Society Letters

Letter to the Senate Finance Committee on Poor Maternal Health Outcomes

March 19, 2020

To: Chairman Chuck Grassley, and Ranking Member Ron Wyden

"The Society believes there is an opportunity to improve the health outcomes associated with diabetes in pregnancy through telehealth in the Medicaid population. Patients with diabetes who become pregnant are at a significantly greater maternal and fetal risk, particularly if their diabetes is uncontrolled. As a result, these individuals often require insulin therapy and frequent visits to an endocrinologist or high-risk obstetrician (every 1-2 weeks in addition to routine OBGYN appointments, which are typically monthly). During these visits, the physician will review blood glucose logs and adjust insulin doses as needed. Members of the care team and/or the physician may also provide diabetes education to the patient."

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