Rosie Viner has completed her Bachlor of Medicine, Bachelor of Surgery at The University of Notre Dame Fremantle, Western Australia, Australia. She holds a previous bachelor’s degree in Forensic Science and this research comprises her Honours research degree completed in 2016. She will start work at Fiona Stanley Hospital as an Intern in 2017 with hopes to becomes and Obstetrician & Gynecologist and further her research in Gestational Diabetes.
Background: In 2015 the Australian criterion for diagnosing gestational diabetes mellitus (GDM) was changed to mirror the internationally applied IADPSG criterion. Research has predicted this would increase the incidence of GDM due to the lower fasting threshold and a new 1-hour diagnostic value. Aims: To quantify the impact of the IADPSG guideline on the incidence of GDM at a secondary hospital in Australia. It was hypothesised that the incidence of GDM would increase with no associated difference in maternal or foetal outcomes. Materials and Methods: Only women with well-controlled GDM continue their pregnancy at this Secondary Hospital, with those uncontrolled or requiring insulin referred to a Tertiary Hospital. All births between January-June 2015 (n=899) and 2016 (n=925) were included in the study. Pregnancies with GDM in 2015, under the previous criteria (n=71) and those in 2016, under the IADPSG criteria (n=56) were identified. Routine clinical data including blood glucose results, maternal and foetal outcomes were analysed. Results: After applying the IADPSG criteria at RGH, the incidence of GDM decreased from 7.90% to 6.05%, a 23% relative decrease that was not statistically significant. In the same period in 2016 the referring Tertiary Hospital had a significantly higher incidence of 23% (X2=116.92, p<0.01). There was no significant difference in maternal or foetal outcomes under the IADPSG guideline. Conclusion: In a Secondary Hospital, the IADPSG criterion has not increased the incidence of GDM as expected. Literature on the new incidence of GDM is lacking and more data is required to quantify the effect of the IADPSG guideline in Australia.
Dolgormaa Dambaravdan is Medical Nutritionist and works as Head Of Department Of Food And Nutrition Departmental in Grand Med Hospital in Ulaanbaatar. She has experience of study some researches such as ‘’Condition Of National Food And Nutrition’’ and project called ‘’The lunch for students in elementary school”. In her focus on health grip especailly for diabetic children’s food and nutrition, quality of life actively involved in the event for them. Dolgormaa Dambaravdan is successfully participated in "International Conference on Diabetes and Metabolism & 5th Asian Association for the Study of Diabetes, 2013" and "World Diabetes Congtess 2015’’ with her studies.
Statement of the Problem: In National Health Center for Maternal and Child in Mongolia between 1996 to 2008, the number of kids with diabetes type I increased twice in last 10 years, which shows one in every 10 children are risk of diabetes. In 2016, 84 children age of 0-18 under control for diabetes in National Health Center for Maternal and Child. There is not enough researches for diabetes in children and teenagers especially researches in nutrition and food for diabetes which becomes the basis for this research. The purpose of this study is Nutrition food assessments for children with type I diabetes also determine the relationship between intake the carbohydrate and inject the insulin. Methodology: In team of 22 children for General Anamneses (general information, physical measurements, health indication, nutrition in food, courses about diabetes, some tests) and team of 12 children for actual experiment (3 days study for food intake in 24 hours, dose of insulin injection for a day and changes of sugar in blood) of food and nutrition. Findings: The result of comparison of carbohydrates intake and insulin injection for each child shows not enough for 1:15 and risk of getting related complications due to cannot adjust the carbohydrate and insulin. Conclusion & Significance: 32% of children in team were male and 68% of them were female in all children who participated in research. Food nutrition assessment by comparison graphic of general body indication and body mass indication. The outcome was 13,6% underweight, 86,3% normal by BMI(body mass index) indication and general indication of body shows 18,2% of them stunted growth, 81,8% of them have normal growth. Outcome from this study shows 2 children in every 10 children diagnosed with type I diabetes have underweight. In Actual experiment assessment, 5 children which is 41,6% of them intake micro nutrition from food is just 50% of normal physiological needs. Other children in team in taking 59,3-82,3% micro nutrition with their food.