Type 1 Diabetes Attends in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#17871

SMLE Question #17871

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 28-year-old woman with type 1 diabetes attends a preconception clinic planning pregnancy within 3 months. She uses a basal–bolus insulin regimen and has no known nephropathy or retinopathy. She asks what preconception intervention most reduces fetal structural malformations and other adverse pregnancy outcomes in women with pregestational diabetes?

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