Strategies to prevent Type 2 Diabetes in the postnatal period in women with history of Gestational Diabetes
1 School of Health Sciences, Institute for Lifecourse Development: Centre for Chronic Illness and Ageing, Faculty of Education, Health & Human Sciences, University of Greenwich, London, UK.
2 Department of Midwifery, University of West Attica, Athens, Greece.
Review Article
World Journal of Advanced Research and Reviews, 2024, 21(03), 470–476
Publication history:
Received on 09 January 2024; revised on 31 January 2024; accepted on 03 February 2024
Abstract:
This literature review emphasizes the critical need for focused interventions to prevent Type 2 Diabetes (T2D) in the postnatal period, particularly for women with a history of Gestational Diabetes Mellitus (GDM). GDM poses a substantial risk, increasing the likelihood of T2D development by 11-fold later in life. With 14% of pregnancies worldwide affected by GDM, the escalating global T2D rates underscore the urgency for targeted postnatal strategies. Current interventions, such as those modelled after the Diabetes Prevention Program (DPP) and the Mediterranean Diet, show promise in reducing T2D risk by over 50%, yet challenges like low engagement persist. To address these complexities, future research should prioritize developing acceptable postnatal interventions, incorporating peer support, addressing barriers, and employing randomized controlled trials with larger participant cohorts. The multidimensional approach involves lifestyle modifications, dietary changes, behaviour change strategies, and exploration of pharmacological options, collectively contributing to a substantial reduction in the long-term T2D risk for women with a history of GDM.
Keywords:
Diabetes; Gestational Diabetes; Prevention; Lifestyle Interventions; Pharmacological Interventions
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Copyright © 2024 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0