Impact of social support and stress on compliance in women with gestational diabetes

Diabetes Care. 1990 Apr;13(4):441-3. doi: 10.2337/diacare.13.4.441.


Compliance with medical recommendations is especially important for women with gestational diabetes because of the health implications for both mother and fetus. This study examined compliance with two daily self-management tasks, diet and insulin administration, in 98 women with gestational diabetes. Furthermore, the influence of stress and regimen-related social support on compliance was investigated. Results indicate that the level of reported compliance was high for both insulin administration and diet. Fewer minor stressors and greater social support were associated with greater compliance.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Humans
  • Insulin / administration & dosage
  • Insulin / therapeutic use
  • Patient Compliance*
  • Pregnancy
  • Pregnancy in Diabetics / diet therapy
  • Pregnancy in Diabetics / drug therapy
  • Pregnancy in Diabetics / psychology*
  • Regression Analysis
  • Social Environment*
  • Social Support*
  • Stress, Psychological*
  • Surveys and Questionnaires


  • Insulin