The National University Hospital (NUH) has introduced Singapore’s first dedicated service for women diagnosed with gestational diabetes mellitus (GDM), a condition affecting one in five pregnant women in the country. This innovative programme, launched in October 2023, seeks to provide comprehensive care from diagnosis through postpartum, addressing a significant gap in diabetes prevention.
Unlike traditional models where care often ends after childbirth, this multidisciplinary service integrates obstetrics, endocrinology, and community care. It aims to break the intergenerational cycle of metabolic disease by ensuring continuous support for mothers. “GDM doesn’t end at delivery,” said Dr Eng Pei Chia, who leads the service. “Our women-centred pathway focuses on postpartum follow-up, cardiometabolic screening, and practical support.”
The programme has already seen close to 400 women, with findings indicating that about 40% continued to experience poor blood sugar control post-delivery. Studies show that women with GDM have a 70% increased lifetime risk of developing type 2 diabetes, with half progressing to the condition within 10 years after delivery.
The NUH service offers a seamless pathway of care, co-managed by obstetrics and endocrinology teams, extending support beyond the sixth week post-delivery. Women identified as low-risk are referred to National University Polyclinics for community follow-up, whilst high-risk patients receive specialist care at NUH for up to five years.
This initiative not only empowers women with knowledge and confidence to manage their health but also aims to protect future generations from diabetes. Adjunct Associate Professor Khoo Chin Meng emphasised the importance of sustainable lifestyle changes, stating, “This isn’t just about the mothers, but also about protecting their families and future generations.”
