Gestational diabetes management is evolving, and staying up to date with the latest guidelines is crucial for GPs. In this episode, Professor Glynis Ross, Head of the diabetes in pregnancy service at RPA and former ADIPS president, unpacks the 2025 ADIPS guideline updates — including revised glucose thresholds for diagnosing gestational diabetes and recommendations for early HbA1c screening in higher-risk women. We’ll explore how to confidently apply these changes in everyday practice, particularly when managing patients diagnosed under previous criteria or those with significant risk factors who fall just below the new diagnostic cut-offs.
ADIPS guidelines: Sweeting A, Hare MJL, Jersey SJ, Shub AL, Zinga J, Foged C, Hall RM, Wong T, Simmons D. Australasian Diabetes in Pregnancy Society (ADIPS) 2025 consensus recommendations for the screening, diagnosis and classification of gestational diabetes. Med J Aust 2025;223(3). Published online 23 June 2025. doi:10.5694/mja2.52696
TOBOGM study: Simmons D, Immanuel J, Hague WM, Teede H, Nolan CJ, Peek MJ, et al. Treatment of gestational diabetes mellitus diagnosed early in pregnancy. N Engl J Med 2023;388:2132-44. doi:10.1056/NEJMoa2214956 Europe PMC
HAPO study: Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, et al., for the HAPO Study Cooperative Research Group. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med 2008;358:1991-2002. doi:10.1056/NEJMoa0707943
Rebecca is a Sydney-based GP with a special interest in women’s health across the ages, including contraception, antenatal care, and menopause. Over the past 10 years, she has worked across various general practices and specialised reproductive and sexual health settings. Alongside her clinical work, she is a medical educator with both the RACGP and Medcast, and has been actively involved in registrar education and training for the past five years.
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