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SugarMumma: managing gestational diabetes
Over the past 10 years, UC’s Brighter Beginnings team has been working with data and women’s voices to better understand the variables considered important in pregnancy and women’s experiences of maternity care such as gestational diabetes, maternal depression and infant birth weight. This work has provided evidence that has led to SugarMumma, a codesigned app to help pregnant women manage gestational diabetes.
Gestational Diabetes Mellitus (GDM) is diagnosed in 19% of all pregnancies in Australia. GDM is diabetes diagnosed for the first time during pregnancy (gestation). Like other types of diabetes, GDM affects how cells use sugar (glucose). It causes high blood sugar and if not managed properly during pregnancy it can cause problems for both the pregnant woman and baby:
Baby is at increased risk of:
- excessive birth weight which can lead to difficult births that leads to birth injuries and/or unwanted interventions;
- early (preterm) birth may be recommended because of larger baby which carries a range of potential complications as baby has not fully developed;
- low blood glucose shortly after birth;
- higher risk of developing obesity and type 2 diabetes later in life.
Pregnant woman is at risk of:
- high blood pressure and preeclampsia;
- Increased interventions in childbirth like C-section;
- developing GDM in later pregnancies
- developing type 2 diabetes later in life with around 1 in 2 women diagnosed with GDM developing type 2 diabetes in the future.
With no quick fix for GDM, lifestyle and diet changes are required as well as blood sugar monitoring and close monitoring of baby. This can overwhelm women already adjusting to the demands of pregnancy. Mobile health applications have been shown as a useful resource for women with Type 1 diabetes and could successfully contribute to GDM management by supporting women to better monitor their blood sugar levels, diet and physical activity.
UC researchers undertook the development of an app to better support pregnant women to successfully manage GDM.
SugarMumma App
UC researchers started with their own ‘wish list’ and further engaged with healthcare consumers (people who have lived with GDM) as well as health care practitioners who work in GDM management to understand their needs and to identify possible inclusions in an app to support the successful management GDM. Existing evidence, and the results from stakeholder engagement, including interviews and focus groups, created an initial set of recommendations. Through this co-design process, the SugarMumma app was born.
What’s next?
Pilot testing of the SugarMumma app with women from Canberra and surrounds who are living with GDM will evidence it’s success with the aim to introduce it into routine care in the ACT.
Funding
Digital Translation Fund, ACT
Research team
Researchers from the Brighter Beginnings team and Faculty of Health
- Deborah Davis
- Cathy Knight-Agarwal
- Mary-Ellen Hooper
- Angela Douglas
- Mary Bushell
- Nataha JoJo
- Alison Shield
- Marjorie Atchan
- Irfan Khan
- Abu Saleh
- Masoud Mohammadian
Learn more
Mums who gain weight between pregnancies more likely to have unhealthy babies, Canberra Times, 2018
Extra kilos equal extra risk in pregnancy: UC research, UC News, 2016