Background: The numbers of women attending Diabetes and Pregnancy Clinics (DPC) are increasing. Some of the increase may reflect obesity effects on GDM prevalence, but numbers and characteristics of women with type 2 (T2DM) diabetes are unknown. The DPC in London Ontario sees all pregnant women with diabetes within the catchment area with stable clinic structures and procedures. Longitudinal characteristics of women with T2DM were documented for demographic insights.

Methods: DPC pregnancy charts were assessed for 2000-2002, 2010-2012 and 2014-2016. Data were abstracted for: age; weight, A1C and medication use. Continuous results were analyzed by one-way analysis of variance (ANOVA); non-parametric results by Chi-square testing; p≤ 0.05 signifying significance.

Conclusions: Numbers of pregnant women with T2DM increased significantly by 40% with time. Mean weights were lower in the second and third time interval. A1C values were lower by final visit in all time periods. Oral agent use increased in the final time period coincident with increased clinical comfort using metformin.
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Disclosure

L. Chow: None. K. Anukam: None. P. Khanna: None. E. Brydges: None. S.L. Liu: Consultant; Self; Novo Nordisk Inc., Sanofi. Research Support; Self; Physicians' Services Inc. Foundation. J. Mahon: None. T.R. Joy: Speaker's Bureau; Self; Amgen Inc., Novo Nordisk Inc., Sanofi. Other Relationship; Self; Amgen Inc., AstraZeneca, Novo Nordisk Inc. R.M. McManus: None.

© 2019 by the American Diabetes Association.
2019
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