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Preventing Type 2 Diabetes in Women with Previous Gestational Diabetes: Reviewing the Implementation Gaps for Health Behavior Change Programs
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posted on 2020-11-01, 00:00 authored by S Lim, M Chen, M Makama, Sharleen O'ReillySharleen O'ReillyAbstractGestational diabetes mellitus (GDM) places a woman at high risk of developing subsequent type 2 diabetes mellitus (T2DM), particularly in the first 5 years postpartum. Engaging women in health behavior change during this period is challenging and current diabetes prevention programs were developed for middle-aged adults, all of which have limited the evidence on successful implementation for this high-risk population. In this review, we will first summarize the effects of existing diabetes prevention programs in women with a history of GDM. Second, we suggest that the programs need to be modified according to the facilitators and barriers faced by this population. Third, we propose that improving program penetration, fidelity, and participation is critical for population-level success. Finally, we outline the research priorities to improve the implementation of diabetes prevention programs for postpartum women with a history of GDM.
History
Journal
Seminars in Reproductive MedicineVolume
38Issue
6Pagination
377 - 383Publisher
Thieme Medical PublishersLocation
New York, N.Y.Publisher DOI
ISSN
1526-8004eISSN
1526-4564Language
EnglishPublication classification
C1 Refereed article in a scholarly journalUsage metrics
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