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Referral form for BumpClub

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Welcome to BumpClub Medway - Self referral form

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Welcome to BumpClub Medway - Self referral form

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Diabetes UK - Information on GDM

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Gestational diabetes is diabetes that can develop during pregnancy. It affects women who haven’t been affected by diabetes before. It means you have high blood sugar and need to take extra care of yourself and your bump. This will include eating well and keeping active.

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Diabetes and Ramadan: Safe Ramadan Fasting Guide

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People living with diabetes and Ramadan fasting can face numerous challenges. This guide has UK-relevant advice to help you prepare safely.

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A clear and informative guide to postnatal testing following Gestational Diabetes

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If your concern is urgent, please contact the Call the Midwife number on 01634 825277

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An animation on gestational diabetes translated to Urdu

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The sepsis DAISI is a 2 minute animation you can watch before you go home after having your baby

You can download it above in either Urdu or English and save it onto your device so you can watch it again

Staff at the University of Bradford and Huddersfield teamed up to develop DAISI based on our previous research which showed that women need better information when they go home from hospital after having a baby. Read the research here.

We worked with women and midwives to develop sepsis DAISI and asked women and midwives what they thought of it. Read the research here.

We now want to introduce sepsis DAISI into the NHS and would like to know what you think of it!

Dr Melanie Haith-Cooper

University of Bradford

I am a researcher interested in how we can improve communication when providing maternity care to women. I am especially interested in communicating with BAME women
www.bradford.ac.uk/staff/mcooper2

Dr Tomasina Stacey

University of Huddersfield

I am a midwife and researcher interested in improving the quality of care and in particular how we communicate public health messages in order to reduce health inequalities.
pure.hud.ac.uk/en/persons/tomasina-stacey

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The sepsis DAISI is a 2 minute animation you can watch before you go home after having your baby You can download it above in either Urdu or English and save it onto your device so you can watch it again Staff at the University of Bradford and Huddersfield teamed up to develop DAISI based on our previous research which showed that women need better information when they go home from hospital after having a baby.

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Evidence-based information to support you to make decisions regarding use of medicines in pregnancy that are best for both you and your baby

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bumps - best use of medicine in pregnancy

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This website provides reliable, evidence-based, and accurate information about use of medicines in pregnancy, in the form of freely available patient information leaflets called 'Bumps ' leaflets are produced by the UK Teratology Information Service ( UKTIS), a not-for-profit national organisation hosted by the Newcastle upon Tyne hospital NHS Foundation Trust and funded by the UK Health Security Agency (UKHSA) on behalf of the UK Health Departments.

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Gestational Diabetes BDA Patient Leaflet

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The role of the Specialist Diabetes Midwife team

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The role of the Specialist Diabetes Midwife team

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As diabetes specialist midwives, we're here to support you every step of the way during your pregnancy journey. Our role is to help you manage your diabetes—whether it’s gestational, type 1, or type 2—by working closely with you and the wider healthcare team to ensure both your health and your baby’s wellbeing. From helping you understand your blood sugar levels and insulin needs, to offering advice on nutrition, lifestyle, and preparing for birth, we’re your dedicated point of contact. We’re always here to listen, answer your questions, and tailor your care to suit your unique needs, so you feel confident and supported throughout your pregnancy and beyond.

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Diabetes Specialist Midwives - Laura, Tina and Tiffany

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We are usually available -

Monday - Friday 8am - 5pm

Telephone -

01634 974455

Email -

medwayft.diabetesmidwife@nhs.net

Please be aware that we may not be able to answer the phone as we hold clinics throughout the week but we always endeavour to respond within 2-3 working days.

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An animation on Gestational Diabetes outlining the risks and importance of good glycaemic control in pregnancy.

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The sepsis DAISI is a 2 minute animation you can watch before you go home after having your baby

You can download it above in either Urdu or English and save it onto your device so you can watch it again

Staff at the University of Bradford and Huddersfield teamed up to develop DAISI based on our previous research which showed that women need better information when they go home from hospital after having a baby. Read the research here.

