Preconception Care, Type I diabetes, Type II diabetes, guidelines, preconception counseling, pregnancy, Family Nurse Practitioner


Purpose: The purpose of this article is to evaluate present literature and guidelines regarding preconception care for women with type I diabetes mellitus (T1DM) or type II diabetes mellitus (T2DM) and familiarize the family nurse practitioner (FNP) with current clinical recommendations. Data Sources: The guidelines reviewed include the Clinical Practice Recommendations from the American Diabetes Association 2013, the American College of Obstetricians and Gynecologists pregestational diabetes mellitus guideline reaffirmed in 2010, and the National Institute for Health and Clinical Excellence on how to manage diabetes and its complications from preconception to the postnatal period 2008. Conclusions: Guidelines were established based on clear and compelling evidence from randomized control studies, expert consensus, and clinical experience. Grading systems were used to clarify evidence and gave basis for support of recommendations. A review and analysis of each guideline is reported for the FNP. Implications for Practice: FNPs have the ability to promote optimal health through their role in primary care. Lack of FNP knowledge regarding recommended guidelines for preconception counseling is a barrier to providing optimal preconception care to women with pregestational diabetes. Understanding these recommendations, the FNP can play a vital role in these women obtaining a positive birth outcome.


The College of Nursing showcases some of our best evidence based scholarly papers from graduate students in the Family Nurse Practitioner Program. The papers address relevant clinical problems for advance practice nurses and are based on the best evidence available. Using a systematic approach students critically analyze and synthesize the research studies to determine the strength of the evidence regarding the clinical problem. Based on the findings, recommendations are made for clinical practice. The papers are published in professional journals and presented at professional meetings.

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Graduate Student

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Nursing Commons