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2020 | NMH Annual Rep t The diabetes midwifery service has now been entirely transformed into a virtual telehealth service from the point of diagnosis, treatment and through to discharge. From diagnosis, women are educated on a live webinar with midwives and dietitians, and then followed up with a Q&A webinar and virtual telehealth clinic. 68 Maternity and Obstetrics T he Diabetes in Pregnancy Service provides a comprehensive interdisciplinary service for women with Pre-Existing Diabetes Mellitus and women who are diagnosed with Gestational Diabetes (GDM). The diabetes in pregnancy service underwent significant development and change during 2020. Diabetes Me itus The number of referrals to the diabetes in pregnancy service increased relative to a birth rate of 7,263 deliveries in 2020. As common to every other clinical service within the hospital, the greatest challenge this year was continuing clinical work during the COVID-19 pandemic. We were determined to continue to provide high quality multidisciplinary care to patients within our service, while also being aware that many had significant risk factors for severity of disease should they contract the infection. The numbers of women presenting with Pre-existing diabetes (Type One, Type 2, MODY and Cystic-Fibrosis Related Diabetes) remained similar to referrals from previous years. The complexity of care has noticeably changed from previous years. The National Maternity Hospital provides a comprehensive service for women using Continuous Subcutaneous Insulin Pump Therapy (CSII) and continuous glucose monitoring (sensor) technology. The provision of this service requires expert training and continuous professional development to keep up to date with the multiple technology advances The diabetes in pregnancy service underwent significant development and change during 2020" Members of the Diabetes Team, Ciara Coveney, AMP Diabetes, Assoc Prof Mensud Hatunic Consultant Endrocrinologist and Prof Mary Higgins, Consultant Obstetrician and Gynaecologist.