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Pre-existing diabetes in pregnancy — DRCOG MCQ

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HardAntenatal CarePre-existing diabetes in pregnancyDRCOG

A woman with type 1 diabetes has a positive pregnancy test and latest HbA1c 78 mmol/mol. She is well and has no pain or bleeding. What is the most appropriate referral?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Urgent referral to the joint diabetes and antenatal clinic

Pregnancy with pre-existing type 1 diabetes requires prompt joint diabetes-antenatal care. High HbA1c increases risk, but insulin must continue and the pregnancy needs assessment, glucose support and regular specialist contact.

Reference: NICE NG3: Diabetes in pregnancy: https://www.nice.org.uk/guidance/ng3/chapter/Recommendations