We worked with women and midwives to develop sepsis DAISI and asked women and midwives what they thought of it. Read the research here.

We now want to introduce sepsis DAISI into the NHS and would like to know what you think of it!

Dr Melanie Haith-Cooper

University of Bradford

I am a researcher interested in how we can improve communication when providing maternity care to women. I am especially interested in communicating with BAME women
www.bradford.ac.uk/staff/mcooper2

Dr Tomasina Stacey

University of Huddersfield

I am a midwife and researcher interested in improving the quality of care and in particular how we communicate public health messages in order to reduce health inequalities.
pure.hud.ac.uk/en/persons/tomasina-stacey

# data[].attributes.attachment_link.description
The sepsis DAISI is a 2 minute animation you can watch before you go home after having your baby You can download it above in either Urdu or English and save it onto your device so you can watch it again Staff at the University of Bradford and Huddersfield teamed up to develop DAISI based on our previous research which showed that women need better information when they go home from hospital after having a baby.

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Gestational Diabetes in pregnancy

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Gestational diabetes is high blood sugar (glucose) that develops during pregnancy and usually disappears after giving birth.
It can happen at any stage of pregnancy, but is more common in the second or third trimester.

It happens when your body cannot produce enough insulin - a hormone that helps control blood sugar levels - to meet your extra needs in pregnancy.

Gestational diabetes can cause problems for you and your baby during pregnancy and after birth. But the risks can be reduced if the condition is detected early and well managed.

Who's at risk of gestational diabetes

Any woman can develop gestational diabetes during pregnancy, but you're at an increased risk if:

you are over 40

your body mass index (BMI) is above 30 - use the BMI healthy weight calculator to work out your BMI

you previously had a baby who weighed 4.5kg (10lb) or more at birth

you had gestational diabetes in a previous pregnancy

1 of your parents or siblings has diabetes

you are of south Asian, Black, African-Caribbean or Middle Eastern origin (even if you were born in the UK)

you have had a gastric bypass or other weight-loss surgery

If any of these apply to you, you should be offered screening for gestational diabetes during your pregnancy.

Symptoms of gestational diabetes

Gestational diabetes does not usually cause any symptoms.

Most cases are only discovered when your blood sugar levels are tested during screening for gestational diabetes.

Some women may develop symptoms if their blood sugar levels gets too high (hyperglycaemia), such as:

increased thirst

needing to pee more often than usual

a dry mouth

tiredness

blurred eyesight

genital itching or thrush

But some of these symptoms are common during pregnancy and are not necessarily a sign of gestational diabetes. Speak to your midwife or doctor if you're worried about any symptoms you're experiencing.

How gestational diabetes can affect your pregnancy

Most women with gestational diabetes have otherwise normal pregnancies with healthy babies.

However, gestational diabetes can cause problems such as:

your baby growing larger than usual - this may lead to difficulties during the delivery and increases the likelihood of needing induced labour or a caesarean section

polyhydramnios - too much amniotic fluid (the fluid that surrounds the baby) in the womb, which can cause premature labour or problems at delivery

premature birth - giving birth before the 37th week of pregnancy

pre-eclampsia - a condition that causes high blood pressure during pregnancy and can lead to pregnancy complications if not treated

your baby developing low blood sugar or yellowing of the skin and eyes (jaundice) after he or she is born, which may require treatment in hospital

the loss of your baby (stillbirth) - though this is rare

Having gestational diabetes also means you're at an increased risk of developing type 2 diabetes in the future.

Screening for gestational diabetes

During your first antenatal appointment (also called a booking appointment) at around week 8 to 12 of your pregnancy, your midwife or doctor will ask you some questions to determine whether you're at an increased risk of gestational diabetes.

If you have 1 or more risk factors for gestational diabetes you should be offered a screening test.

The screening test is called an oral glucose tolerance test (OGTT), which takes about 2 hours.

It involves having a blood test in the morning, when you have not had any food or drink for 8 to 10 hours (though you can usually drink water, but check with the hospital if you're unsure). You're then given a glucose drink.

