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Dietitians as Diabetes Care Facilitators for Women With Gestational Diabetes
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Dietitians as Diabetes Care Facilitators for Women With Gestational Diabetes
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Journal Article
Dietitians as Diabetes Care Facilitators for Women With Gestational Diabetes
2024
Overview
Background: The Illawarra Shoalhaven Diabetes Service (ISDS), ISLHD, Australia provides diabetes care to approximately 400 women newly diagnosed with Gestational Diabetes (GD) each year. A dietitian facilitated service delivery model has been implemented where all women are seen by the dietitian ongoing throughout their GD journey with dietetic referral to the endocrinologist and diabetes nurse educator only if BGLs are above target and insulin required. This is different to many other diabetes services with a medical or nurse led approach often with minimal ongoing dietitian input. Summary: At ISDS, women are provided with face to face nutrition and diabetes education at diagnosis in a small group setting and then reviewed individually by the dietitian via telehealth one week post initial education, and again at 28 and 36 weeks gestation. Women with GD also phone the dietitian if they are experiencing elevated BGLs outside these scheduled appointments. The dietitian is responsible for checking recorded BGL results at each review and making a referral to the endocrinologist if diet modifications to lower BGLs are unsuccessful. Nutrition education is holistic and not only includes dietary management strategies for blood glucose management but also healthy eating and lifestyle advice for pregnancy, breastfeeding and Type 2 diabetes prevention. Pivoting to telehealth appointments during covid was evaluated favourably by women. They indicated that telehealth was convenient, saved time, their questions were answered, problems were dealt with effectively and that it was easier to access than conventional appointments especially if they also had work commitments, young children or multiple antenatal appointments. Telehealth was also valued as an environmentally sustainable healthcare strategy by clients and dietitians. Discussion: The dietitian as the facilitator of diabetes education for women with GD through the use of telehealth has been an effective and efficient method of service delivery for clients and clinicians at the ISDS.
Publisher
Dietitians of Canada
