There are no contraceptive methods that are specifically contraindicated in women with diabetes. Given the increased risks associated with unplanned pregnancy, methods with proven high degrees of effectiveness are to be preferred. The most important medical factor which affects the choice of contraception is the presence of vascular complications. For this reason women with diabetes should be evaluated by a physician before making their contraceptive choices. Contraceptive counselling should be an integrated part of care for all women with diabetes of childbearing age.