After resting for 2 hours, another blood sample is taken to see how your body is dealing with the glucose.

The OGTT is done when you're between 24 and 28 weeks pregnant. If you've had gestational diabetes before, you'll be offered an OGTT earlier in your pregnancy, soon after your booking appointment, then another OGTT at 24 to 28 weeks if the first test is normal.
Find out more at Lab Tests Online: Glucose Tests.

Treatments for gestational diabetes

If you have gestational diabetes, the chances of having problems with your pregnancy can be reduced by controlling your blood sugar levels.

You'll be given a blood sugar testing kit so you can monitor the effects of treatment.

Blood sugar levels may be reduced by changing your diet and being more active if you can. Gentle activities such as walking, swimming and prenatal yoga can help reduce blood sugar. But tell your midwife or doctor before starting an activity you haven't done before.

However, if these changes don't lower your blood sugar levels enough, you will need to take medicine as well. This may be tablets or insulin injections.

You'll also be more closely monitored during your pregnancy and birth to check for any potential problems.

If you have gestational diabetes, it's best to give birth before 41 weeks. Induction of labour or a caesarean section may be recommended if labour does not start naturally by this time.

Earlier delivery may be recommended if there are concerns about your or your baby's health or if your blood sugar levels have not been well controlled.

Find out more about how gestational diabetes is treated.

Long-term effects of gestational diabetes

Gestational diabetes normally goes away after birth. But women who've had it are more likely to develop:

gestational diabetes again in future pregnancies

type 2 diabetes - a lifelong type of diabetes

You should have a blood test to check for diabetes 6 to 13 weeks after giving birth, and once every year after that if the result is normal.

See your GP if you develop symptoms of high blood sugar, such as increased thirst, needing to pee more often than usual, and a dry mouth - do not wait until your next test.

You should have the tests even if you feel well, as many people with diabetes do not have any symptoms.

You'll also be advised about things you can do to reduce your risk of getting diabetes, such as maintaining a healthy weight, eating a balanced diet and exercising regularly.

Some research has suggested that babies of mothers who had gestational diabetes may be more likely to develop diabetes or become obese later in life.

Planning future pregnancies

If you've had gestational diabetes before and you're planning to get pregnant, make sure you get checked for diabetes. Your GP can arrange this.

If you do have diabetes, you should be referred to a diabetes pre-conception clinic for support to ensure your condition is well controlled before you get pregnant.

Read more about diabetes in pregnancy.

If you have an unplanned pregnancy, talk to your GP and tell them you had gestational diabetes in your previous pregnancy.

If tests show you do not have diabetes, you'll be offered screening earlier in pregnancy (soon after your first midwife appointment) and another test at 24 to 28 weeks if the first test is normal.

Alternatively, your midwife or doctor may suggest you test your blood sugar levels yourself using a finger-pricking device in the same way as you did during your previous gestational diabetes.
Community content from HealthUnlocked

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Find out what gestational diabetes is, what problems it can cause, how it's diagnosed, and what the treatments are.

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We’d love to hear about your experience with the Diabetes Midwife Team. Your feedback helps us continue to improve our service.

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We would love to hear your thoughts and feedback on how to improve the diabetes in pregnancy service!

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NICE guidelines on diabetes in pregnancy

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NICE guidelines on diabetes in pregnancy

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National guidance on diabetes in pregnancy regarding GDM, type 1 and type 2 diabetes

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Overview | Diabetes in pregnancy: management from preconception to the postnatal period | Guidance | NICE

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This guideline covers managing diabetes and its complications in women who are planning pregnancy or are already pregnant. It aims to improve the diagnosis of

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A video on how to obtain a blood glucose sample using the Agamatrix kit

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Video 1: How to obtain a blood sample using the AgaMatrix lancing device

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AgaMatrix - Advanced Diabetes Technology

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To monitor your blood sugars we use the virtual platform, GDm-health app. Please be aware we do not have access to the agamatrix app, please download the GDm-health app.

