Folic acid high-risk preconception — DFSRH MCQ
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Correct answer: D — Optimise diabetes before conception and take folic acid 5 mg daily
NICE advises optimising glycaemic control before conception and prescribing folic acid 5 mg daily until 12 weeks’ gestation for people with diabetes. Continue contraception until ready to conceive; neither standard-dose folic acid alone nor delaying care until pregnancy is established is appropriate.
Reference: NICE NG3, Diabetes in pregnancy: https://www.nice.org.uk/guidance/ng3