THE SAIDIP JOURNEY …..
In the past few years it has become apparent that diabetes in pregnancy is starting to become a public health issue impacting both the immediate maternal and neonatal health as well as fueling the diabetes and NCD epidemic in South Asia. With close geographic proximity, long history of neighborly relations (despite occasional conflicts) common traditions and similar socio economic developments, it makes sense that responses and experiences of tackling similar health challenges be shared to allow better practices in the region to become more widely known and to provide opportunities for exchange of ideas and help build capacity in the region for the common good. This will also provide a greater share of voice to articulate common issues and views of the region at international fora more strongly.
In line with this thinking key opinion leaders and participants from South Asia, in particular Bangladesh, Pakistan and Sri Lanka were invited to the DIPSI meeting in Bangalore and Udhagamandalam (Ooty). A special session on diabetes in pregnancy in South Asia was built in the congress program where esteemed colleagues made enlightening presentations reflecting a sense that the problem is similar to that in India. The application of the DIPSI approach was seen relevant and meaningful to these colleagues and several expressed the intention to adapt the same principles in their countries.
As a consequence a few key people working in the area of the gestational diabetes in countries in South Asia (some of them WDF project partners) decided earlier this year to create an informal group called the South Asia Initiative for Diabetes In Pregnancy.
As you are well aware hyperglycemia is one of the most common medical conditions women encounter during pregnancy. It is estimated that one in six live births (16.8%) occur to women with some form of hyperglycemia in pregnancy. The occurrence of GDM parallels the prevalence of impaired glucose tolerance (IGT), obesity and type 2 diabetes melli