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GDm-Health | How to download from Google Play Store and activate the app

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Please see below the link for the Medway NHS Foundation Trust infant feeding padlet - Medway NHS Foundation Trust - Infant Feeding and Relationship Building

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Carb-Counting can be an important and useful tool in managing your type 1 diabetes. BERTIE offer a course to learn how to carb count and the basics of carb counting.

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An exciting and informative array of resources to take you step by step through all the key aspects of managing Type 1 diabetes

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Each week we hold an online session to discuss your diagnosis in depth as well as meeting other women living with gestational diabetes and talk to the team about your diabetes. This is held every Wednesday 1-2pm. Click to join the session on the day. If you are unable to attend this appointment, the sessions are held on a weekly basis and you can attend these sessions using this same link.

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Can you give birth if you have type 1 diabetes? Women with type 1 diabetes can have a safe pregnancy and give birth to a healthy baby but won’t always be able to have a vaginal delivery.

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Instructions for Use - Glucagon Emergency Kit

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How to Use Glucagon Emergency Kit for Low Blood Sugar. Read the Instructions for Use before you start using Glucagon and each time you get a refill.

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Lots of information on diabetes in different languages

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Diabetes information in different languages and formats

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Some of our diabetes information is available in different languages, large print, Braille, British Sign Language, easy read and audio. If you can’t find what you’re looking for below, contact our free helpline and let us know what you need. We will try our best to help but this may not always be possible.

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A guide on how to apply the Libre 2+ continuous glucose monitor

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An alternative option to using the blood glucose meter is using a continuous glucose monitor. These are not available on the NHS to those with Gestational Diabetes. Alternatively, you can self fund these sensors.

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Cost & Coverage | Freestyle Libre | Abbott

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Interested in flash glucose monitors & their costs? Check NHS eligibility guidance for getting FreeStyle Libre 2 on prescription or through reimbursement.

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A handy video on how to apply the libre 3+ sensor

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How to Apply the FreeStyle Libre 3 Sensor | Getting Started Tutorial

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A handy video on how to apply the libre 2+ sensor

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Metformin is a commonly used drug in diabetes care and has been used for many years. It is safe to use in pregnancy and works by aiding the absorption of the insulin your body is producing.

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Metformin is a diabetes medication that helps the insulin you produce work better. You usually take it as a tablet.

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This resource is produced by Diabetes UK and includes a handy video on how to safely inject insulin

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You can inject insulin using an insulin pen and needle or some people use insulin vials and syringes instead of a pen. Or insulin can be released using a small electronic insulin pump which you attach to your body.

If you're an adult and need to inject insulin - or help a loved one inject insulin - we've made a video with Emma showing how to inject in seven simple steps. And if you're nervous of injecting or don't like needles, that's completely natural, we've put together some tips to help you feel less worried about injections.

If you have a child and need to help them inject insulin, go to our page on children's insulin injections and see our video with Marley and his mum Lauren.

Your healthcare team will talk to you about insulin if they think it's the right medication for you. Together you'll agree the type of insulin you need and how much you need to take (your dose) and how. Everything you need is available for free on prescription.

Types of insulin pen

There are two types of insulin pens:

a pen that already has insulin in which you throw away after it's empty

a pen you can reuse with insulin cartridges that you change

Smart insulin pens

Smart insulin pens send information to an app on your phone or other device about your insulin doses. Like some other insulin pens, they also automatically record when and how much insulin you've taken. Two smart pens are now available on the NHS - the NovoPen6 or the NovoPen Echo Plus - which are compatible with certain disposable insulin cartridges. To use a smart pen, your smartphone or tablet will need to be one that supports a technology called Near Field Communication (NFC). Find out more about smart pens on the Novo website.

Another pharmaceutical company - Lilly have also developed smart pen technology. They have developed the Tempo Smart Button which can be attached to a Tempo pen, so that data about insulin dosage can be downloaded.

Keep an eye on our e-newsletter for all the latest diabetes tech.

