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Contraception advice should follow guidelines that apply to women without diabetes. However, the benefits of the use of an intrauterine contraceptive device (IUCD) versus the less preferred, combined OCP, and any risks or contraindications caused by the presence of diabetes complications, need to be discussed with each patient on an individual basis. Smoking combined with diabetes and the use of the combined OCP significantly elevates risks.
Progesterone-only oral contraceptives may then be used as an alternative. Other contraceptive implants and intrauterine devices may also be an option on an individual basis.