cd21-0016_Supplementary_Materials.docx (43.06 kB)
Download fileUnderstanding Gestational Diabetes, Future Diabetes Risk, and Diabetes Prevention: A Qualitative Study of Patient, Provider and Staff Perspectives
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posted on 2021-08-16, 14:11 authored 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. HerrickGestational 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.