Gestational diabetes mellitus; resource utilization and costs of diagnosis and treatment.
The recommendation to test every woman for gestational diabetes mellitus (GDM) has a defined cost. The management of women diagnosed with GDM will use additional health resources. This examines the cost and resource utilization of a consecutive group of women diagnosed over a 1-year period. The cost of testing a woman for GDM is around $10.00 with slight variations depending on the testing procedure. The annual cost of testing in NSW would be less than 1 million dollars. Women diagnosed with GDM used the resources of a diabetes education centre for an average of 2.8 hours and attended for 3.4 (2.3) medical visits. Insulin was required by 18.7% of the women for 9.7 (4.7) weeks using 47.7 (21.2) units each day. Testing women for GDM is a low-cost item. Managing a woman diagnosed with GDM may cost several hundred dollars. Cost reductions could be made by reducing the amount of insulin used and by avoiding hospitalization.
Moses
R
R
Illawarra Area Health Service, New South Wales.
Fulwood
S
S
Griffiths
R
R
D003365:Costs and Cost Analysis; D016640:Diabetes, Gestational / Q000191:economics*; D005260:Female; D005951:Glucose Tolerance Test / Q000191:economics*; D006801:Humans; D008427:Maternal Health Services / Q000191:economics*; D009517:New South Wales; D010353:Patient Education as Topic; D011247:Pregnancy