Older diabetics who are not yet menopausal can get pregnant and can conceive healthy babies if their blood sugar is under stable control and there are no serious complications or other diseases that cause infertility. Older diabetics can get pregnant, but the risk of complications during pregnancy is relatively high. Poor glycemic control during pregnancy may affect the normal growth and development of the fetus, or even lead to miscarriage, teratology, and other adverse outcomes. Older diabetics need to go to the hospital for a comprehensive examination before pregnancy to see if the body’s indicators are suitable for pregnancy, whether there is a combination of hypertension, polycystic ovary syndrome and other diseases, should be stabilized, preparation for pregnancy as well as the need to control blood glucose and body weight during pregnancy, and regular medical check-ups. Older diabetic patients are recommended to seek medical treatment before pregnancy, improve relevant examinations, active treatment, and regular review during pregnancy.