Contraception of choice in diabetic patient -
In a diabetic patient, barrier method of contraceptive is ideal for spacing of births.
Low dose combined oral pills containing 3rd generation progestins are effective & have got minimal effect on Carbohydrate metabolism. Main worry is their effect on vascular disease. Progestin only pill is a suitable alternative.
IUCD increases the incidence of pelvic infection. Permanent sterilization should be seriously considered following second live birth, under local anaesthesia in the puerperium
OCP
Barrier method
Permanent sterilization
Cu - T