US Preventive Services Task Force 2014 Recommendations for Screening for Gestational Diabetes Mellitus
Gestational diabetes mellitus (GDM) is defined as carbohydrate intolerance of variable severity, with onset or first recognition during pregnancy. For the woman, GDM complicates 3-14% of pregnancies in the United States, and it is responsible for an important maternal morbidity including pregnancy induced high blood pressure, preeclampsia, urinary tract infections, cesarean deliveries and other issues.
GDM is on the rise in the US and is now estimated to affect 7% of all pregnancies. The consequences for the woman is a greater risk (7 fold) for developing type 2 diabetes later in life. For the child, the issues are macrosomia, birth trauma, and hyperglycemia at birth as well as a greater risk of developing type 2 diabetes later in life, also 7 fold.
The Gestational Diabetes Initiative began with three national partners: the Division of Diabetes Translation and Reproductive Health of the Centers for Disease Control and Prevention, the Women's Health Group with the National Association of Chronic Disease Directors, and the Association of Maternal and Child Health Programs. This initiative explored the issues surrounding Gestational Diabetes and established that quality data was the crucial issue. The Initiative lead to the Gestational Diabetes Collaborative and the Gestational Diabetes Network.
The Gestational Diabetes Collaborative is a partnership of the NACDD, Women's Health Group, CDC Divisions of Diabetes Translation and Reproductive Health, AMCHP, and multi-state and trial entities working to improve GDM data and care. The Gestational Diabetes Collaborative supports efforts to:
- Develop and implement strategies to improve the quality of routinely collected GDM data
- Improve the level of awareness that women with a history of GDM and their offspring are at a substantially increased risk for future development of type 2 diabetes
- Implement strategies to enhance postpartum glucose testing and follow up
Members of the GDM Collaborative include the following state and tribal members:
Arkansas, Florida, Idaho, Missouri, North Carolina, Ohio, Oklahoma, Utah, and West Virginia, in addition to the Chickasaw, Choctaw and Navajo Nations, and the Alaska Native Tribal Health Consortium
The Gestational Diabetes Network is comprised of individuals and groups interested in Gestational Diabetes and who work towards improving prevention, detection, treatment, management, postpartum followup and education efforts. Anyone interested in Gestational Diabetes may join the Network. The network offers quarterly continuing education through webinars and other social media venues such as our Gestational Diabetes blog.
Gestational Diabetes Collaborative Products contains fact sheets, data books, and other useful tools to assist others in developing a Gestational Diabetes Improvement Project.
Gestational Diabetes Collaborative Reports and Briefs contains accumulative reports demonstrating the outcomes of the Gestational Diabetes Collaborative Better Data Better Care.
· The NACDD 2014 Annual Report with our section
· The Impact Brief containing our GDM report
· The upcoming GDM data brief
· The upcoming GDM final brief
GESTATIONAL DIABETES INTERACTIVE HUB PORTALS DESCRIPTION
HUB 1 Gestational Diabetes Guidelines and Care Standards
Guidelines and Care Standards includes links to international, national state and organizational recommendations on screening, diagnosing, managing/treating and postpartum follow-up for women with Gestational Diabetes.
HUB 2 Resources and Tools
Resources and Tools include Gestational Diabetes clinical materials, tools, updates, links, and other information helpful for healthcare and public health practitioners. The topical areas are: General and Comprehensive; Preventive and Prenatal; Screening; Diagnosis; Treatment and Management; Postpartum; Educational and Quality Improvement Resources.
HUB 3 Digital Library of Evidence Based Journal Articles and Literature
The Digital Library contains links to Gestational Diabetes articles on the following topical areas: Prevention and Prenatal Care; Screening and Diagnosis; Care and Treatment; Postpartum; Reimbursement; Economic Impact; Health Disparities, and Public Health. This library also includes archived articles, articles published prior to 2008 and landmark articles.
HUB 4 Data
This Hub contains epidemiological information, data, and statistics related to gestational diabetes and related factors.
HUB 5 Partnerships
HUB 6 Events
The events hub is a link to upcoming conferences, meetings, and conference calls with agendas and registration/call in information.
HUB 7 Webinars
This Hub contains upcoming, current, and archived presentations and webinars related to gestational diabetes.
Adeline Yerkes, RN, MPH
Women's Health Council