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Preconception diabetes optimisation — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

HardReproductive HealthPreconception diabetes optimisationDFSRH

A 33-year-old woman planning pregnancy has BMI 34 kg/m2, takes folic acid 400 micrograms, and has type 2 diabetes with HbA1c 83 mmol/mol. She asks whether to stop contraception now. What would you advise this patient?

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

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Correct answer: D — Continue contraception and optimise diabetes before conception with specialist preconception support

Poor glycaemic control substantially increases pregnancy risk, so contraception should continue while diabetes is optimised with preconception input. Folic acid is important but does not remove hyperglycaemia-related risk. Monthly EC is not planned contraception, CHC does not treat glycaemic risk, and preconception care should happen before pregnancy. The pearl is that contraception is part of safe preconception medicine.

Reference: NICE Diabetes in Pregnancy; FSRH Preconception Care guidance