Diabetes in pregnancy is considered an internationally neglected health priority for Indigenous women. Australian Aboriginal people do not experience the same health as Australian non-Aboriginal people. The Australian universal health care is not universally provided in rural and remote locations of Australia. Aboriginal women who become pregnant with a diabetes complication are disadvantaged in access to quality antenatal care. They are further disadvantage due to the inequity of diabetes educational services, resulting in poor glycemic control before, during and after the pregnancy. Lack of diabetes education results in a higher prevalence of poor maternal health outcomes than non-Aboriginal women. Further, Aboriginal infants born to mothers with diabetes in pregnancy, have worse health outcomes particularly stillbirth. Health service planning for rural and remote locations in Australia requires the physical buildings, equipment, resources and human resources equal to health services provided to other Australian women. This equity of service to improve access to better care is essential to provide maternity services ‘close to home’ and that are culturally secure for Aboriginal women. Services ‘close to home’ and culturally secure will improve early presentation, improve antenatal care, improve glycemic control, and minimize maternal and infant birth complications. What is the impact for Aboriginal women attending existing maternity services before and after the introduction of the new of the new ADIPS diagnostic and treatment guidelines? What was the impact of the implementation of the new guidelines to health service providers?