Diabetes in pregnancy - insulin initiation

Any Pinnacle practice in the Waikato region can claim for this service.  

• The programme covers a one-off appointment for insulin start education with a registered nurse or GP. 
• Once the insulin start education has been completed, the diabetes in pregnancy team will take over the insulin stabilisation for the patient and are responsible for their ongoing care. 
• The diabetes in pregnancy team will give the script to the patient or fax the script to the patient’s pharmacy of choice. On most occasions the insulin starter pack is given to the patient at the antenatal clinic and the patient will bring this with them to the practice for their insulin initiation demonstration and education. 
• The diabetes in pregnancy team will provide the practice or patient with a pack including GDM insulin education in general practice, an insulin plan and GDM insulin initiation guidelines for general practice.  
• Always follow the insulin plan as given by the Diabetes in Pregnancy team. 
• Demonstration of pen device is necessary.
• NB the patient will usually start the insulin that evening. 

• Pregnant women who have been referred from the diabetes in pregnancy team at Waikato Hospital and require insulin initiation.  
• Patients enrolled in a Pinnacle practice. 
• Patients eligible for New Zealand funded health care. 
• Patients domiciled in Te Whatu Ora Waikato area.  

• Pregnant women who are already on insulin. 
• Pregnant women who have not been seen by the Diabetes in Pregnancy team.

• Patients not domiciled in Te Whatu Ora Waikato area.

• This programme is an inclusive one-off payment for all time spent with clinicians and supplying consumables.  
• The episode of care ends when the outcome and claim are submitted. 
• Payment will be made once an outcome has been lodged for the case. 
• Please inform the diabetes in pregnancy team when the insulin start education has been completed. 

A maximum of one claim per patient can be submitted for Diabetes in Pregnancy - Insulin Start. 

Includes GP/RN consult time and any consumables: $92.70 (GST incl.). 

Submit your referral via Primary Options using the initial condition coding: Diabetes Pregnancy Insulin Initiation. 

When invoicing for the service please lodge an ‘outcome and invoice’ form and select the ‘Insulin Start: Diabetes in Pregnancy’ invoice. 

Practices are required to provide sufficiently detailed consultation notes to determine appropriate use of funding.  

• No co-payment can be charged for this service.  
• Any further follow up can be charged to the patient but please make sure the patient is aware of this. 

The service is funded by Te Whatu Ora.