Diabetes is a complication for up to 7-14% of pregnant women. The California Diabetes and Pregnancy Program (CDAPP) Sweet Success provides comprehensive technical support and education to medical personnel and community liaisons to assist in promoting improved pregnancy outcomes for high-risk pregnant women with pre-existing diabetes and women who develop diabetes while pregnant; gestational diabetes mellitus (GDM).  These medical providers who undergo standardized training and provide direct patient care to women with diabetes while pregnant become known as CDAPP Sweet Success Affiliates.   

CDAPP began as a pilot project in San Francisco funded by the March of Dimes in 1982.  Based on its success, the Inland Counties became the first region in 1983 and was funded through Maternal, Child and Adolescent Health (MCAH) Federal Title V Block Grant funds.  From 1984 through 2006, the number of CDAPP regional programs gradually expanded to ten regions.  CDAPP regional programs were established based on the regional perinatal health systems model.  The program consisted of multidisciplinary teams which included a diabetes nurse educator, a registered dietitian, and a behavior medicine specialist who worked in conjunction with a regional medical director.  Prior to CDAPP, patients with diabetes while pregnant received minimal intervention.  Today, care for pregnant women with diabetes is more widely available across the state.

The Regional CDAPP Programs providing consultation and education for CDAPP Sweet Success Affiliates ended on June 30, 2012.  A new CDAPP Sweet Success Resource and Training Center was established starting July 1, 2012 to support and train our CDAPP Sweet Success Affiliates.
 

The purpose of CDAPP Sweet Success is to improve maternal and fetal birth outcomes through promotion of health education, and disease prevention.  The CDAPP Sweet Success Resource & Training Center staff recruits, trains, and supports Sweet Success Affiliates who provide health care services to pregnant women who have pre-existing or gestational diabetes using the CDAPP Sweet Success Guidelines for Care. 

The CDAPP Sweet Success program goals are:

• To reduce maternal and infant morbidity and mortality for this high risk group to approximate the outcomes of the low–risk perinatal population. 
• To promote quality medical management, psychosocial and nutrition interventions for women with diabetes, or for women who develop diabetes during pregnancy so their pregnancy outcomes match those of women in the general population with respect to:
       - Intrauterine growth patterns
       - Birth defects
       - Morbidity and mortality of both mother and infant
• To prevent the complications of diabetes while pregnant
• To promote healthy lifestyle changes in order to prevent recurrent gestational diabetes, or development of diabetes after pregnancy

• Complete a CDAPP Sweet Success Affiliation Application and submit it to the CDAPP Sweet Success Resource and Training Center.
• Following application review and approval by the CDAPP Sweet Success Resource and Training Center, a Memorandum of Understanding (MOU) that describes what is required of an Affiliate and the support that is provided by CDAPP Sweet Success Resource and Training staff will be sent to you. The MOU is to be signed by both a representative of your program and the CDAPP Sweet Success Resource and Training Center.
• All Affiliate staff, and all new staff as they become part of your team, who have not already attended CDAPP Sweet Success required training will need to do so within one year of affiliation.   
• After training is completed; your site will be added to the CDAPP Sweet Success Resource and Training Center Affiliate Locator as part of the CDAPP Sweet Success Affiliate Directory. 
• Follow-up consultation will be provided by CDAPP Sweet Success Resource and Training Center staff on an as needed basis.  
• Every January 31, both a new MOU and an Annual Affiliate Survey (inclusive of your aggregate prior calendar year data) will be due to the Resource and Training Center to assess and provide assistance to your Affiliate program.

Download CDAPP Affiliate Application

• A health care team knowledgeable about the CDAPP Sweet Success Guidelines for Care and utilizes these guidelines in their current practice.
• Patient management based upon participation in CDAPP Sweet Success training programs.
• Comprehensive clinical preconception and pregnancy care for women with diabetes.
• Clinical competency by ongoing participation in yearly educational programs.
• Data collection about the care they provide to clients in order to self-monitor and evaluate their clinical practices.
• Feedback and sharing of their goals and plans with the CDAPP Sweet Success Resource and Training Center staff through Annual Affiliate Survey.
• Promotion of diabetes awareness in the community and participation in diabetes educational programs.