Diabetes in pregnancy: time to focus on women with type 2 diabetes

We read with interest the Article by Helen Murphy and colleagues1 highlighting poor pregnancy outcomes among women with type 2 diabetes (as well as those with type 1 diabetes) in England, Wales, and the Isle of Man, UK. Sadly, we are a long way from the aim of the 1989 Saint Vincent declaration2 for women with diabetes in pregnancy to have outcomes approximating those of the background population. National Institute for Health and Care Excellence guidance recommends pre-pregnancy care for women with pre-existing diabetes,3 yet in practice, programmes are poorly attended by women with type 2 diabetes.