Did you go to the State meeting in October? Are you implementing anything new? If you work with childbearing-age women, I hope your talking about planning and preparing for pregnancy. An easy start would be making sure their taking a multi-vitamin with 800 mcg of Folic Acid, and recommend achieving a HgbA1C of 6.5 before pregnancy. Please also encourage a pre-conception visit with a OB/Gyn or Maternal-Fetal Medicine Specialist. If you have questions or if I can help, please contact me.