DIABETES across the LIFECOURSE – Northern Australia Partnership

Improving systems of care and services for people with diabetes and their families in rural and remote Australia (NT, FNQ & Kimberley)



Titmuss A, Davis E, O’Donnell V, Wenitong M, Maple-Brown L, on behalf of the Hot North Diabetes in Youth Collaboration group, Youth-onset type 2 diabetes among First Nations young people in northern Australia: a retrospective, cross-sectional study, Lancet Diabetes Endocrinol 2021, doi:10.1016/S2213-8587(21)00286-2. https://www.thelancet.com/journals/landia/article/PIIS2213-8587(21)00286-2/fulltext

Simpson S, Eadie T, Khoo ST, Titmuss A, Maple-Brown LJ, Thompson R, Wunungmurra A, Jeyaseelan D, Dunham M, D’Aprano A. The ASQ-TRAK: Validating a culturally adapted developmental screening tool for Australian Aboriginal children. Early Human Development. 2021 Oct 6;163:105481. doi: 10.1016/j.earlhumdev.2021.105481. Epub ahead of print https://www.sciencedirect.com/science/article/pii/S0378378221001808?via%3Dihub

Rohit A, McCarthy L, Mack S, Silver B, Turner S, Baur LA, Canuto K, Boffa J, Dabelea D, Sauder KA, Maple-Brown L, Kirkham R. The Adaptation of a Youth Diabetes Prevention Program for Aboriginal Children in Central Australia: Community Perspectives. Int J Environ Res Public Health. 2021 Aug 31;18(17):9173. doi: 10.3390/ijerph18179173. https://www.mdpi.com/1660-4601/18/17/9173

Wood A, Graham S, Boyle J, Marcusson B, Anderson S, Connors, McIntyre H, Maple-Brown LJ, Kirkham R, Incorporating Aboriginal women’s voices in improving care and reducing risk for women with diabetes in pregnancy – A phenomenological study, BMC Pregnancy and Childbirth 2021, 2021 Sep 16;21(1):624. doi: 10.1186/s12884-021-04055-2. https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-04055-2

Lucas IM, Barr ELM, Barzi F, Longmore DK, Lee IL, Kirkwood M, Whitbread C, Connors C, Boyle J, Simon D, Goodrem A, Brown ADH, Oats J, McIntyre HD, Shaw JA, Maple-Brown LJ, on behalf of the PANDORA study research team, Gestational diabetes is associated with postpartum hemorrhage in Indigenous Australian women in the PANDORA study: a prospective cohort, International Journal of Gynecology & Obstetrics, 2021 Jul 30, doi:10.1002/ijgo.13846. (Epub ahead of print) https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.13846

Rohit A, Roulston T, Henderson T, Lee IL, Webster V, McIntyre HD, Connors C, Brown A, Shaw J, Maple-Brown L, Barr ELM, Screening rates for diabetic retinopathy among Aboriginal and Torres Strait Islander women with hyperglycaemia in pregnancy: the PANDORA cohort study, Clinical and Experimental Ophthalmology, 2021;49(7):765-767, doi:10.1111/ceo.13985  https://onlinelibrary.wiley.com/doi/abs/10.1111/ceo.13985

MacKay D, Kirkham R, Freeman N, Boyle J, Campbell S, McLean A, Peiris D, Corpus S, Connors C, Moore L, Wenitong M, Silver B, McIntyre H, Shaw J, Brown A, Maple-Brown L, Improving Systems of antenatal and postpartum care for hyperglycemia in pregnancy: A process evaluation, International Journal of Gynecology and Obstetrics, 2021 Jul 31. Doi:10.1002/ijgo 13850. (Epub ahead of print) https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.13850

Rohit A, Kirkham R, McCarthy L, Puruntatemeri V, Maple-Brown L, Brimblecombe J, Exploring differences in perceptions of child feeding practices between parents and health care professionals: a qualitative study, BMC Public Health 2021, 1449 (2021). doi:10.1186/s12889-021-11493-2 https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-021-11493-2


McLean A, Katz M, Oats J, Wang Z, Barr E, Maple-Brown L, Rethinking third trimester ultrasound measurements and risk of adverse neonatal outcomes in pregnancies complicated by hyperglycaemia: a retrospective study, NZ Journal Obstet Gynaecol 2020, doi:10.1111/ajo.13281 https://obgyn.onlinelibrary.wiley.com/doi/10.1111/ajo.13281

