In this case, the situation is more delicate because Adele has told us that she already has complications from diabetes. In women with diabetes complicated by neuropathy, nephropathy or retinopathy, the use of combined oral contraceptives is not recommended unless their personal situation, based on the opinion of their gynecologist, does not make them more susceptible to real or perceived risks. Recommended instead is the progestin-only pill and the IUD that releases levonogestrel (LNG), a type of progestin, as well as the subdermal implant that releases etonogestrel.
Other important factors that may increase risks include age greater than 35 years, the habit of smoking, the presence of hypertension (high blood pressure) and the presence of other diseases with cardiovascular risk that are associated with type 2 diabetes. In these cases, guidelines do not recommend the use of the classic pill with the estrogen-progestin combination, but rather progestin-only contraception.
