Postpartum education and lifestyle changes for preventing type 2 diabetes in Turkish women with previous gestational diabetes: A retrospective study

Int J Nurs Pract. 2016 Oct;22(5):427-435. doi: 10.1111/ijn.12452. Epub 2016 Aug 4.

Abstract

Background: Women with previous gestational diabetes mellitus (GDM) have at least sevenfold increased risk for developing type 2 diabetes compared with non-GDM mothers. The risk can be decreased by self-care measures.

Aim: The aim of this study was to explore the postpartum education and lifestyle changes of Turkish women with previous GDM.

Method: This was a retrospective descriptive epidemiological study. A total of 111 women who had given birth within the previous 3-4 years were interviewed by telephone between December 2013 and April 2014.

Results: The 83.8% of the women with GDM had not received education related to exercise, while 40.5% received no education regarding the importance of diet. More importantly, while 68.5% had been informed about testing blood glucose levels postpartum, a large majority, 69.3%, did not know for how long they would have had to continue testing their glucose levels. However, 31.3% of those who monitored their glucose levels had glucose intolerance. In terms of lifestyle changes, less than half of the women, 48.6%, had made changes in their diet and the majority, 51.4%, were inactive.

Conclusion: Women need access to sustained education and supportive counselling both to motivate and to minimize the risk of type 2 diabetes after GDM.

Keywords: gestational diabetes mellitus; lifestyle changes; nursing and glucose intolerance; postpartum; type 2 diabetes.

MeSH terms

  • Adolescent
  • Adult
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Diabetes, Gestational / physiopathology*
  • Female
  • Humans
  • Life Style*
  • Patient Education as Topic / methods*
  • Postpartum Period*
  • Pregnancy
  • Retrospective Studies
  • Turkey
  • Young Adult