↓ Skip to main content

Ten Years of Optimizing Outcomes for Women With Type 1 and Type 2 Diabetes in Pregnancy—The Atlantic DIP Experience

Overview of attention for article published in The Journal of Clinical Endocrinology & Metabolism, April 2016
Altmetric Badge

About this Attention Score

  • Above-average Attention Score compared to outputs of the same age (59th percentile)
  • Average Attention Score compared to outputs of the same age and source

Mentioned by

twitter
3 tweeters

Citations

dimensions_citation
32 Dimensions

Readers on

mendeley
92 Mendeley
citeulike
1 CiteULike
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
Ten Years of Optimizing Outcomes for Women With Type 1 and Type 2 Diabetes in Pregnancy—The Atlantic DIP Experience
Published in
The Journal of Clinical Endocrinology & Metabolism, April 2016
DOI 10.1210/jc.2015-3817
Pubmed ID
Authors

Lisa A. Owens, Aoife M. Egan, Louise Carmody, Fidelma Dunne

Abstract

Pregnancy for women with type 1 or type 2 diabetes is a time of increased risk for both mother and baby. The Atlantic Diabetes in pregnancy program provides coordinated, evidence-based care for women with diabetes in Ireland. Founded in 2005 we now share outcomes over our first decade in caring for pregnant women with diabetes. The objective was to assess improvements in clinical outcomes after introduction of interventions. We retrospectively examined 445 pregnancies in women with Type 1 and Type 2 diabetes and compared them over two time points, 2005-2009,2010-2014. Interventions introduced over that time include; provision of combined antenatal/diabetes clinics, pre-pregnancy care, electronic data management, local clinical care guidelines, professional and patient education materials, an app and website. Pregnancy outcomes Results: The introduction of the Atlantic DIP program has been associated with a reduction in adverse neonatal outcomes. There has been a reduction in congenital malformations (5% to 1.8%,p=0.04), stillbirths (2.3 v 0.4%,P=0.09), despite an upward trend in maternal age (mean age 31.7 v 33), obesity (29% v 43% BMI>30kg/m(2)) and excessive gestational weight gain (24% v 38%,p=0.002). These improvements in outcomes occur alongside an increase in attendance at pre-pregnancy care (23% to 49%,p<0.001), use of folic acid (45 v 71%,p<0.001) and sustained improvement in glycemic control. Changing the process of clinical care delivery and utilizing evidence-based interventions in a pragmatic clinical setting improves pregnancy outcomes for women with pre-gestational diabetes. We now need to target optimization of maternal body mass index prior to pregnancy and put a greater focus on gestational weight gain through education and monitoring.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 92 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 92 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 22%
Student > Bachelor 11 12%
Researcher 11 12%
Student > Ph. D. Student 8 9%
Student > Postgraduate 6 7%
Other 18 20%
Unknown 18 20%
Readers by discipline Count As %
Medicine and Dentistry 34 37%
Nursing and Health Professions 19 21%
Social Sciences 3 3%
Engineering 3 3%
Environmental Science 2 2%
Other 8 9%
Unknown 23 25%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 February 2016.
All research outputs
#6,734,967
of 12,427,106 outputs
Outputs from The Journal of Clinical Endocrinology & Metabolism
#7,510
of 10,661 outputs
Outputs of similar age
#129,936
of 336,187 outputs
Outputs of similar age from The Journal of Clinical Endocrinology & Metabolism
#70
of 152 outputs
Altmetric has tracked 12,427,106 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 10,661 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.5. This one is in the 28th percentile – i.e., 28% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 336,187 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 59% of its contemporaries.
We're also able to compare this research output to 152 others from the same source and published within six weeks on either side of this one. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.