Women with gestational diabetes or those with established diabetes are montiored and their treatment adjusted to suit each stage of preganacy. The aspirations of this clinic are for women to have a pregnancy outcome that equates to that of women without diabetes.

Women are seen by a midwife, and/or obstetrician and a diabetes specialist with detailed imput by the diabetes specialist dietitian.  Women are taught home blood glucose monitoring and detailed individualised dietary advice.  If diet alone fails to control their diabetes as preganacy progresses they are started on a multiple insulin injection regimen. 

Regular review is arranged to ensure the insulin dose is increased to match the increasing inuslin resistance that accompanies a normal developing pregnancy. Patients who had diabetes before becoming pregnant are monitored for specific complications.

This clinic is held in the ante-natal outpatients department on Wednesday afternoons.

Newly discovered pregnant women with diabetes should be referred urgently by their GP by letter or fax to the ante-natal department.