Lucas Hannah R, Williams Roxann C, Hollar Laura N, Johnson-Javois Bethany, Miller Heidi B, Stoermer Amanda, Colditz Graham A, James Aimee S, Herrick Cynthia J
Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO.
Heritage Medical Associates, Nashville, TN.
Clin Diabetes. 2022 Jan;40(1):39-50. doi: 10.2337/cd21-0016.
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 ( = 36), health care providers ( = 21), and clinic staff ( = 9) from Federally Qualified Health Centers. Five main themes emerged: ) general understanding of GDM diagnosis with focus on neonatal complications; ) variable recall of diet, exercise, and weight recommendations; ) overwhelming medication and self-monitoring routines; ) short-term focus of type 2 diabetes risk and screening; and ) limited understanding of all options for diabetes prevention. The results may inform diabetes screening and prevention interventions in primary care settings.
妊娠期糖尿病（GDM）会增加患2型糖尿病的风险；然而，产后糖尿病筛查率较低。本研究通过半结构化访谈和焦点小组，调查了来自联邦合格健康中心的无保险或公共保险患者（n = 36）、医疗服务提供者（n = 21）和诊所工作人员（n = 9）对GDM的理解及其与未来糖尿病风险和糖尿病预防的关系。出现了五个主要主题：1）对GDM诊断的总体理解，重点是新生儿并发症；2）对饮食、运动和体重建议的不同回忆；3）繁重的药物治疗和自我监测程序；4）对2型糖尿病风险和筛查的短期关注；5）对糖尿病预防所有选择的有限理解。这些结果可能为初级保健机构中的糖尿病筛查和预防干预提供信息。
