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为患有糖尿病的绝经女性提供支持:一场共同设计研究建议的研讨会,旨在增进对患有糖尿病的绝经女性的了解并为其提供支持。

Supporting women with diabetes experiencing menopause: A workshop to co-design research recommendations for improving the understanding of and support for women with diabetes experiencing menopause.

作者信息

Parks Steven, John Nia Otake, Morris Anna, Shah Kamini, Eves Elizabeth, Adams Dawn, Barry Eleanor, Causer Vicki, Churm Rachel, Ahmed-Evans Sahir, Haggett Alex Vienne, Patel Reena, Forde Rita, Reynolds Rebecca

机构信息

Diabetes UK, London, UK.

Wolfson Institute of Population Health, Queen Mary University of London, London, UK.

出版信息

Diabet Med. 2025 May 9:e70039. doi: 10.1111/dme.70039.

Abstract

AIMS

Based on direct feedback on the challenges faced by women with diabetes navigating menopause, the Diabetes Research Steering Groups (DRSGs), organised by Diabetes UK, conducted a workshop aimed at outlining key research priorities in this area. The statement will provide actionable recommendations for researchers and funders, ensuring future studies address the unique needs and lived experiences of women living with diabetes during this life phase. The DRSGs also highlighted the need to bring researchers and healthcare professionals in the field of diabetes together with those working in women's health to collaborate in this field. The goal is to bridge the gap in understanding and support, driving research that informs more effective care strategies and improves quality of life during this critical and often challenging life stage.

METHODS

In November 2023, Diabetes UK convened a workshop on diabetes and menopause, bringing together 49 participants, including people with lived experience, researchers, healthcare professionals, and representatives from charities and funding bodies. The workshop began with presentations from experts and case studies, followed by small-group discussions facilitated by Diabetes UK staff. Participants were asked to identify key evidence gaps and refine research questions related to diabetes and menopause. Groups focused on thematic topics, discussing barriers and potential solutions. Insights from these discussions were collated and thematically analysed, resulting in key recommendations to address health inequalities in diabetes research.

RESULTS

The following key areas were identified for increased future research focus: Improving the understanding of the mechanisms underlying the impact of menopause on blood glucose control in women with diabetes Understanding the safety and efficacy of treatments, technology, and exercise in the management of diabetes and menopause Understanding how to best support women from underserved communities in their management of diabetes and menopause Understanding the impact of menopause on the mental health of women with diabetes and tailoring psychosocial interventions that support women during this period. Supporting healthcare professional education in how to effectively support women with diabetes experiencing menopause. Exploring how innovative models of care can support women with diabetes experiencing menopause more effectively.

CONCLUSIONS

This position statement presents recommendations to address the unmet needs of women with diabetes experiencing menopause. The diabetes research community is to act upon these recommendations to ensure the views and needs of this group are well-represented.

摘要

目标

基于对糖尿病女性经历更年期所面临挑战的直接反馈,由英国糖尿病协会组织的糖尿病研究指导小组(DRSGs)举办了一次研讨会,旨在概述该领域的关键研究重点。该声明将为研究人员和资助者提供可操作的建议,确保未来的研究能够满足糖尿病女性在这一生命阶段的独特需求和生活经历。DRSGs还强调需要将糖尿病领域的研究人员和医疗保健专业人员与从事女性健康工作的人员聚集在一起,在该领域开展合作。目标是弥合理解和支持方面的差距,推动开展能为更有效的护理策略提供信息并改善这一关键且往往具有挑战性的生命阶段生活质量的研究。

方法

2023年11月,英国糖尿病协会召开了一次关于糖尿病与更年期的研讨会,汇聚了49名参与者,包括有实际经历的人、研究人员、医疗保健专业人员以及慈善机构和资助机构的代表。研讨会首先由专家进行演讲和案例分析,随后由英国糖尿病协会工作人员主持小组讨论。参与者被要求确定关键的证据空白,并完善与糖尿病和更年期相关的研究问题。各小组围绕主题展开讨论,探讨障碍和潜在解决方案。对这些讨论的见解进行了整理和主题分析,得出了旨在解决糖尿病研究中健康不平等问题的关键建议。

结果

确定了以下未来需要加大研究力度的关键领域:加深对更年期影响糖尿病女性血糖控制潜在机制的理解;了解治疗、技术和运动在糖尿病与更年期管理中的安全性和有效性;了解如何更好地支持服务不足社区的女性管理糖尿病和更年期;了解更年期对糖尿病女性心理健康的影响,并制定在此期间支持女性的心理社会干预措施;支持医疗保健专业人员开展关于如何有效支持经历更年期的糖尿病女性的教育;探索创新护理模式如何更有效地支持经历更年期的糖尿病女性。

结论

本立场声明提出了满足经历更年期的糖尿病女性未被满足需求的建议。糖尿病研究界应根据这些建议采取行动,以确保该群体的观点和需求得到充分体现。

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