Watch our video on how to inject insulin safely using an insulin pen

Here's Emma to show you how to inject insulin safely. There are seven simple steps and you can pause and rewind where you need to. If you know someone with diabetes or would like family and friends to understand more about injecting insulin, please click the share button and help others learn.

Your injection kit

To inject insulin safely you'll need:

An insulin pen - this can be one that already has insulin in which you throw away after it's empty, or a pen you can reuse by changing the insulin cartridge yourself.

Your needle - this is small and thin, as it only has to go just under the skin, not into a muscle or vein. These can only be used once.

A sharps bin or needle clipper - this is where you will safely throw away your needle.

How to clean injection site, insulin pen and carry cases

To clean your skin before injecting insulin or to clean your insulin pen and carry case, use hot soapy water with a clean flannel or cloth. You don't need separate wipes.

Main injection sites for insulin

You're looking for fatty tissue so the main injection sites are usually your stomach (in a semi-circle under your belly button), sides of your thighs and your bum. It's vital you choose a different spot each time - at least 1cm or half an inch from where you last injected. If not, hard lumps can appear that will stop your body absorbing and using the insulin properly.

Talk to your diabetes healthcare team about where to inject, this may change depending on the type of insulin or if you are doing exercise for example.

How to inject insulin with an insulin pen

1. Wash and dry your hands.

2. Choose where you're going to inject.

3. Attach the needle to your pen - removing the outer and inner caps - point your pen upwards and dial up two units of insulin. Keeping your pen upward,press the plunger until a drop of insulin appears from the top of the needle. (If no insulin appears, repeat this step until it does). This is known as priming, and helps regulate your dose by removing any air from the needle and cartridge.

4. Dial your dose and make sure the spot you're injecting is clean and dry. To clean, use soap and warm water. You do not need to use alcohol wipes.

5. Insert the needle at a right angle (90° angle). You might want to gently lift the skin before injecting (or your nurse may have shown you how to do this). Press the plunger until the dial goes back to 0.

6. Count to 10, slowly, to give the insulin time to enter your body before removing the needle.

7. Throw away the needle using your needle clipper or sharps bin. Your healthcare team will tell you how to get rid of the bin safely when full.

How to avoid bruising and lumps
Sharps bin

Sharps bins and needle clippers are the safest way of disposing of your insulin needles and your lancets. A sharps container is usually a sealed plastic box or container you can get on prescription from your GP surgery . When full, the box should be collected for disposal from your home or other agreed location (free of charge) by your local council. Your healthcare team should have information.

A needle clipper removes the needle from your insulin pen, and is useful when you're out and about.

Clipped needles still need to be disposed of safely so make sure to put them into your sharps containers.

How to reduce any anxiety about injections

Many people worry or feel anxious about starting insulin injections. You might be scared of needles, feel squeamish about injecting, worried about pain, or some people feel nervous or embarrassed about injecting in public. If you feel this way, you're not alone. These feelings are natural but can be more serious if they start to impact on how you manage your diabetes, like skipping doses.

There are lots of things you can try that could help, like finding a quiet place at work to do injections.

Look into injection aids, like the TickleFLEX,which help to make injecting more comfortable and worry free. You just slide them over the needle and use the insulin pen in the normal way.

Ease any discomfort by numbing the area with ice first, pinching the area where you'll be injecting, and rotating injection sites.

Use a distraction like counting, singing, or watch a video while injecting.

Remember it's OK to have fears and talk about them openly.

If you're worried about the needle itself, talk to your healthcare professional. They can advise on the right needle length for you and help you get used to doing injections.

Injecting really cold insulin is more uncomfortable, so check out our guide to storing your insulin so you know how to keep it cool but not too cold.

Learning as much as you can about the benefits of insulin might also help you manage your feelings about the injections.

Many people tell us that injecting their insulin is less painful than doing a finger prick to test blood sugars. So if you are already managing this you may not find injecting insulin as worrying as you anticipate.

Some people find that writing a list of questions and worries is a useful way of processing it all. Bring this list along to your next diabetes appointment and remember there are no silly questions or worries, they are all valid. Your healthcare professional will appreciate anything you mention and it will help them give you the best support.

