Type 2 diabetes risk communication following a diagnosis of gestational diabetes mellitus: A qualitative study

IF 3.4 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-07-15 DOI:10.1111/dme.70105

Molly Caba, Alison Northern, Amar Virdee, Kamlesh Khunti, Melanie Jane Davies, Michelle Hadjiconstantinou

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引用次数: 0

Abstract

Background

Gestational diabetes mellitus (GDM) increases women's risk of developing type 2 diabetes (T2DM) tenfold. Understanding of T2DM risk in women with GDM is variable and can impact health behaviours. To better understand how T2DM risk is communicated by healthcare professionals, we explored women's experiences of T2DM risk communication and support following a diagnosis of GDM.

Methods

A qualitative study was conducted utilising semi-structured interviews. Participants were 10 women previously diagnosed with GDM. Transcripts were analysed following reflexive thematic analysis guidelines.

Results

Three themes and four sub-themes were created to describe women's experiences of, and responses to, T2DM risk communication and support following a diagnosis of GDM. Minimal T2DM risk communication during GDM and postnatally was a common experience, and as a result, women forgot about their increased risk and felt forgotten by the health service. The lack of correspondence and support further fostered a dearth of knowledge and misunderstandings regarding what T2DM is, how it affects a person's body, and the necessity of preventative actions, all of which could impact women's management of their risk. Several strategies were suggested by women to remedy the currently absent communication and support. This included group education sessions, tangible and digital support resources, providing individualised information, and continuous and harmonious T2DM risk communication from healthcare professionals and health services.

Conclusions

Current deficiencies for communicating T2DM risk and providing avenues of support following a diagnosis of GDM leaves many women feeling under-supported. Improvements to current care are recommended to ameliorate this.

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妊娠期糖尿病诊断后2型糖尿病风险沟通：一项定性研究。

背景：妊娠期糖尿病（GDM）使妇女发生2型糖尿病（T2DM）的风险增加10倍。对患有GDM的女性的T2DM风险的理解是可变的，并且可以影响健康行为。为了更好地了解医护人员是如何沟通T2DM风险的，我们探讨了诊断为GDM的女性在T2DM风险沟通和支持方面的经历。方法：采用半结构化访谈法进行定性研究。参与者是10名之前被诊断为GDM的女性。抄本按照反思性专题分析准则进行分析。结果：创建了三个主题和四个子主题来描述女性在诊断为GDM后的T2DM风险沟通和支持的经历和反应。在妊娠糖尿病期间和产后很少进行2型糖尿病风险沟通是一种常见的经历，因此，妇女忘记了她们增加的风险，并感到被卫生服务机构遗忘。通信和支持的缺乏进一步助长了对什么是2型糖尿病、它如何影响一个人的身体以及预防措施的必要性的知识和误解的缺乏，所有这些都可能影响女性对其风险的管理。妇女提出了若干战略，以弥补目前缺乏的沟通和支持。这包括小组教育会议、有形和数字支持资源、提供个性化信息，以及由保健专业人员和保健服务机构进行持续和和谐的2型糖尿病风险沟通。结论：目前在T2DM风险沟通和GDM诊断后提供支持途径方面的不足使许多妇女感到得不到支持。建议改进目前的护理以改善这种情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.”