Diagnosis and management practices for gestational diabetes mellitus in Australia: Cross‐sectional survey of the multidisciplinary team

Abstract

The survey results indicate there is a need for consistent evidence on how to best manage GDM and that role identity, access to specialist knowledge and best practice need to be clearly defined within GDM models of care.

Staff resourcing, guideline implementation and models of care for gestational diabetes mellitus management

“…Across Australia, most centres now follow the screening and diagnostic criteria for women with GDM recommendations since they were endorsed by ADIPS in 2014 . Queensland Health incorporated these recommendations into the first Clinical Guideline for GDM and the aim of this study was to understand the staff resourcing, models of care, level of guideline implementation, and barriers and enablers to implementing the guideline across publicly funded Queensland Health GDM services.…”

“…Therefore, the incomplete and inequitable implementation of the guideline is cause for concern. The model of care currently used by most HHSs and across Australia, involves a dietitian, diabetes educator, midwife, and medical physicians where necessary, particularly when medication is involved . The Queensland Guideline recommends that many women with GDM may be suitable for a low‐risk model of care, presumably with fewer requirements for specialist resources.…”

“…The model of care currently used by most HHSs and across Australia, involves a dietitian, diabetes educator, midwife, and medical physicians where necessary, particularly when medication is involved. 24 The…”

“…According to 28 respondents, 93% stated they felt as though the current model of care could be improved to positively impact patient outcomes or service efficiencies. Some of the improve ments suggested were: increased support for indigenous and culturally and linguistically diverse clients, room availability and co-location of professionals, funding and resourcing, communica tion and consistency in decisions among healthcare professionals, and ability to apply full scope of practice.DISCUSSIONAcross Australia, most centres now follow the screening and di agnostic criteria for women with GDM recommendations since they were endorsed by ADIPS in 2014 23,24. Queensland Health incorporated these recommendations into the first Clinical Guideline for GDM13 and the aim of this study was to understand the staff resourcing, models of care, level of guideline implemen tation, and barriers and enablers to implementing the guide line across publicly funded Queensland Health GDM services.Although adherence to updated screening and diagnostic criteria was uniform across Queensland Health, many other aspects to the Clinical Guideline were not consistently delivered, suggesting that guidelines alone are not enough to change clinical practice.…”

microRNA‐96 protects pancreatic β‐cell function by targeting PAK1 in gestational diabetes mellitus

“…While the women with type A2 GDM have both abnormal oral glucose tolerance and glucose levels . Diet modification or exercises are sufficient to control type A1 GMD, whereas additional therapeutic treatments, such as insulin injections or other medications, are required for controlling type A2 GMD . GDM is one of the most common symptoms of pregnancy, generally results in chronic hypertension, cardiovascular disease, type II diabetes (T2D), obesity, and increased rate of fetal morbidity, and mortality .…”