Understanding Gestational Diabetes, Future Diabetes Risk, and Diabetes Prevention: A Qualitative Study of Patient, Provider, and Staff Perspectives
- 1 January 2022
- journal article
- Published by American Diabetes Association in Clinical Diabetes
- Vol. 40 (1), 39-50
- https://doi.org/10.2337/cd21-0016
Abstract
Gestational diabetes mellitus (GDM) increases type 2 diabetes risk; however, postpartum diabetes screening rates are low. Using semi-structured interviews and focus groups, this study investigates the understanding of GDM and its relationship to future diabetes risk and diabetes prevention among patients with public or no insurance (n = 36), health care providers (n = 21), and clinic staff (n = 9) from Federally Qualified Health Centers. Five main themes emerged: 1) general understanding of GDM diagnosis with focus on neonatal complications; 2) variable recall of diet, exercise, and weight recommendations; 3) overwhelming medication and self-monitoring routines; 4) short-term focus of type 2 diabetes risk and screening; and 5) limited understanding of all options for diabetes prevention. The results may inform diabetes screening and prevention interventions in primary care settings.Keywords
Other Versions
This publication has 27 references indexed in Scilit:
- Reasons for women's non-participation in follow-up screening after gestational diabetesWomen and Birth, 2015
- Identifying Postpartum Intervention Approaches to Reduce Cardiometabolic Risk Among American Indian Women With Prior Gestational Diabetes, Oklahoma, 2012–2013Preventing Chronic Disease, 2015
- The Effect of Lifestyle Intervention and Metformin on Preventing or Delaying Diabetes Among Women With and Without Gestational Diabetes: The Diabetes Prevention Program Outcomes Study 10-Year Follow-UpJournal of Clinical Endocrinology & Metabolism, 2015
- The Subjective Impact of a Diagnosis of Gestational Diabetes Among Ethnically Diverse Pregnant Women: A Qualitative StudyCanadian Journal of Diabetes, 2015
- Understanding Why Some Women with a History of Gestational Diabetes Do Not Get Tested for DiabetesWomen's Health Issues, 2014
- Prevalence Estimates of Gestational Diabetes Mellitus in the United States, Pregnancy Risk Assessment Monitoring System (PRAMS), 2007–2010Preventing Chronic Disease, 2014
- Perceptions Among Women With Gestational DiabetesQualitative Health Research, 2014
- Practice Bulletin No. 137Obstetrics & Gynecology, 2013
- Postpartum Screening for Diabetes among Medicaid-Eligible South Carolina Women with Gestational DiabetesWomen's Health Issues, 2012
- Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or MetforminThe New England Journal of Medicine, 2002