AVOCA STREET MEDICAL CENTRE
130 Avoca Street Randwick NSW 2031
Tel: 02 9399 3335 - Fax: 02 9399 9778

Web: avocastreet.info
avocastreet.com - asmc.net.au - randwickhealth.com - randwickgp.com - familydoctor.sydney

Message from your GPs

We are open our usual hours.

In the interests of patient and staff safety, only vaccinated patients will be seen in-person at the practice. If you have not yet obtained your vaccination, we can look after you via telehealth.

If you have any symptoms including sore throat, fever, cough or runny nose, please call and book a telehealth consult.

Children under 12 will be seen as required (accompanying parents must be fully vaccinated).

We will continue to run vaccination clinics under strict settings.

Stay safe, and do call 93993335 if you have further enquiries.

Dr Angela

Dr Kien

Dr Mandy

Dr Priscilla

SURGERY HOURS
MON - FRI7:30 AM - 5:30 PM
SATsee notes
SUN & PUBLIC HOLIDAYSCLOSED


Dr Mandy will be working reduced hours.
Until November 2022, she will be consulting via
tele-health for urgent cases only.

eastvax.com

jabmenow.com

Consultation Fees

(from July 1st 2022)

Consultation typeFeeRebateCost out of pocket
Level B$70.00$39.75$30.25
Level C$108.00$76.95$31.05
Level D$160.00$113.30$46.70
Antenatal$80.00$49.85$30.15
Please note::
  • We do not provide certificates or reports for work compensation, motor vehicle accident injuries, or any third party claims.
  • All fees must be paid for at the end of each consultation.
  • We accept cash, EFTPOS and credit cards but not cheques.
  • We will not create accounts for or send invoices to any third party.
  • After receiving full payment, we will provide a tax invoice with which the client can claim back from their third party insurers.
  • For clients with valid Medicare cards, we can assist with sending claim to Medicare via secure internet so that Medicare benefit will be deposited directly onto the EFTPOS card used, or into a bank account registered with Medicare.


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General Information
 

Gestational Diabetes

Gestational diabetes mellitus (sometimes referred to as GDM) is a form of diabetes that occurs during pregnancy and usually goes away after the baby is born. It is diagnosed when higher than normal blood glucose levels first appear during pregnancy.

Gestational diabetes is becoming more common in Australia, affecting thousands of pregnant women. Between 5% and 10% of pregnant women will develop gestational diabetes and this usually occurs around the 24th to 28th week of pregnancy. All women are tested for gestational diabetes as part of the 24-28 week routine examination with their GP. Women who have one or more of the risk factors are advised to have a diabetes test when pregnancy is confirmed then again at 24 weeks if diabetes was not detected in early pregnancy.

While there is no one reason for why women develop gestational diabetes, you are at risk of developing gestational diabetes if you:

  • Are over 25 years of age
  • Have a family history of type 2 diabetes
  • Are overweight
  • Are from an Indigenous Australian or Torres Strait Islander background
  • Are from a Vietnamese, Chinese, middle eastern, Polynesian or Melanesian background
  • Have had gestational diabetes during previous pregnancies
  • Have previously had Polycystic Ovary Syndrome
  • Have previously given birth to a large baby
  • Have a family history of gestational diabetes
Most women are diagnosed after special blood tests. A Glucose Challenge Test (GCT) is a screening test where blood is taken for a glucose measurement one hour after a glucose drink. If this test is abnormal then an Oral Glucose Tolerance Test (OGTT) is done. For an OGTT a blood sample is taken before and two hours after the drink.

What to do after being diagnosed?

For many people, being diagnosed with gestational diabetes can be upsetting. However, it is important to remember that the majority of women with gestational diabetes have a healthy pregnancy, normal delivery and a healthy baby. The treatment is healthy eating, physical activity and monitoring and maintaining a normal blood glucose level while you are pregnant. Read more about managing gestational diabetes.

Risks of developing type 2 diabetes

While maternal blood glucose levels usually return to normal after birth, there is an increased risk of developing type 2 diabetes in the future. The baby may also be at risk of developing type 2 diabetes later in life.

What causes gestational diabetes?

In pregnancy, the placenta produces hormones that help the baby grow and develop. These hormones also block the action of the mother’s insulin. This is called insulin resistance. Because of this insulin resistance, the need for insulin in pregnancy is 2 to 3 times higher than normal. If you already have insulin resistance, then your body may not be able to cope with the extra demand for insulin production and the blood glucose (sugar) levels will be higher resulting in gestational diabetes being diagnosed.

When the pregnancy is over and blood glucose levels return to normal the diabetes disappears, however this insulin resistance increases the risk of developing type 2 diabetes in later life.

Management, care and treatment

Gestational diabetes can often initially be managed with healthy eating and regular physical activity. However, for some women with gestational diabetes, insulin injections will be necessary for the rest of the pregnancy. Read more about managing gestational diabetes.

More from www.diabetesaustralia.com.au

The information in the above were collected from the internet,
either from government websites or from reasonably reliable health information sources.
They are for general information only and should not replace the need of seeking medical care during illnesses.

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