At the McGill University Health Centre - Royal Victoria Hospital (MUHC-RVH) site, we hold three clinics per week to manage diabetes in pregnancy. Two clinics involve a multidisciplinary team approach for women with type 1 and type 2 diabetes who become pregnant, and for women who develop gestational diabetes during their pregnancy. The third clinic is run by the dietitian and includes lower risk women with GDM who do not require insulin.
Gestational diabetes (GDM) is a condition that appears in pregnancy when the body is unable to produce enough insulin to maintain normal blood sugar.
We follow a Clinical Pathway for screening and diagnosis of GDM, based on 2013 recommendations of the Canadian Diabetes Association (CDA) and the World Health Organization (WHO) - see links below.
- GDM Clinical Pathway Algorithm
Below are some of the tools that we use to help women manage their GDM.
For healthcare providers:
- Managing lower-risk GDM Obstetrician's Guide
- Fetal assessment Algorithm
- Insulin orders for labour, delivery and postpartum - please contact clinic
For women with GDM:
- GDM fact sheet (CDA) French English
- Self-care diary Bilingual
- Food record French English
- Prenatal insulin adjustment scale French English
- Body Mass Index (BMI) Calculator French (cliquer sur Français en haut à droite) English
- Postpartum OGTT (CDA) French English