Values, principles and research priorities for the implementation of type 2 diabetes prevention after gestational diabetes: A global consensus from Asia, Africa, Americas, Europe and Oceania

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-02-26 DOI:10.1111/dme.70017

Siew Lim, Maureen Makama, Elysa Ioannou, Helen Skouteris, Cynthia Montanaro, Melaku Taye, Bhagiaswari Kodapally, Lisa J. Moran, CHIRP, Ahmed Reja, Sharleen L. O'Reilly, Leanne M. Redman, Elezebeth Mathews, Jacqueline Boyle

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Abstract

Aims

The implementation of type 2 diabetes prevention after gestational diabetes (GDM) is poor despite research evidence on efficacy. This is limited by the lack of knowledge of the priorities in real-world settings from the perspectives of local clinicians and women with lived experiences, particularly those from underserved populations. We report here a global consensus on the values, principles, and research priorities for the implementation of type 2 diabetes prevention in individuals after gestational diabetes (GDM), from the perspectives of clinicians and women from Asia, Africa, Oceania, the Americas, and Europe.

Methods

A team of health professionals and researchers from five continents formed the Cardiometabolic Health Implementation Research in Postpartum individuals (CHIRP) team. The CHIRP team undertook a priority setting process using the Modified Delphi and Nominal Group Technique. Health professionals and women with a lived experience of GDM from five continents were invited to participate. Values, principles, and research priorities were voted on by all participants.

Results

A total of 100 consumers and health professionals from 11 countries across the five continents participated in the consensus process. The top-ranked values and principles were ‘universal access’, ‘evidence-based’, and ‘equity-driven’. The top-ranked research priorities were ‘stress and mental well-being’, ‘information on exercise and diet’, ‘lactation and breastfeeding’, ‘exercise after childbirth’, and ‘physical environment for healthy eating’.

Conclusions

Addressing mental wellbeing through strategies that are universally accessible, evidence-based, and equity-driven will increase the success of the real-world implementation and knowledge translation of type 2 diabetes prevention in women with a history of GDM in global settings.

Abstract Image

查看原文本刊更多论文

妊娠期糖尿病后实施2型糖尿病预防的价值、原则和研究重点：来自亚洲、非洲、美洲、欧洲和大洋洲的全球共识

目的：妊娠期糖尿病（GDM）后预防2型糖尿病的实施情况较差，尽管有研究证据表明其有效性。从当地临床医生和有实际经验的妇女，特别是来自服务不足人群的妇女的角度来看，缺乏对现实环境中优先事项的了解，这一点受到了限制。我们在此报告了从亚洲、非洲、大洋洲、美洲和欧洲的临床医生和妇女的角度，对妊娠糖尿病（GDM）后个体实施2型糖尿病预防的价值、原则和研究重点的全球共识。方法：一组来自五大洲的卫生专业人员和研究人员组成了产后个体心脏代谢健康实施研究（CHIRP）团队。CHIRP团队使用改进的德尔菲和名义组技术进行了优先级设置过程。来自五大洲的保健专业人员和有过GDM亲身经历的妇女被邀请参加。价值观、原则和研究重点由所有参与者投票决定。结果：来自五大洲11个国家的100名消费者和卫生专业人员参与了共识进程。排名靠前的价值观和原则是“普遍获取”、“以证据为基础”和“公平驱动”。排名前几位的研究重点是“压力和心理健康”、“锻炼和饮食信息”、“哺乳和母乳喂养”、“产后锻炼”和“健康饮食的物理环境”。结论：通过普遍可及的、以证据为基础的、公平驱动的策略来解决心理健康问题，将提高全球背景下有GDM病史的女性2型糖尿病预防的现实世界实施和知识转化的成功率。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”