What I’ve learned in the 6 years we’ve been researching the #gestationaldiabetes (GDM) diagnostic criteria in Australia - a 🧵.Changing the criteria in 2015 to be aligned with the #IADPSG recommendations resulted in 37% more diagnoses (relative increase).

RT @JHND_Official: Curious about co-designing behaviour change dietary interventions? Check out the development of the Healthy Gut Diet, an….

One of my favourite journals to publish with. One of my favourite studies to date! A match made in heaven.

@ProfCCollins.

An experience of developing #gestationaldiabetes 17 years ago led me to become a dietitian and lived experience researcher. Here I sit down with a giant of the nutrition and dietetics world Clare Collins to discuss all things #gdm

@BioMedCentral @DrSusan_deJ @HannahO85212601 Thank you @BioMedCentral for reaching out privately. I’m hopeful for a response from the editorial team.

Originally submitted in November 2023. This is for our PhD student. We’ve emailed so many times but unsure what to do now? Any advice? @BioMedCentral used to be brilliant to publish with. We are so frustrated. @DrSusan_deJ @HannahO85212601.

#AcademicX #AcademicTwitter has anyone else been experiences unacceptable delays with @BioMedCentral journals? We’ve had a revised Systematic Review and Meta-Analysis sitting with Pregnancy and Childbirth since Jan with second reviews apparently received back in Feb!!! 7 months.

RT @AngelaMMadden: Very useful paper from @ninajaym & colleagues describing development of behaviour change intervention.Describes theory a….

Our scoping review ( showed that many co-design studies for dietary interventions are poorly or incompletely described so we thought we’d do something about that when co-designing the healthy gut diet study. Hot off the press 📖

RT @dr_am_young: Check out this PhD opportunity with an earmarked scholarship available. Would be a great opportunity for someone intereste….

Not just a disgruntled customer complaining about flight cancelations or lost luggage (which is bad enough). A real example of blatant profiteering and zero s**ts given from @VirginAustralia with no ability to seek help elsewhere. This is a last resort. Customers are desperate!.

RT @theMJA: Identifying women at low risk of gestational diabetes using fasting venous plasma glucose assessment as an initial screening st….

RT @cricketcomau: AUSTRALIA WIN THE WORLD CUP. 🏆🏆🏆🏆🏆🏆.

Our work continues…@DrSusan_deJ .and I will continue to advocate for appropriate diagnostic criteria that balances the very real need to identify and manage women with #GDM with not over-diagnosing and unnecessarily intervening with women who do not benefit from a GDM diagnosis.

Something else we can consider us how women feel about the current (and modified) criteria. This is also a study we conducted that you can read more about here:

So what can we conclude? Based on two large studies we have led, certainly in the QLD context, there appears to be little gained from the additional #GDM diagnoses. This, together with other recent studies points towards an argument to relook at how we diagnose #GDM.

The Covid-19 changes to #GDM screening and diagnosis did not appear to produce any unfavourable pregnancy outcomes. The very small increase in caesarean deliveries in 2020 was likely due to factors unrelated to GDM (Caesarean deliveries increased across the board during covid).

Evaluating these changes produced some reassuring results Consistent with additional #HAPO analyses, a fasting blood value <4.7 has a low absolute risk of glycaemia related complications - a possible good screening measure for GDM.

#COVID19 forced a very rapid change to diagnosing #GDM in QLD, Australia (Mar 2020). Essentially, only women with a fasting blood glucose between 4.7 and 5.0 mmol/l needed to have an oral glucose tolerance test (OGTT) to confirm GDM. <4.7 = no GDM; > 5.0 = GDM.

Others have commented that at a population level, we were unlikely to detect changes in outcomes as the actual increase in the number of women being diagnosed is small so the overall impact on outcomes is also small.