Try talking to others about it too - everyone's different and you might learn some useful tips. Join one of our diabetes support groups or if you find it easier to chat to others online, use our online forum. You can also call our helpline to talk about your worries or ask us questions.

We know that diabetes doesn't just affect you physically, it can affect you emotionally too. Whatever you're feeling, you are not alone. We've put together some emotional support information you might find helpful and that you might like to share it with your family and friends too.

Avoiding lipohypertrophy, injection bruises and lumps

Bruising can happen when you catch a tiny blood vessel under the skin where you have injected. It is quite normal for this to happen occasionally when you are injecting regularly and you're not doing anything wrong.

If you are concerned, you could make an appointment with your diabetes specialist nurse who will be able to do a review of your injection technique. In some cases, bleeding and bruising can be reduced by something as simple as using a different sized needle or changing your needle after each injection.

Some people notice hard lumps that can form if you inject in the same place too often. This might be lipohypertrophy (also known as lipos), or could be something called cutaneous amyloidosis. These lumps can stop the insulin from working properly, so make sure you rotate where you inject and choose a different spot each time. If you notice any lumps, especially if they're not going away, speak to your healthcare professional for more advice.

It is also possible that you might experience some skin irritations, speak to your healthcare team if this is a problem for you.

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You can inject insulin using an insulin pen and needle or some people use insulin vials and syringes instead of a pen. Or insulin can be released using a small electronic insulin pump which you attach to your body.

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Information on starting metformin tablets.

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PLEASE BE AWARE THIS CLASS HAS BEEN TEMPORARILY PAUSED- APOLOGISES FOR ANY INCONVENIENCE

Dietitian-led antenatal class offers valuable guidance on healthy eating and nutrition during pregnancy. Designed to support expectant parents, the session provides practical diet tips to support those with gestational diabetes. This class is run virtually every Tuesday at 1pm.

Please click on the link to join the Dietitian antenatal class.  Click the link to join the session on the day.

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Information on Metformin in pregnancy with the benefits and risks to aid decision making.

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General information
Sadly, miscarriage and birth defects can occur in any pregnancy.

Miscarriage occurs in about 1 in every 5 pregnancies, and 1 in every 40 babies are born with a birth defect. This is called the 'background risk' and happens whether medication is taken or not.

Most medicines cross the placenta and reach the baby. For many medications this is not a problem. However, some medicines can affect a baby's growth and development.

If you take regular medication and are planning to conceive, you should discuss whether your medicine is safe to continue with your doctor/health care team before becoming pregnant. If you have an unplanned pregnancy while taking a medicine, you should tell your doctor as soon as possible.

If a new medicine is suggested for you during pregnancy, please make sure that the person prescribing it knows that you are pregnant. If you have any concerns about a medicine, you can check with your doctor, midwife or pharmacist.

Our Bumps information leaflets provide information about the effects of medicines in pregnancy so that you can decide, together with your healthcare provider, what is best for you and your baby.

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General information Sadly, miscarriage and birth defects can occur in any pregnancy. Miscarriage occurs in about 1 in every 5 pregnancies, and 1 in every 40 babies are born with a birth defect. This is called the 'background risk' and happens whether medication is taken or not.

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Taking insulin for the first time can be quite overwhelming. This video will support you to become more confident with using an insulin pen in a safe and correct way.

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MyDiabetes | Empower Your Health — Leicester Diabetes Centre

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Discover resources for managing diabetes, including blood glucose monitoring, insulin guidance, and healthy lifestyle tips, from the Leicester Diabetes Centre experts.

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Useful information regarding importance of Carbohydrates in your diet

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Healthier Eating: African, Caribbean and South Asian cuisines

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Healthier Eating: African, Caribbean and South Asian cuisines

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Bump Club is a free, virtual prenatal group for pregnant parents in Medway. The group aims are to provide support and help to make healthy lifestyle choices which are important to GDM management. Please see the flyer for details on how to join.

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Postnatal Groups

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Translated resources in multiple different languages