Final presentation gdm 1

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Final presentation gdm 1

  1. 1. WOULD YOU…?Leave a baby with no escape?
  2. 2. Cesarean UNCONTROLLED DIABETES  ADVERSE OUTCOMES Congenital heart defects Congenital heart defects Sirenomelia syndrome Sirenomelia syndrome Miscarriage Macrosomia Macrosomia Shoulder Dystocia Shoulder Dystocia Cesarean Miscarriage DEATH
  3. 3. BARRIERS?
  4. 4. WHAT PERCENT OF PREGNANCIES ARE UNINTENDED? • A: 80-85% • B: 70-75% • C: 20-45% • D:10-15% 9 18 23 11 17 22 Non-Hispanic White Hispanic Non-Hispanic Black Unwanted Mistimed 20% 35% 45% Adapted from: Mosher WD, Jones J, Abma JC. Intended and unintended births in the United States: 1982–2010. National health statistics reports; no 55. Hyattsville, MD: National Center for Health Statistics. 2012.
  5. 5. WHAT ABOUT PLANNED PREGNANCIES? Uncontrolled Diabetes Nausea Obesity Cravings/A versions
  6. 6. 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 Pills only Insulin Only Both Insulin AND Pills Insulin or Pills No meds Adapted from: CDC Diabetes Data & Trends: Number (in Millions) of Adults with Diabetes by Diabetes Medication Status, United States, 1997–2011 (PREVALENCEINMILLIONS) DIABETES PREVALENCE (U.S.A)
  7. 7. RISING PREVALENCE OF DIABETES CDC Estimate: By 2050, 1 in 3 adults will have diabetes, if current trends continue Diabetes Report Card 2012. Center for Disease Control, National Center for Chronic Disease Prevention and Health Promotion, Division of Diabetes Translation
  8. 8. WHERE DOES THE PATIENT TURN?
  9. 9. Kozhimannil KB, Abraham JM, Virnig BA. National trends in health insurance coverage of pregnant and reproductive-age women, 2000 to 2009. Womens Health Issues. 2012 Mar;22(2):e135-41. HAS HEALTHCARE GOTTEN BETTER FOR WOMEN? Uninsured within 1 year prior to study enrollment, 2 5% Uninsured if NOT pregnant, 19 % Uninsured if PREGNANT, 10% Insured, 46% 1.5 % per year over 10 years
  10. 10. A BETTER WAY…
  11. 11. FAMILY PLANNING PRECONCEPTIONAL COUNSELING EDUCATION
  12. 12. PATHWAY TO PREGNANCY HgA1C GOAL!!!
  13. 13. Glucose Testing Early Ultrasound Ophthalmalogic Screening Cardiac & Renal Evaluation PATHWAY TO PREGNANCY
  14. 14. INCREASING AWARENESS Community Educators Student Groups Parents Doctors
  15. 15. Grocery Chains Local Business
  16. 16. WHAT’S NEEDED… PARTNERS
  17. 17. THANK YOUQUESTIONS?

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