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Determines whether the 1989 Saint Vincent declaration target of diabetic pregnancy outcome approximating non-diabetic pregnancy outcome is near to being achieved. High fetal loss rate; Congenital malformation rate for diabetic pregnancy; Effect of the lack of a standardized measure of diabetic control.

Comments on the case of Maria Tomasa, a diabetic woman who chose to have a child despite the high risk of pregnancy complications. Importance of providing quality medical advice and care to women with high-risk pregnancies; Assessment of the care given to Tomasa by her initial and subsequent health care providers; Important aspects of prenatal care for diabetic mothers; Importance of blood pressure control during the pregnancy of a diabetic woman; Issues related to child welfare in cases of high-risk pregnancy and chronically ill mothers.

Presents a letter to the editor regarding an article which appeared in a previous issue of the "British Medical Journal" which discussed an article on maternal diabetes.