Long-term effects of a diabetes and pregnancy program: does the education last?

Diabetes Care
Denice S FeigGeorge Tomlinson

Abstract

To determine whether women with pregestational diabetes obtained long-term benefits from an intensive diabetes management program during pregnancy. Women with pregestational diabetes who had attended an intensive diabetes management program in pregnancy between 1991 and 1999 were interviewed regarding diabetes self-management behaviors and current glycemic control. A retrospective chart review was done to obtain information on self-management behaviors at entry to the program and at delivery and compared with the present. Comparing entry to the program to delivery, all diabetes self-management behaviors improved significantly, including frequency of self-monitoring of blood glucose, frequency of insulin injections, and frequency and complexity of insulin dose adjustment (IDA). HbA(1c) (A1C) also improved significantly from entry to delivery (mean 0.073-0.060) (P < 0.0001). Comparing entry to the present, frequency of insulin injections improved significantly (P = 0.0004), frequency of IDA improved significantly (P = 0.004), and complexity of IDA improved significantly (P = 0.0032). However, there was no significant change in frequency of self-monitoring of blood glucose (P = 0.766) from before pregnancy to the present, and A1C ...Continue Reading

References

Jun 1, 1986·Diabetes Research and Clinical Practice·K S LamR T Yeung
Apr 1, 1996·American Journal of Obstetrics and Gynecology
Jul 31, 1998·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·C McVeigh
May 16, 2002·American Journal of Perinatology·Bernice R WylieDavid M Thompson
Mar 1, 2003·Diabetes Care·Helen JonesUNKNOWN Diabetes Stages of Change (DiSC) Study

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Citations

Jul 11, 2018·Diabetes Technology & Therapeutics·Sarit PolskyRoy W Beck
Feb 7, 2021·International Journal of Nursing Studies·Katelyn SushkoDiana Sherifali

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