Our expert says:
It is much safer to try to conceive whilst using insulin. Most gynaecologists would change a patient from oral hypoglycaemic agents to insulin when they intend to conceive, as insulin is far safer. The absolute levels of glucose is not of major concern if the levels remain below 10ml per litre. However, it is believed that the levels of Ketones is of greater importance in the early conceptual period, as it may be linked with embryopathy. Ketones often occur in cases of excess insulin use, which may cause a temporary starvation effect and therefore extremely tight control in the peri-conceptual period may be advisable.
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