Both phases only ran for 7 months; integration required 4 months. Pre-intervention, only one of the 91 women with GDM seen received ≥ 1 dietetic follow-up appointment. Post-intervention, significantly more women (50.6%) received best-practice care (2+reviews) (p = 0.02). However, due to heavy clinical demand, only 31.5 % of the 162 women seen after the change in practice received best-practice individual dietitian review at their first visit. Clinically-relevant trends were seen in changes in medication requirements; the percentage of women requiring pharmacologic treatment decreased from 31.1% to 26.9%. This was more pronounced in women who received best-practice care (25.0% (yes) vs. 27.2% (no)).
Only a small change in glycemic index of women’s diet occurred after seeing a dietitian, pre- to post- implementation (-2.0 ± 4.4 vs. -3.0 ± 5.0). However, this was significant between women who received best practice care (-7.9 ± 6.1) and not best practice care (-2.1 ± 4.4, p = 0.014), and also pre-intervention women (p=0.01). Differences in physical activity levels were clinically, but not significantly different (15.5 mins vs 9l.8mins/week). Client satisfaction remained high over the project, between 4.3-4.7/5. Staff are currently being surveyed regarding their guideline knowledge and acceptance. Clinical outcomes are currently being examined.