To minimize the occurrence of these devastating malformations, standard care for all women with diabetes who have child-bearing potential should include 1 education about the risk of malformations associated with unplanned pregnancies and poor metabolic control and 2 use of effective contraception at all times, unless the patient is in good metabolic control and actively trying to conceive.
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I spent my short, patience-limited career as a physicist trying to convince people to stop clinging to crackpot theories about curious observational facts, but never did I try to just resort to claiing that all the observations, no matter how carefully taken and convincingly documented, were hallucinations - this is ultimate cop-out, and the antithesis of the truly scientific stance of admitting that you don't have the foggiest what is going on.