Gestational Diabetes Clinic
Specialist care for you and your baby, throughout pregnancy and beyond
Being diagnosed with gestational diabetes can feel overwhelming. Getting the right advice and support early can make a significant difference to how confidently you manage the rest of your pregnancy.
Living Diabetes & Endocrinology's Gestational Diabetes Mellitus (GDM) Clinic is WA's first private Endocrinologist-led multidisciplinary GDM clinic, bringing your specialist diabetes care together in one place.
Your care is provided by a coordinated team of Endocrinologists, Shona Vigus, Nurse Practitioner and Credentialled Diabetes Educator, and Andrea Dinkelmann, Accredited Practising Dietitian.
Together, we develop a personalised plan for your pregnancy and support you from diagnosis through to delivery and after your baby is born, while working closely with your GP and obstetric team.
One specialist team. One personalised plan for you and your baby.
What is gestational diabetes?
Gestational diabetes mellitus (GDM) is diabetes first diagnosed during pregnancy. It occurs when your body cannot produce enough insulin to meet the increased needs of pregnancy, resulting in higher blood glucose levels.
With appropriate management, most women with GDM go on to have a healthy pregnancy and a healthy baby.
Managing blood glucose levels is important for reducing the risk of complications for both mother and baby. Treatment may involve changes to nutrition and activity, regular glucose monitoring and, for some women, medication or insulin.
Our role is to give you the specialist care, practical advice and the ongoing support you need to manage GDM confidently.
Your Gestational Diabetes team
Your care is coordinated across our multidisciplinary team:
Shona Vigus
Nurse Practitioner / Credentialled Diabetes Educator
Andrea Dinkelmann
Accredited Practising Dietitian
Dr Sing Lee
Endocrinologist
Dr Cameron Britton
Endocrinologist
Your team works together throughout your pregnancy and communicates with your GP and obstetric team to ensure your diabetes management is coordinated with your broader pregnancy care.
Dr Nely Shrestha Khatri
Endocrinologist
One location, one multidisciplinary team, one comprehensive personalised management plan
Why should I be referred to a Cardiometabolic Assessment Clinic?
When you treat all aspects of your cardiometabolic health together under one plan it gives you a better chance of reducing your future risk. We provide a cardiometabolic assessment when you have any combination of the following health concerns:
High blood pressure High Cholesterol Known Heart Disease
Type 2 Diabetes Kidney Disease Sleep Apnoea Fatty Liver Disease
Overweight/obese Metabolic syndrome Prediabetes
Each of these factors raises your risk for heart disease, and together they significantly increase the chance of severe cardiovascular issues like heart attack and stroke.
Early diagnosis and treatment can reduce your risk and prevent the progression of cardiovascular disease.
What to expect when you’re referred for a cardiometabolic assessment?
You will receive one referral from your GP covering your full cardiometabolic assessment. The team at Living Diabetes & Endocrinology will make both appointments for you, if we receive the referral directly from your GP we will contact you. Otherwise please contact our friendly team on 08 6374 6438 to organise your appointments.
Your initial appointment will be with our endocrinologist at Living Diabetes & Endocrinology followed by an appointment with our cardiologist at the same location. Your team will then collaborate during a multidisciplinary meeting with our allied health professionals to develop a coordinated management plan which is sent to you and your GP.
What are the costs involved?
You will see both an Endocrinologist and a Cardiologist on separate days at LDE, with the assessment planned to be completed within 4-6 weeks from the first appointment. The cost of the appointment will be at the discretion of the treating doctor and based on your personal medical circumstances.
The maximum cost for each appointment will be $420 with Medicare refunding $259.40, being a maximum total of $840 with an out-of-pocket expense of $321.20.
There is no cost associated with the multidisciplinary team meeting where your management plan is finalised.
What happens after the cardiometabolic assessment?
Following your cardiometabolic assessment you and your GP will receive a plan with recommendations on your future care, which will be under the supervision of the Endocrinologist and allied health professionals at Living Diabetes and/or the Cardiologists at Western Cardiology.
Your on-going health and wellbeing are of great importance to us and we will work with you and your GP to improve your cardiometabolic health.
Visit your GP to discuss this assessment and arrange for a referral.

