Contraceptive prescription in diabetic women with current diabetic mel
litus (type I or type II) or in prediabetic women with previous gestat
ional diabetes mellitus must consider the specific metabolic effects a
nd risks in diabetic women. This article addresses these issues, enabl
ing the practitioner to develop individually tailored contraceptive pr
ograms to meet the changing needs and demands of the reproductive-aged
diabetic woman. It focuses on the most efficacious, reversible option
available-hormonal methods and intrauterine device-both of which have
been controversial for diabetic women.