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Semin Reprod Med 2020; 38(06): 377-383
DOI: 10.1055/s-0040-1722315
Review Article

Preventing Type 2 Diabetes in Women with Previous Gestational Diabetes: Reviewing the Implementation Gaps for Health Behavior Change Programs

Siew Lim
1   Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, Australia
,
Mingling Chen
1   Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, Australia
,
Maureen Makama
1   Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, Australia
,
Sharleen O'Reilly
1   Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, Australia
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Abstract

Gestational diabetes mellitus (GDM) places a woman at high risk of developing subsequent type 2 diabetes mellitus (T2DM), particularly in the first 5 years postpartum. Engaging women in health behavior change during this period is challenging and current diabetes prevention programs were developed for middle-aged adults, all of which have limited the evidence on successful implementation for this high-risk population. In this review, we will first summarize the effects of existing diabetes prevention programs in women with a history of GDM. Second, we suggest that the programs need to be modified according to the facilitators and barriers faced by this population. Third, we propose that improving program penetration, fidelity, and participation is critical for population-level success. Finally, we outline the research priorities to improve the implementation of diabetes prevention programs for postpartum women with a history of GDM.

Keywords

diabetes prevention - postpartum women - gestational diabetes


Publication History

Article published online:
28 January 2021

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