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Understanding Gestational Diabetes, Future Diabetes Risk, and Diabetes Prevention: A Qualitative Study of Patient, Provider and Staff Perspectives

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posted on 16.08.2021, 14:11 by Hannah R. Lucas, Roxann C. Williams, Laura N. Hollar, Bethany Johnson-Javois, Heidi B. Miller, Amanda Stoermer, Graham A. Colditz, Aimee S. James, Cynthia J. Herrick
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.

Funding

Alvin J. Siteman Cancer Center

Barnes Jewish Hospital Foundation/WU Institute of Clinical and Translational Sciences

Eunice Kennedy Shriver National Institute of Child Health and Human Development K23HD096204

National Center for Advancing Translational Sciences KL2TR002336

National Heart, Lung, and Blood Institute T35HL007815

National Institute of Diabetes and Digestive and Kidney Diseases T32DK007120

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