PITstop was adapted following a request from Susan Quinn, DSM from Central Manchester University Hospitals NHS Foundation Trust, who was searching for a practical training course focusing on insulin management and support for women with gestational diabetes and with type 2 diabetes (during preconception and pregnancy). Greenwich University gave permission for the learning outcomes to be adapted and new case studies were developed appropriate to midwifery.
The 2015 NICE NG3 pregnancy guidance and local guidelines, helped the DSMs justify treatment options, including when to start and titrate insulin. The PITstop insulin care pathway and general rules were relevant to women with type 2 diabetes requiring insulin when planning pregnancy.