Endocrine Abstracts

Background: A feasibility trial was conducted to determine the potential for telemedicine to replace alternate diabetes review appointments in the care of those with gestational diabetes (GDM). One of the aims of this study was to access concordance of clinical decision making between diabetes clinic visits and telemedicine review sessions.Methods: 50 women with GDM were randomised to usual care (n=26) or usual care plus telemedicine (n=24). Telemedicine...

Introduction: Our aim was to evaluate the effectiveness of a regional prepregnancy care (PPC) programme for women with both types 1 and 2 diabetes.Methods: This prospective cohort study included women with pregestational diabetes attending five antenatal centres in the West of Ireland between January 2006 and December 2013. Comparisons were made between those that did and did not attend the PPC programme. Primary outcomes included composite adverse neona...

Pregnancy for women with type 1 or type 2 diabetes is a high-risk time. The Atlantic diabetes in pregnancy (DIP) programme aims to provide coordinated, optimal evidence-based clinical care for women with diabetes over five hospital centres in the West of Ireland. After previously auditing pregnancy outcomes in 2008 and again in 2011 we now look at our 10-year outcomes. Changes in clinical care delivery that have occurred over that time include; the provision of dedicated combi...

Introduction: It is postulated that uptake rates for gestational diabetes mellitus (GDM) screening would be improved if offered in a setting more accessible to the patient. However, this has not been previously investigated, nor has the feasibility or the acceptability of such an alternative. The aim of this study is to evaluate the rate of uptake of GDM screening in the primary vs secondary care setting, and to qualitatively explore the providers’ experience of primary c...

Aims: The aim of this paper is to report on the outcomes of a clinical trial investigating the clinical effectiveness of universal screening for gestational diabetes mellitus (GDM) in primary care vs secondary care.Design and methods: A parallel group randomised controlled trial of universal screening for GDM in primary vs secondary care. The primary outcome – uptake of screening in primary vs secondary care is reported elsewhere. In this article we...

Aim: The aim of this paper is to report on the outcomes of a randomized controlled trial designed to evaluate the effectiveness of a group-based lifestyle intervention programme for reducing the risk factors associated with diabetes in women with pre diabetes following gestational diabetes. We expected that the group based intervention through its educational and supportive approach would enable improvements in psychosocial health, health behaviours, anthropometry, and glucose...