Kirkham R, King S, Graham S, Whitbread C, Boyle J, Kinner T, Rumbold A, Maple-Brown L, ‘No sugar’, ‘no junk food’, ‘do more exercise’ – moving beyond simple messages to improve health of Aboriginal women with Hyperglycaemia in Pregnancy in the Northern Territory – A phenomenological study, 2020 Women and Birth, 2020 Oct 31:S1871-5192(20)30360-7. doi:10.1016/j.wombi.2020.10.003. Epub ahead of pring. PMID: 33144033 https://www.sciencedirect.com/science/article/pii/S1871519220303607?via%3Dihub

MacKay D, Kirkham R, Freeman N, Murtha K, Van Dokkum P, Boyle J, Campbell S, Barzi F, Connors C, O’Dea K, Oats J, Zimmet P, Wenitong M, Sinha A, Hanley AJ, Moore E, Peiris D, McLean A, Davis B, Whitbread C, McIntyre HD, Mein J, McDermott R, Corpus S, Canuto K, Shaw JE, Brown A, Maple-Brown L; Diabetes Across the Lifecourse: Northern Australia Partnership. Improving systems of care during and after a pregnancy complicated by hyperglycaemia: A protocol for a complex health systems intervention. BMC Health Serv Res. 2020 Sep 1;20(1):814. doi: 10.1186/s12913-020-05680-x. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05680-x

Longmore DK, Barr ELM, Wilson AN, Barzi F, Kirkwood M, Simmonds A, Lee IL, Hawthorne E, Van Dokkum P, Connors C, Boyle JA, Zimmet P, O’Dea K, Oats J, McIntyre HD, Brown ADH, Shaw JE, Maple-Brown LJ. Associations of gestational diabetes and type 2 diabetes during pregnancy with breastfeeding at hospital discharge and up to 6 months: the PANDORA study. Diabetologia. 2020 Sep 10. doi: 10.1007/s00125-020-05271-9. Epub ahead of print. PMID: 32910247. http://link.springer.com/article/10.1007/s00125-020-05271-9

Maple-Brown LJ, Graham S, McKee J, Wicklow B, Walking the path together: incorporating Indigenous knowledge in diabetes research, The Lancet Diabetes & Endocrinology, 2020; 8(7), 559-560. doi:10.1016/S2213-8587(20)30188-1 https://pubmed.ncbi.nlm.nih.gov/32559468/

Maple-Brown LJ, Hampton D, Indigenous cultures with similar colonisation history share the challenge of intergenerational diabetes, Lancet Global Health (Invited Commentary). Volume 8, Issue 5, May 2020, Pages e619-e620. doi:10.1016/S2214-109X(20)20072-3 – https://www.sciencedirect.com/science/article/pii/S2214109X20300723

Longmore D, Barr ELM, Barzi F, Lee I-L, Kirkwood M, Connors C, Boyle J, O’Dea K, Zimmet P, Oats J, Catalano P, McIntyre HD, Brown ADH, Shaw JE, Maple-Brown LJ, on behalf of the PANDORA study research team, Social and economic factors, maternal behaviours in pregnancy and neonatal adiposity in the PANDORA cohort, Diabetes Research & Clinical Practice [Epub ahead of print]. – http://www.ncbi.nlm.nih.gov/pubmed/31962087

Wood A, Mackay D, Fitzsimmons D, Derkenne R, Kirkham R, Boyle J, Connors C, Whitbread C, Welsh A, Brown A, Shaw J, Maple-Brown L, Primary health care for Aboriginal women in remote communities after a pregnancy with hyperglycemia, International Journal of Environmental Research and Public Health, 2020 Jan 22;17(3). pii: E720. doi: 10.3390/ijerph17030720. – http://www.mdpi.com/1660-4601/17/3/720

Lee I, Barr ELM, Longmore D, Barzi F, Brown A, Connors C, Boyle J, Hampton V, Lynch M, Lu ZX, O’Dea K, Oats J, McIntyre HD, Zimmet P, Shaw JE, Maple-Brown L, Cord blood metabolic markers are strong mediators of the effect of maternal adiposity on fetal growth in pregnancies across the glucose tolerance spectrum: the PANDORA study, Diabetologia, 2020 Jan 8. doi: 10.1007/s00125-019-05079-2. [Epub ahead of print] – http://link.springer.com/article/10.1007%2Fs00125-019-05079-2


Kirkham R, Trap-Jensen N, Boyle JA, Barzi F, Barr ELM, Whitbread C, Van Dokkum P, Kirkwood M, Connors C, Moore E, Zimmet P, Corpus S, Hanley AJ, O’Dea K, Oats J, McIntyre HD, Brown A, Shaw JE, Maple-Brown L, NT Diabetes in Pregnancy Partnership. Diabetes care in remote Australia: the antenatal, postpartum and inter-pregnancy period. BMC Pregnancy and Childbirth, 2019 Oct 28; 19(1):389 – http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-019-2562-6 –

