Diabetes and Endocrine Clinic

We recommend anyone with pre-existing diabetes registers as soon as possible. Preferably within the first 10 weeks of pregnancy.

Self referral - call our diabetes midwife on 086 6077630) or via the registration form by disclosing a pre-existing condition.

GP, Fertility Clinic or endocrinologist referral via mail -diabetesservice@coombe.ie or post.

Once the referral is identified, the diabetes midwife will call you for a phone consultation. Following this, an individual patient care plan will be created for you, to include virtual or in-person clinic appointments.

The aim is to immediately start to stabilise your blood glucose levels, either as an outpatient or an inpatient if required (hospital admission).

If you had gestational diabetes in a previous pregnancy, you will be booked for testing, starting from 12 weeks or your first booking visit.

If any risk factors were identified at your booking visit, there will be a routine glucose tolerance test (GTT) booked for between 26-28 weeks of your pregnancy.

If there are clinical signs of suspected gestational diabetes at an antenatal appointment or ultrasound, your clinician will refer you for a test.

It’s important to disclose this on your hospital registration form as it will be taken into account when scheduling appointments. Please also mention it to the midwife when they are taking your history at your first appointment.

Any woman with Type 1 or Type 2 diabetes, MODY, hyperthyroidism, Addison Disease, gestational diabetes or on insulin or metformin treatment.

Unless specified otherwise, you will attend your obstetrics team for your antenatal appointments in our Outpatient or Private Clinic.

It is not possible to attend a midwifery led clinic if you have confirmed gestational diabetes, you will need to be moved to obstetrician led care.

Not necessarily! Diet is the foundation treatment for all women with gestational diabetes. Whether you need medication will be based on individual clinical presentations and assessments.