Dr. Lorraine Lipscombe, associate professor, Department of Medicine, University of Toronto; division director, Endocrinology and Metabolism, Women’s College Hospital
• Identifying and reducing the risk of type 2 diabetes after pregnancy
• Testing a lifestyle program for new mothers with gestational diabetes to reduce their risk of type 2 diabetes
• Developing a tool that predicts a woman’s risk of developing diabetes in the next five years
Dr. Lorraine Lipscombe at a glance:
• Received a Diabetes Investigator Award from Diabetes Canada (2018)
• Joined Women’s College Hospital in 2006, and was appointed director of the Division of Endocrinology (2017)
• Appointed associate professor in the Faculty of Medicine, University of Toronto (2014)
• Awarded the CIHR New Investigator Award (2012)
• Received medical degree from McGill University, Montreal (1998)
How did you get interested in diabetes?
I was initially involved in hormone research while studying psychology, and in particular mothers and how hormones affect their behaviour. I wanted to take this further and care for people who have problems with hormones, so I went to medical school. In my first year, I worked with a diabetes researcher who was studying type 1 diabetes and exercise, and I realized diabetes was an area I wanted to focus on.
How did that evolve to working with new mothers at risk of diabetes?
While using diabetes patient databases for research, I realized we were not doing enough to highlight people at risk of the disease so we could prevent it.
Also, in working with mothers who had gestational diabetes, I saw that we didn’t have the resources available to help them reduce their risk of developing diabetes later in life. [Women with gestational diabetes are seven times more likely to get type 2 diabetes compared to those without.]
What initiatives are underway to improve this situation?
Based on input from both experts and patients, we developed a health coaching program conducted over the phone that new mothers could access, three to six months after their baby’s birth. We recruited women from four Toronto hospitals in our pilot study and most were very satisfied, with 90 per cent saying they would recommend the program to others because it helped them reach their diet and fitness goals. We think our data is good enough to support expanding this program to a larger group of women at risk. We are now recruiting for another round.
During the telephone coaching, a certified diabetes educator [CDE] contacts the patient by phone 12 times over six months, and each call lasts up to 20 minutes. Initially, the focus is on goal setting and education; later, it’s about seeing if patients have achieved their diet and fitness goals and how to address challenges along the way. Because the CDEs come from existing diabetes resource centres, this program is very sustainable from a health-care cost perspective [there is no fee for patients to access this program].
What other projects are you working on?
We’re developing a prediction tool that will calculate a woman’s individual risk of diabetes based on factors such as ethnicity, age, weight, and blood sugar levels in pregnancy. We’re hoping to complete it in the next two years and, with the help of Diabetes Canada, we are expecting to offer it across Canada.
What is your ultimate goal in terms of your diabetes research?
To find more effective ways of helping people prevent diabetes through healthier lives rather than just giving them pills once they get the disease.
The last word
“It’s really exciting to see how Lorraine’s research plays out in terms of our ability to end diabetes by preventing it and, more specifically, by preventing the development of diabetes in people who are at risk,” says Dr. Jan Hux, President and CEO, Diabetes Canada.
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(This article appeared in Diabetes Dialogue, Summer 2019)
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