Cheng E, Longmore D, Barzi F, Barr E, Lee I, Whitbread C, Boyle J, Oats J, Connors C, McIntyre HD, Kirkwood M, Dempsey K, Zhang X, Thomas S, Williams D, Zimmet P, Brown ADH, Shaw JE, Maple-Brown L, Birth Outcomes in women with gestational diabetes managed by lifestyle modification alone: The PANDORA study, Diabetes Research and Clinical Practice (2019), doi:10.1016/j.diabres.2019.107876. http://www.ncbi.nlm.nih.gov/pubmed/31586661

McLean A, Kirkham R, Campbell S, Whitbread C, Barrett J, Connors C, Boyle JA, Brown A, Mein J, Wenitong M, McIntyre HD, Barzi F, Oats J, Sinha A, Maple-Brown L, Improving models of care for diabetes in pregnancy: Experience of current practice in Far North Queensland, Australia, Frontiers in Public Health, 2019 Jul 19;7:192. doi: 10.3389/fpubh.2019.00192. http://www.frontiersin.org/articles/10.3389/fpubh.2019.00192/full

Hjort L, Novakovic B, Grunnet LJ, Maple-Brown L, Damm P, Desoye G, Saffery R. Diabetes in pregnancy and epigenetic mechanisms-how the first 9 months from conception might affect the child’s epigenome and later risk of disease. Lancet Diabetes Endocrinol, 2019 May 22. Doi:10.1016/S2213-5254. http://www.ncbi.nlm.nih.gov/pubmed/31128973

Maple-Brown L, Lee I, Longmore D, Barzi F, Connors C, Boyle JA, Moore E, Whitbread C, Kirkwood M, Graham S, Hampton V, Simmonds A, Van Dokkum P, Kelaart J, Thomas S, Chitturi S, Eades S, Corpus S, Lynch M, Lu ZX, O’Dea K, Zimmet P, Oats J, McIntyre HD, Brown ADH, Shaw JE. Pregnancy and Neonatal Diabetes Outcomes in Remote Australia: The PANDORA Study, an observational birth cohort. International Journal of Epidemiology, 48(1):307-318. http://www.ncbi.nlm.nih.gov/pubmed/30508095

Longmore D, Barr E, Lee I, Barzi F, Kirkwood M, Whitbread C, Hampton V, Graham S, Van Dokkum P, Connors C, Boyle J,  Catalano P, Brown A, O’Dea K, Oats J, McIntyre D, Shaw J, Maple‐Brown L. Maternal body mass index, excess gestational weight gain, and diabetes are positively associated with neonatal adiposity in the Pregnancy and Neonatal Diabetes Outcomes in Remote Australia (PANDORA) study. Paediatric Obesity, 2019 Jan 16:e12490. doi: 10.1111/ijpo.12490. http://www.ncbi.nlm.nih.gov/pubmed/30650263

Maple-Brown L, Lindenmayer G, Barzi F, Whitbread C, Connors C, Moore E, Boyle J, Kirkwood M, Lee IL, Longmore D, Van Dokkum P, Wicks M, Dowden M, Inglis C, Cotter M, Kirkham R, Corpus S, Chitturi S, Thomas S, O’Dea K, Zimmet P, Oats J, McIntyre HD, Brown A, Shaw JE. Real‐world experience of metformin use in pregnancy: Observational data from the Northern Territory Diabetes in Pregnancy Clinical Register. Journal of Diabetes, 2019 Jan 25. doi: 10.1111/1753-0407.12905. http://www.ncbi.nlm.nih.gov/pubmed/30680949

Titmuss A, Davis E, Brown A, Maple-Brown L. Emerging diabetes and metabolic conditions among Aboriginal and Torres Strait Islander young people in Australia. Medical Journal of Australia, 210(3):111-113. http://www.ncbi.nlm.nih.gov/pubmed/30656687

Rohit A, Tonkin E, Maple-Brown L, Golley R, McCarthy L, Brimblecombe J. Parent feeding practices in the Australian Indigenous population within the context of non-Indigenous Australians and Indigenous populations in other high-income countries – a scoping review. Advances in Nutrition, 10(1):89-103. http://www.ncbi.nlm.nih.gov/pubmed/30668618


Kirkham R, MacKay D, Bazi F, Whitbread C, Kirkwood M, Graham S, Van Dokkum P, McIntyre D, Shaw J, Brown A, O’Dea K, Connors C, Oats J, Zimmett P, Boyle J, Maple-Brown L. Improving postpartum screening after diabetes in pregnancy: Results of a pilot study in remote Australia. The Australian and New Zealand Journal of Obstetrics and Gynaecology, 2018 Oct 02. doi:10.1111/ajo.12894. http://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/ajo.12894

Lee I, Maple-Brown L. 2018. ‘Diabetes in pregnancy: world-wide perspective’, in CJ Lammi-Keefe, et al. (ed.) Handbook of Nutrition and Pregnancy, 2nd Edition, Humana Press, Totowa, pp. 387-400.

