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Leading diabetes organisations have highlighted the dramatic increase in gestational diabetes affecting women during pregnancy and putting great pressure on maternity hospitals and requiring new approaches before, during and after pregnancies.

Up to 500,000 Australian women could develop gestational diabetes over the next decade.

A new Position Statement released by 黑料网, the Australian Diabetes Educators Association and the Australian Diabetes Society sets out the scale of the problem, the challenges, and a range of new approaches needed.

鈥淕estational diabetes is the fastest growing type of diabetes in Australia,鈥� said 黑料网 CEO Professor Greg Johnson.

鈥淥ver 110 pregnant women are diagnosed with the condition every day.

鈥淎nd these women are at higher risk of serious complications during the birth, the babies are more likely to need special care in hospital, and both mum and the baby are at higher risk of developing type 2 diabetes later in life.

鈥淚t鈥檚 often a great shock to the woman and family and the first time they have heard about diabetes. It can cause great distress. And the management of gestational diabetes during pregnancy often needs insulin injections to maintain glucose levels in a healthy range.

鈥淎fter gestational diabetes, women are much more likely to develop type 2 diabetes and the children are also at an increased health risk.

鈥淭here is an insidious intergenerational issue with gestational diabetes and we have to ensure that women and their children can access the care and support they need to reduce their risk.鈥�

A/Professor Glynis Ross, Endocrinologist and President of the Australian Diabetes Society said the number of women being diagnosed with gestational diabetes had been growing over the past decade.

In the past ten years we鈥檝e seen the number of women with gestational diabetes annually grow by almost 200%. In the past year over 41,000 women developed gestational diabetes,鈥� A/Professor Ross said.

鈥淭here are a number of reasons for this including the increasing age of Australian mums, their health when they fall pregnant and the changing ethnic makeup of Australia.

鈥淢any of these factors are non-modifiable but there are a number of things we can do to help ensure pregnant women are in the best shape possible to reduce their risk of developing the condition.

鈥淭his could include ensuring all pregnant women can access dietetic support from dietitians with expertise in pregnancy.鈥�

A/Professor Ross said that, in addition to the long-term implications of the significant upsurge in women being diagnosed with gestational diabetes, there were also serious impacts in the short-term.

鈥淭he condition makes pregnancy higher risk for both mother and baby. Babies born to mothers with gestational diabetes are more likely to be born early and more often by caesarean delivery, be larger babies, need support for managing glucose levels or breathing problems, and a range of other problems,鈥� she said.

鈥淲omen with gestational diabetes need intensive nutrition and glucose management to avoid serious problems. With the best possible management and care, the risks can be reduced, and women can avoid complications.”

Australian Diabetes Educators Association President Brett Fenton said additional funding would help more credentialled diabetes educators provide essential education to women with gestational diabetes.

鈥淪pecialised education is an important part of managing gestational diabetes, however gestational diabetes education and care is not covered by Medicare or many private health insurance funds,鈥� Mr Fenton said.

鈥淭his means many women either have to pay for private practitioner services, or to try and access services through an already over-burdened public system.

鈥淭his means some women miss out on diabetes education altogether. A new Medicare item is needed to help women with gestational diabetes access credentialled diabetes educators, accredited practising dietitians and other essential allied health professionals.鈥�

Professor Johnson said this should be part of a more comprehensive approach to supporting women with gestational diabetes.

鈥淣ew approaches are needed for pre-pregnancy, during pregnancy, and after pregnancy,鈥� he said.

鈥淭his means help for women to be a healthy weight before pregnancy, improved access to diabetes education and support for women with gestational diabetes during pregnancy as well as ongoing support and care these women need after giving birth.

鈥淲e need to have GPs more actively involved in follow up testing to detect type 2 diabetes or prediabetes and provide accessible type 2 diabetes prevention programs for families in the years after gestational diabetes.

鈥淲e also need more funding for public health services, including diabetes centres, to ensure nobody misses out on essential care and support.鈥