Preconception clinic in type 1 diabetes — counselling and planning station

A 24-year-old with type 1 diabetes since age 8 attends a preconception clinic with her partner. She wants to start trying for a baby 'in the next few months'. HbA1c 8.8 percent (73 mmol/mol). She takes insulin degludec 22 units nightly, insulin aspart with meals, ramipril 2.5 mg daily for microalbuminuria, and rosuvastatin 10 mg nightly. She has had two episodes of severe hypoglycaemia in the last year requiring her partner to give glucagon. Retinal screening 14 months ago showed mild non-proliferative retinopathy. She says 'I have read online that diabetic women should not have babies'. You are the registrar and have 12 minutes.