprofessional care specific to their needs during preconception and throughout pregnancy. People with gestational diabetes receive interprofessional care at the time of diagnosis and throughout the remainder of their pregnancy.

Quality Statement 3: Self-Management Education and Support

People with diabetes and their families are offered tailored self-management education and support at the beginning of pregnancy, or at the time of gestational diabetes diagnosis, and throughout their pregnancy as needed.

Quality Statement 4: Lifestyle Management During Pregnancy

People with diabetes in pregnancy receive tailored information and support about gestational weight gain, diet, and physical activity to optimize blood glucose levels and maternal and fetal outcomes at the beginning of pregnancy, or at the time of gestational diabetes diagnosis, and throughout pregnancy.

Quality Statement 5: Fetal Monitoring and Timing of Delivery

People with diabetes in pregnancy receive increased fetal monitoring based on glucose control, maternal complications, comorbid conditions, and/or fetal well-being. Induction of labour is considered before 40 weeks’ gestation if maternal or fetal indications exist.

Quality Statement 6: Postpartum Diabetes Screening for People With Gestational Diabetes

People with gestational diabetes are screened for prediabetes and type 2 diabetes with a 75 g oral glucose tolerance test between six weeks and six months postpartum.