Audit of Diabetes in Pregnancy at CWM Hospital 2009-2010

Diabetes in pregnancy constitute of pre-existing diabetes which is either type I or type 2 diabetes mellitus and gestational diabetes mellitus. Gestational diabetes occurs in 2-9% of pregnancies. More recently improvements in pregnancy related outcomes have been documented due to better patient care programs such as multidisciplinary approach which includes an obstetrician, internal medicine specialist, dietician and a diabetic nurse educator.
In 2002 a system was adopted whereby high-risk patients were screened with a glucose challenge test and positive cases were then tested with the oral glucose challenge test. This system involves identifying risk markers at booking and those identified those identified as high risk were selected for the Glucose Challenge test. Those with history of pre-pregnancy diabetes did not need further screening and were admitted for routine four-point blood sugar monitoring. The guidelines for gestational diabetes mellitus by the Australian Diabetes in Pregnancy Society are being used at the CWM Hospital for screening and diagnosis of diabetes in pregnancy.