It is important for this condition to be recognised and considered in patients with diabetes mellitus in order to avoid unnecessary and lengthy investigations. Copyright © 2011 John Wiley & Sons. “
“The objective of this audit was to compare pregnancy outcome in women with gestational diabetes mellitus (GDM) managed with diet/lifestyle advice, versus those requiring additional insulin therapy. We undertook a retrospective audit of clinical practice comprising 416 consecutive women with GDM and live singleton pregnancies who delivered over a four-year period. Pregnancy outcome measures were compared for women on diet/lifestyle advice only versus those

requiring additional insulin in line with standard clinical practice. The results showed that 46.9% of women with GDM were in the diet/lifestyle group and 53.1% were in the additional insulin therapy group; 45.3% were found to be obese. Good glycaemic control was achieved in both groups – mean pre-delivery AG-014699 manufacturer HbA1c was 41mmol/mol in the diet/lifestyle group versus 46mmol/mol in the insulin group (p<0.001). There was no statistically significant difference in the majority of the pregnancy outcome measures between the two groups. Those on diet-only had a lower caesarean section rate (OR 0.39; 95% CI 0.26–0.58; p<0.001), a higher chance of vaginal birth (OR 2.40; 95% CI 1.62–3.56; p<0.001) and PD-166866 solubility dmso a lower chance of pre-term

labour (OR 0.49; 95% CI 0.31–0.76; p=0.001). It was concluded that good metabolic control is essential for successful pregnancy outcomes. The use of insulin does not appear to alter the maternal–fetal outcome in women with GDM. The early use of intervention in women on insulin requires further debate. Copyright © 2012 John Wiley & Sons. “
“This paper focuses on a qualitative study of the experiences of a multidisciplinary health cAMP care team caring for adolescents with type 1 diabetes in a hospital in the North

West of England. It builds upon previous research which has explored the lived experiences of young people and their parents/guardians with the aim of better understanding blood glucose control in this age group. Findings emphasise lack of human resources, the importance of effective team working, and the need for meaningful education which acknowledges adolescents’ unique and complex social worlds. Given these findings we are now developing a computer-based ‘Adolescent Diabetes Needs Assessment Tool’ (ADNAT study), with a view to individualising self-directed education and support. Copyright © 2011 John Wiley & Sons. “
“Gestational diabetes mellitus (GDM) is a recognized risk factor for the future development of Type 2 diabetes, metabolic syndrome, and cardiovascular disease. Risk factors for the development of GDM are very similar to those implicated in the metabolic syndrome, Type 2 diabetes, and cardiovascular events, such as obesity, physical inactivity, family history of Type 2 diabetes, and hypertension.