1123-P: Wellness and Empowerment for Women -A Primary Care Approach to Treatment of Diabetes in Patients of Childbearing Age

Introduction and Objectives: The rate of diabetes in pregnancy is increasing at a rapid rate increasing risks for adverse perinatal and maternal health outcomes in the peripartum period and beyond. This cycle is exacerbated by historically low rates of preconception counseling and low rates of post-partum follow-up with primary care for patients with Type 1, Type 2, and Gestational Diabetes. Thoughtful coordinated transitions of care for this patient population are needed to address this rising concern. Methods: Through a facilitated transfer of care from a previously existing program for pregnant patients with diabetes into the primary care setting we aimed to continue glycemic control postpartum, completion of testing to confirm resolution of gestational diabetes, provide glycemic control prior to conception, and offer general primary care services. A team-based approach consisting of physicians, diabetic educators, clinical pharmacists, and clinical navigators was utilized. Results: Patients with Type 1, Type 2 and gestational diabetes enrolled in our year long program showed decreased A1c and average of 8.7 to 8.2, decreased BMI from 37 to 33, and an increased attrition with a primary care team. Increased access to healthy food options, exercise programs, and diabetes technologies (continuous glucose monitors) was achieved. Conclusion: Through a team-based approach and increased coordination of care we have demonstrated avenues to utilize existing structures within our healthcare system to provide meaningful care to patients of childbearing age with diabetes. This intervention not only benefits the patient but their children and ultimately the general health of the state of South Carolina.