RCN Special Edition Podcast series on Women living with diabetes across the lifespan: Preconception

Disclaimer: This podcast is intended for educational and informational purposes only and is aimed at registered nurses, midwives, and other healthcare professionals. It does not constitute medical advice and should not be used as a substitute for professional clinical judgement, local guidelines, or individualised patient care. Listeners should always refer to current NICE guidance, local trust policies, and other relevant clinical resources, and seek advice from a qualified healthcare professional regarding any specific patient or personal health concern. The views expressed by guests are their own and do not necessarily reflect the official position of the Royal College of Nursing. This RCN Special Edition podcast brings together Amanda Williams Chair of the RCN diabetes Forum and Esther Kuria from the RCN Women's Health forum for a discussion on diabetes and preconception. Good preconception care can make all the difference for women with diabetes planning a pregnancy—yet it remains one of the most overlooked areas of diabetes management. In this special edition episode, we explore why preparing for pregnancy early is so important, and how nurses can play a pivotal role in supporting women to achieve the best possible start. Our guests discuss the importance of optimising blood glucose levels before conception, the risks of unplanned pregnancy in women with diabetes, and the vital role of high-dose folic acid and medication review. We also look at the emotional and practical barriers women face in accessing preconception care, and how nurses across primary care, diabetes services, and general practice can open up these conversations sooner. Whether you work in general practice, diabetes care, or sexual health, this episode offers practical guidance to help you support women with diabetes to plan safer, healthier pregnancies.