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Programmes » Diabetes in pregnancy - insulin initiation - Waikato

Diabetes in pregnancy - insulin initiation

Waikato | Diabetes | Women's health | Under 18 | Over 18 | Over 65

Overview

This programme is available for women with diabetes in pregnancy who need to start insulin and have been referred by the diabetes in pregnancy team.  
 
The initial education of meter use, diet and subsequent assessment of blood glucose resulting in a decision to start insulin will be done by the diabetes in pregnancy team.  
 
A script and insulin starter pack will be provided to the patient by the diabetes in pregnancy team.  

This service is part of the Advanced Primary Options programme.

Your Pinnacle Services Contract applies to this service. By claiming for this service, you have indicated that you have read and agreed to the business rules set out here.  

This is NOT a clinical guideline. 

Details

Which practices can claim for this service?

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

Service components
  • 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. 
Who is eligible for the service?
  • 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.  
Who is excluded from the service?
  • 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.

When is the service complete?
  • 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. 
Claiming guidelines

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

Includes GP/RN consult time and any consumables: $90.00 (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. 

What level of clinical notes do I need to submit?

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

Does the patient have to pay?
  • 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. 
How is the service funded?

The service is funded by Te Whatu Ora. 

Contact for claiming advice

Primary options team, Pinnacle Midlands Health Network
infoprimaryoptions@pinnacle.health.nz
027 687 7312

Contact for specialist advice

Liz Lewis-Hills, Diabetes in pregnancy team, Waikato Regional Diabetes Service
021 761 891
07 859 9180 ext. 23731

RELATED RESOURCES
Primary Options resources
Published: 18/02/2025 | 22 files | Document

Quick guides to assist practices with identifying eligibility criteria;invoices that can be claimed; managing claims and providing assistance with understanding remittance reports

View resource | Download files
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