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[Pre-pregnancy evaluation of the diabetic woman].

In this paper we examine the work that a diabetologist should do in a diabetic women before she starts a pregnancy. To program a pregnancy in diabetic women is an important medical problem that faces the need to avoid some maternal and fetal complications that can sometimes be life-threatening. We separately consider the problem in diabetic women and in women at risk for gestational diabetes. As main items to be previously considered to minimize the risk of fetal and/or maternal complications in the pregnant diabetic women we consider the compliance to treatment the evaluation of diabetic complications, the optimization of treatment, and mainly the availability of an enough time to start the pregnancy in a stable and good metabolic condition.