Diabetes and Pregnancy

Course #33403 - $90 -


Diabetes is a common but serious condition that can affect people of any age, including women in their childbearing years. Elevated blood glucose during pregnancy can have serious medical consequences to both mother and fetus. These negative consequences can occur during the gestational and perinatal periods, and long-term effects increase health risks to mother and offspring beyond the postpartum period. Diabetes can complicate pregnancies of women with pre-existing type 1 or type 2 diabetes as well as those who develop diabetes during the gestational period. This course will include the continuum of care from preconception through the postpartum period for all types of pregnancy complicated by diabetes. Further, it will provide a knowledge base for helping patients achieve good blood glucose control throughout the pregnancy continuum, from preconception to postpartum care and beyond.

Education Category: Women's Health - Maternal / Child
Release Date: 07/01/2023
Expiration Date: 06/30/2026

Table of Contents


This course is designed for nurses in inpatient and outpatient practice areas that include women's health, family medicine, and diabetes/endocrinology, and health education specialists, public health professionals, and nurse educators.

Accreditations & Approvals

In support of improving patient care, NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. NetCE is accredited by the International Accreditors for Continuing Education and Training (IACET). NetCE complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, NetCE is authorized to issue the IACET CEU.

Designations of Credit

NetCE designates this continuing education activity for 15 ANCC contact hour(s). NetCE designates this continuing education activity for 5 pharmacotherapeutic/pharmacology contact hour(s). NetCE designates this continuing education activity for 18 hours for Alabama nurses. NetCE is authorized by IACET to offer 1.5 CEU(s) for this program. AACN Synergy CERP Category A.

Individual State Nursing Approvals

In addition to states that accept ANCC, NetCE is approved as a provider of continuing education in nursing by: Alabama, Provider #ABNP0353, (valid through July 29, 2025); Arkansas, Provider #50-2405; California, BRN Provider #CEP9784; California, LVN Provider #V10662; California, PT Provider #V10842; District of Columbia, Provider #50-2405; Florida, Provider #50-2405; Georgia, Provider #50-2405; Kentucky, Provider #7-0054 through 12/31/2025; South Carolina, Provider #50-2405; West Virginia RN and APRN, Provider #50-2405.

Course Objective

The purpose of this course is to provide nurses with practical information and evidence-based recommendations on all aspects of pregnancy complicated by diabetes.

Learning Objectives

Upon completion of this course, you should be able to:

  1. Describe the pathophysiology, risk factors, screening, and treatment of type 1 diabetes, type 2 diabetes, gestational diabetes, and prediabetes.
  2. Explain how metabolic changes during normal gestation increase the risk for elevated blood glucose.
  3. List maternal and fetal risks of hyperglycemia during pregnancy.
  4. Identify future risks to the offspring of mothers who had diabetes during pregnancy.
  5. Describe principles of preconception counseling in women with pre-existing diabetes.
  6. Summarize the management of pregnancy in women with pre-existing type 1 or type 2 diabetes.
  7. Review studies and findings that provide a rationale for the treatment of gestational diabetes.
  8. Define recommended blood glucose targets and frequency of blood glucose monitoring in gestational diabetes.
  9. Describe goals and guidelines for the nutritional management of gestational diabetes.
  10. Identify the safety and efficacy of oral diabetic agents and insulin for use in gestational diabetes.
  11. Discuss interventions to prevent the development of gestational diabetes.
  12. Describe the obstetrical management of pregnancy complicated by diabetes.
  13. Describe maternal postpartum care for pregnancy complicated by diabetes.
  14. Discuss the care of the neonate born to the mother with diabetes.
  15. Identify important aspects of psychosocial care and follow-up for the woman with diabetes during pregnancy.


Susan Semb, MSN, RN, CDE, received her Master's degree in nursing from the University of San Diego. Her nursing experience includes direct patient care, case management, staff development, program development and health education. She is presently employed as a diabetes educator in the Health Education Department of a major health maintenance organization. Ms. Semb has also authored other continuing education courses for nurses published by NetCE. In addition to her professional work, Susan volunteers for California Labs and More dog rescue and the County of San Diego Animal Shelter.

Faculty Disclosure

Contributing faculty, Susan Semb, MSN, RN, CDE, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Division Planner

Margo A. Halm, RN, PhD, NEA-BC, FAAN

Division Planner Disclosure

The division planner has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

Director of Development and Academic Affairs

Sarah Campbell

Director Disclosure Statement

The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.

About the Sponsor

The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.

Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.

Disclosure Statement

It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

Technical Requirements

Supported browsers for Windows include Microsoft Internet Explorer 9.0 and up, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Supported browsers for Macintosh include Safari, Mozilla Firefox 3.0 and up, Opera 9.0 and up, and Google Chrome. Other operating systems and browsers that include complete implementations of ECMAScript edition 3 and CSS 2.0 may work, but are not supported. Supported browsers must utilize the TLS encryption protocol v1.1 or v1.2 in order to connect to pages that require a secured HTTPS connection. TLS v1.0 is not supported.

Implicit Bias in Health Care

The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.

Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.