National diabetes, pregnancy Advisory Committee (ndipac) is a multidisciplinary committee was established in November 2000 by the Commonwealth Department of Health and Aged Care part of the National Diabetes Strategy.
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Planning pregnant women should aim to achieve the goal of glycosylated hemoglobin value <7% (normal range limit for people without diabetes is <6%)
(If in the normal range for people without diabetes is specified, all indicators of glycosylated hemoglobin level should be <1% above the upper limit of normal).
Important qualifier the following statements apply to:
- Women with diabetes should aim to achieve the best possible control of diabetes for pregnancy. This should include achieving blood glucose levels close to the normal range, possible, while avoiding hypoglycemia Australian diabetes control. Decided the exact blood glucose levels to achieve the goals of the individual should be made on the basis of, and collaboration between the woman and her medical team.
- Women are able to achieve more effective control of their diabetes patients over target, said the above (for example, glycosylated hemoglobin level of 6%), should be encouraged to maintain these levels, and for pregnancy.
- Other aspects of care is also very important for pregnant. These measures include a healthy diet, taking into account folic acid supplements, and other detection and treatment of diabetes-related complications.
- It is therefore proposed more stringent control of blood glucose levels (for example, glycosylated hemoglobin <6%,>
These recommendations were made after consideration and discussion of the available data (see listed here is a selection of data from sources considered to be the most relevant) . Australian diabetes control1-15 proposals, which have been adopted by Australasia diabetic pregnancy Association, Australia Diabetes Association, the National Diabetes Strategy Group and the Royal Australasian College of general practitioners.
The ndipac recommended that the proposed strategy was used to determine the action to improve results in pregnancy complicated diabetes. For example, they can be applied to:
- Improve the design of appropriate primary health care services for the guiding principles and goals, glycated hemoglobin levels, for women in their reproductive years;
- Low in the pathological findings (Specifically, HbA1c values in the women's reproductive potential) action for clinicians Australian diabetes control;
- Continuously monitor blood glucose control before becoming pregnant to use under the framework of the establishment of a national diabetes pregnancy audit plan (For more information, please refer to Australasia diabetic pregnancy Institute website www.adips.org).
