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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.
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.
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.
Gestational diabetes is an important medical condition. We plan to investigate two subgroups of women with gestational diabetes. Firstly, women who have diabetes antibodies in pregnancy. Secondly, women who have a mild form of diabetes caused by a single gene mutation, who may be first identified during pregnancy. Correct identification of these subgroups of women is important for immediate and long-term management of both the mother and her fetus.
NTDIP: Northern Territory Diabetes In Pregnancy Project
Funder
National Health and Medical Research Council
Funding Amount
$1,572,386.00
Summary
Diabetes in pregnancy provides exposure to high sugar levels before birth which can result in the child developing obesity, diabetes and cardiovascular disease later in life. This study aims to optimise the diagnosis and management of diabetes in pregnancy in the Northern Territory, thereby targeting the causes of chronic diseases from as early as possible in the life course, which we believe is a key step in closing the gap in life expectancy between Indigenous and non-Indigenous Australians.
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.
Diabetes & Antenatal Milk Expressing (DAME): A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$491,321.00
Summary
Infants of women with diabetes in pregnancy have an increased risk of low blood sugar and other complications after birth and of developing diabetes and being obese later in life. Many maternity providers encourage these women to express breast milk before birth to have it available if the infant needs supplementary feeding. Evidence for this practice is lacking so we are planning the first study exploring the safety and effectiveness of antenatal expression of breast milk in late pregnancy for ....Infants of women with diabetes in pregnancy have an increased risk of low blood sugar and other complications after birth and of developing diabetes and being obese later in life. Many maternity providers encourage these women to express breast milk before birth to have it available if the infant needs supplementary feeding. Evidence for this practice is lacking so we are planning the first study exploring the safety and effectiveness of antenatal expression of breast milk in late pregnancy for women with diabetes in pregnancy.Read moreRead less
A Lifestyle Intervention Program For The Prevention Of Type 2 Diabetes Mellitus Among South Asian Women With Gestational Diabetes Mellitus
Funder
National Health and Medical Research Council
Funding Amount
$1,256,499.00
Summary
Gestational diabetes mellitus (GDM) is common in South Asian women, and many develop lifelong type 2 diabetes (T2DM) soon after delivery. Lifestyle change helps prevent T2DM, but we do not know how to introduce a sustainable service that will change lifestyles of young, busy and often poor women. We will test a unique intervention embedded within local health systems in 1414 women with GDM from 24 hospitals in South Asia, hoping to show that this intervention will prevent T2DM.
Improving The Management Of Diabetes In Pregnancy In Remote Australia
Funder
National Health and Medical Research Council
Funding Amount
$2,117,449.00
Summary
This study aims to optimise the management of diabetes in pregnancy (both gestational diabetes and pre-existing type 2 diabetes) and post-partum follow-up of these high risk women in order to reduce the risk of future chronic disease among women and their children. The proposal involves scale-up of successful initiatives that we have developed as part of the NT DIP Partnership, scale-up within the Northern Territory (NT) and to Far North Queensland (FNQ).