California Diabetes and Pregnancy Program-Sweet Success (CDAPP)

Goal
To improve pregnancy outcomes for women who have pregnancies complicated by diabetes; specifically to reduce the maternal and infant morbidity and mortality to approximate the nondiabetic population.

Program Description

• The San Diego and Imperial Counties Diabetes and Pregnancy Program also know as Sweet Success is community based program dedicated to funded by the Maternal Child Health Branch of the California Department of Health Services.
• The clinical component of CDAP is the Sweet Success Program. The program is based on a comprehensive team approach to patient care which integrates specialized assessment and intervention strategies to provide optimal outpatient information and self-management education for pregnant women with diabetes.
• There are 50 facilities in San Diego and Imperial County which have been trained to provide these specialized care.
• Studies have demonstrated that $5.00 is saved for every $1.00 spent on prenatal care for the woman with pregnancy complicated by diabetes.
• In the State of California more than 18,000 women received CDAPP services at over 200 clinical sites in 2001. Over 1500 women received services in San Diego and Imperial Counties.

Things You Should Know*

• Once the CDAPP program began to care for women in California, congenital anomalies in infants of women with diabetes decreased from 12% to 2%- which is equivalent to the non diabetic population.
• As a result of the care provided by CDAPP providers, infants of diabetic mothers are admitted to the NICU less often, and those who are admitted spend significantly less time there.
• Gestational diabetes affects women of color between two and four times as often as Caucasian women.
• There has been a 20% increase in type 2 diabetes in children and adolescents over the last ten years. As these children become of childbearing age, they will require CDAPP services
• Infants born of diabetic mothers are twice as likely to develop obesity and type 2 diabetes during childhood as infants born to mothers without diabetes.

Contact Information
Elaine R. Simon, RN, MSN, FNP, CDE
Program Coordinator
9170 Camino Santa Fe
San Diego, California 92121-2254
Phone: (858) 536-5090
Fax: (858) 536-5099
ersimon@ucsd.edu

*California Diabetes and Pregnancy Program.Sweet Success Guidelines for Care.2002
American Diabetes Association: Clinical Practice Recommendations 2003 Diabetes Care, 26(1) 2003.

Stats

• Once the CDAPP program began to care for women in California, congenital anomalies in infants of women with diabetes decreased from 12% to 2% - which is equivalent to the non diabetic population.
• Infants born of diabetic mothers are twice as likely to develop obesity and type 2 diabetes during childhood as infants born to mothers without diabetes.

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