Preventing Diabetes In Pregnancy From Progressing To Type 2 Diabetes: Macrolevel System Change In South Australia And Vic
Funder
National Health and Medical Research Council
Funding Amount
$1,338,281.00
Summary
The greatest predictor of the likelihood of developing diabetes is having diabetes during pregnancy. This project will invite women who have developed diabetes during pregnancy to be registered for recall every two years. They would go to their general practitioner to be tested for diabetes and to be advised on risk factors for diabetes. A lifestyle modification program will be developed for these women to reduce the risk of progressing to diabetes.
Gestational diabetes (GDM) is a common complication of pregnancy with significant consequences. Early identification and lifestyle intervention can prevent GDM, but the best early screening test is unknown. Our primary aim is to validate our first trimester screening test for GDM in a large multi-ethnic cohort to accurately predict high-risk women and intervene early, preventing GDM onset and improving pregnancy outcomes, including long-term risk of obesity in the offspring.
Personalised Nutrition To Revolutionise Gestational Diabetes Prevention
Funder
National Health and Medical Research Council
Funding Amount
$854,008.00
Summary
Gestational diabetes (GDM) affects 1 in 7 pregnant women, significantly increasing future risk for cardiovascular diseases in women and offspring. Clinical management of GDM is a healthy diet; but this one-size fits all approach is ineffective. We need to prevent GDM. We will use dietary modelling to inform culturally acceptable, personalised nutrition plans that will reverse metabolic risk factors to prevent GDM. Personalised nutrition represents a paradigm shift for current clinical care.
GooD4Mum: A Randomised Controlled Implementation Trial To Reduce Conversion From Gestational Diabetes To Type 2 Diabetes Using Follow-up In General Practice.
Funder
National Health and Medical Research Council
Funding Amount
$963,843.00
Summary
Gestational diabetes (GDM) is increasingly common with short and long term health risks for mothers and babies. We have generated considerable evidence on identification, screening and interventions to improve lifestyle and prevent type 2 diabetes in these high risk women after GDM. Here we aim to address how best to implement scalable, low cost, effective identification, screening and lifestyle intervention strategies in routine primary care, to improve womens health.
Breastfeeding In Women With Polycystic Ovarian Syndrome, Gestational Diabetes, And Pre-existing Diabetes: Hormonal Physiology, Breastmilk Composition, Epidemiology And Patient Factors
Funder
National Health and Medical Research Council
Funding Amount
$132,743.00
Summary
Polycystic ovary syndrome and diabetes (pre-existing or gestational) are important conditions in pregnant women. I intend to explore (through major literature reviews and original research) how they influence the production and composition of breastmilk, how this differs from women without the conditions, and impacts on infant health. I also aim to examine reasons for lactation difficulties in these women, both from a hormonal (basic science) perspective and at a broader (population) level.
Analysis Of Effect Of Different Treatment Targets On Maternal And Child Health Outcomes In Gestational Diabetes Mellitus (GDM), Review Of Specific Treatments And Development Of Clinical And Biochemical Predictors.
Funder
National Health and Medical Research Council
Funding Amount
$122,686.00
Summary
This research aims to analyse newly proposed treatment targets for Gestational Diabetes Mellitus (GDM) and the effect this will have on maternal and child health outcomes, via comparison of data from two large Australian health services using the traditional and newly proposed critiera. The research will also investigate current effective interventions for GDM, including the impact of early antenatal lifestyle interventions, and formulation of a clinical and biochemical risk prediction model.
Assessing The Effect Of Carbohydrate Intake In Overweight And Obese Pregnant Women And In Women With Gestational Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$124,075.00
Summary
Women with Gestational Diabetes Mellitus (GDM) have more adverse pregnancy outcomes than the general population. These adverse outcomes are related to glucose levels. Given that carbohydrate is metabolised to glucose by the body, it is plausible that a lower carbohydrate diet will lead to improved glucose levels in these women. The aim of this research is to evaluate the relationship between carbohydrate intake, glucose levels and pregnancy outcomes in women with GDM.