IES2025 Research, Audit and Quality Improvement Projects E-Posters (60 abstracts)
Dietetic management of women with gestational diabetes mellitus attending the National Maternity Hospital in 2024
Aoife Gill 1 , Catherine Chambers 1 , Anna Moran 1 , Sinead Curran 1 & Mensud Hatunic 1,2
1National Maternity Hospital, Dublin, Ireland; 2Mater Misericordiae University Hospital, Dublin, Ireland
The primary intervention of Gestational Diabetes Mellitus (GDM) includes dietary advice, physical activity and self-monitoring of blood glucose. Adequate management using these interventions supports the avoidance of requiring pharmacological therapy in two thirds of the GDM population. We reviewed patients with GDM who were referred to the diabetes dietetic service from January-December 2024 from our electronic records. Of the 505 women diagnosed with GDM, 64% (n = 328) received individual dietetic consultations. Pharmacological therapy was required for 38% (n = 195), 95% (n = 186) of whom received individual dietetic intervention. For those on pharmacological therapy (51% insulin, 49% metformin) 93% (n = 181) were reviewed by a dietitian within two weeks of treatment initiation. Of these, 25% (n = 48) had two dietetic consultations, 54% (n = 108) had three or more consultations. Body Mass Index (BMI) at booking was collected for the total population who were reviewed by the dietitian. 52% of those on pharmacological treatment had BMI greater than 30kg/m2 compared to 19% of those on diet alone. A large number of women with GDM in our population required pharmacological treatment in addition to dietary adaptation, and extensive dietetic support. A higher prevalence of BMI >30 is a likely contributory factor for pharmacological therapy intervention with dietary intervention.
Volume 115
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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