Titmuss A, Davis E, Brown A, Maple-Brown L. Emerging diabetes and metabolic conditions among Aboriginal and Torres Strait Islander young people in Australia. Medical Journal of Australia, 210(3):111-113. http://www.ncbi.nlm.nih.gov/pubmed/30656687

Rohit A, Brimblecombe J, O’Dea K, Tonkin E, Maypilama L, Maple-Brown L. Development of a short-item diet quality questionnaire for Indigenous mothers and their young children: The Menzies remote short-item dietary assessment tool. The Australian Journal of Rural Health, 2018. 26(3):220-224. http://www.ncbi.nlm.nih.gov/pubmed/29672986

Lee I, Purbrick B, Barzi F, Brown A, Connors C, Whitbread C, Moore E, Kirkwood M, Simmonds A, Van Dokkum P, Death E, Svenson S, Graham S, Hampton V, Kelaart J, Longmore D, Titmuss A, Boyle J, Brimblecombe J, Saffery R, d’Aprano A, Skilton MR, Ward LC, Corpus S, Chitturi S, Thomas S, Eades S, Inglis C, Dempsey K, Dowden M, Lynch M, Oats J, McIntyre D, Zimmet P, O’Dea K, Shaw J, Maple-Brown L. Cohort Profile: The Pregnancy and Neonatal Outcomes in Remote Australia (PANDORA) Study. International Journal of Epidemiology, 2018. 47(4):1045-1046h. http://www.ncbi.nlm.nih.gov/pubmed/29618003


Kirkham R, Boyle J, Whitbread C, Dowden M, Connors C, Corpus S, McCarthy, L, Oats J, McIntyre HD, Moore E, O’Dea K, Brown A, Maple-Brown L. Health services changes to address diabetes in pregnancy in a complex setting: perspectives of health professionals. BMC Health Services, 2017. 17(1):524. http://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2478-7

Kirkham R, Whitbread C, Connors C, Moore E, Boyle J, Richa R, Barzi F, Oats J, Inglis C, Cotter M, McIntyre H D, Dent G, Van Dokkum P, Zimmet P, Shaw J, O’Dea K, Brown A, & Maple-Brown L. Implementation of a Diabetes in Pregnancy Clinical Register in a complex setting: findings from a process evaluation. PLoS One, 2017. 12(8):e0179487. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0179487

Klein J*, Boyle J*, Kirkham R, Connors C, Whitbread C, Oats J, Barzi F, McIntyre D, Lee I, Luey M, Shaw J, Brown A, Maple-Brown L (*These authors contributed equally). Preconception care for women with type 2 diabetes mellitus: A mixed-methods study of provider knowledge and practice. Diabetes Research and Clinical Practice, 2017. 129:105-115. http://www.ncbi.nlm.nih.gov/pubmed/28521194

Whitbread C, Kirkham R, Cheng E, Thorbjornsen E, Maple-Brown L. Diabetes in pregnancy in the Northern Territory. Australian Diabetes Educator, 2017. 20(1):25-29.


Lee I, Maple-Brown L. Global hyperglycaemia in pregnancy and challenges in its management in resource-limited settings. Diabetes Management Journal, 2016. 56: 11-14.


Edwards L, Connors C, Whitbread C, Brown A, Oats J, Maple-Brown L. Improving health service delivery for women with diabetes in pregnancy in remote Australia: Survey of care in the Northern Territory Diabetes in Pregnancy Partnership. The Australian and New Zealand Journal of Obstetrics and Gynaecology, 2014. 54(6):534-40. http://www.ncbi.nlm.nih.gov/pubmed/25308373

Maple-Brown L, Thomas S, Connors C, Whitbread C, Chitturi S. The challenge of managing diabetes in pregnancy in the Northern Territory, Diabetes Management Journal, 2014. 47:32-35.


Maple-Brown L, Brown A, Lee IL, Connors C, Oats J, McIntyre HD, et al. Pregnancy and Neonatal Diabetes Outcomes in Remote Australia (PANDORA) study. BMC Pregnancy & Childbirth, 2013. 13:221. http://www.ncbi.nlm.nih.gov/pubmed/30508095