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Effect of management policy upon 120 Type 1 diabetic pregnancies: policy decisions in practice

Aims To evaluate the outcome of two specific changes in the policy of managing pregnancy in Type 1 diabetes over a 5‐year period. The need for change had been identified following an audit in the previous 5‐year period: firstly, the need for intensive effort to improve the uptake of pre‐pregnancy counselling; secondly, a modest relaxation of the targets for blood glucose control during labour to minimize the risk of maternal hypoglycaemia.