Diabetes in Pregnancy

The Diabetes in Pregnancy Program at Greenwich Hospital serves expectant mothers who have Type I, Type II or gestational diabetes. It provides the information, support and guidance they need to manage their condition throughout their pregnancy.

Gestational diabetes is a condition causing elevated glucose and other diabetic symptoms in a pregnant woman who has not previously been diagnosed with diabetes. These symptoms disappear after the baby is born. Careful management of gestational diabetes throughout pregnancy greatly reduces any health risk for mother and baby.

The Diabetes in Pregnancy Program is directed by a perinatal clinical nurse specialist who is also a certified diabetes educator. This nurse works with a maternal-fetal specialist (perinatologist), the woman's obstetrician, and if needed, the woman's endocrinologist, to develop an individual plan of care.

The program includes education about diabetes, its risks for mother and child, and ongoing consultation regarding self-management using a glucometer, nutrition and insulin if needed.

The patient is usually referred to the program by her obstetrician or endocrinologist. The patient is then followed by the diabetes educator until the end of her pregnancy.

Pregnancy Exercise and Nutrition Initiative Program (PENI)

The PENI Program at Greenwich Hospital provides coordinated, multidisciplinary care to women with a BMI at or above 30 who are pregnant or are working with a Reproductive Endocrinologist to become pregnant. The purpose of the program is to help women have a healthy pregnancy and deliver a healthy baby.

How the PENI Program works

  • Patients are seen from pre-pregnancy through post-pregnancy and can enter the program at any time.
  • The PENI team consists of board-certified Perinatologists, Registered Dietitians, Physical Therapists, an Exercise Physiologist and a Coordinator who will help schedule appointments, answer questions and coordinate care.
  • A health plan is tailored to help each woman meet her personal goals and provides her with the resources and support she needs to accomplish them.
  • Women enrolled in the program can expect to go to Greenwich Hospital at least once a week for an hour to attend a nutrition class, meet with a Perinatologist or a physical therapist, use the hospital’s fitness equipment or participate in a supervised exercise program.

Contact the Certified Diabetes Educator at 203-863-3674.