Women around the world are impacted by diabetes in many ways. Over half of the diabetes population are women, and many women (both with Type 1 and Type 2 diabetes) will have pregnancies during their disease exposure. The incidence of gestational diabetes (GDM) also continues to rise, hence it has been estimated that a sixth of all pregnancies around the globe are now affected by hyperglycaemia.
Such pregnancies bring multiple hazards for the women, the foetus and their offspring. In low and middle income countries, the effect of diabetes in pregnancy can be very challenging. Limited resources and screening process means that there is a failure to detect hyperglycaemia and even when it is detected there are inadequate resources to achieve an optimal level of glycaemic control. Clearly, there is a desperate need to identify effective strategies to help address this crisis.
In this discussion, we would love to hear from colleagues who may have developed innovative ways of working with women affected by diabetes in pregnancy in challenging circumstances. Sharing such experiences would provide important resources and ideas for others to try. It would also be helpful to hear of any innovations in relation to GDM and how we can reduce this burden on women. Moreover it can support us in identifying how we might also prevent them from going on to develop Type 2 diabetes.