Diabetes during pregnancy and perinatal outcomes among First Nations women in Ontario, 2002/03–2014/15: a population-based cohort study

Vélez, Maria P.; Slater, Morgan; Griffiths, Rebecca; Shah, Baiju R.; Sutherland, Roseanne; Jones, Carmen; Jacklin, Kristen; Walker, Jennifer; Green, Michael E.

doi:10.9778/cmajo.20190195

Cited by 8 publications

(8 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Suboptimal glycemic control around conception increases the risks of congenital malformations, spontaneous abortion, and fetal death 28,127,129–137 . A planned pregnancy in a person with diabetes in optimal glycemic control and good health carries only slightly higher risks than those in the general population but not as elevated as previously reported in those with suboptimal glycemic control.…”

Section: Sexual Healthmentioning

confidence: 96%

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes in adolescence

et al. 2022

View full text Add to dashboard Cite

Section: Sexual Healthmentioning

confidence: 96%

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes in adolescence

et al. 2022

View full text Add to dashboard Cite

“…It was observed that these adverse perinatal outcomes were more commonly seen in a hospital serving the Aboriginal people in Northwest Ontario [12]. A study by Vélez et al, published in 2020, provides data showing that the Aboriginal communities also have the burden of undiagnosed type 2 diabetes in women of reproductive age that becomes apparent only during their first prenatal visit to the obstetrician [13].…”

Section: Disparities In Age and Gendermentioning

confidence: 99%

“…There are many programs for financial aid for indigenous communities, but even with these, there are other barriers to accessing healthcare such as their geographic location and transportation facilities, especially during Canadian harsh winters [26]. Even though the number of visits to a primary care physician was adequate, access to specialized care was limited [13]. Diabetes is a complex disease affecting many parts of the body, and specialists such as endocrinologists, ophthalmologists, and podiatrists are needed for the adequate management of diabetes.…”

Section: Challenges In Management Of Diabetesmentioning

confidence: 99%

The Growing Epidemic of Diabetes Among the Indigenous Population of Canada: A Systematic Review

Cheran¹,

Murthy²,

Bornemann³

et al. 2023

Cureus

View full text Add to dashboard Cite

Diabetes is one of the most well-known and well-researched non-communicable diseases known to humankind. The goal of this article is to show that the prevalence of diabetes is constantly increasing among indigenous people, a major population subgroup in Canada. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to conduct this systematic review, and the databases used were PubMed and Google Scholar. Studies that were published in the last 15 years (2007-2022) were selected for this review, and after applying the inclusion and exclusion criteria, screening, and removing duplicates, 10 articles were selected for the final review -three qualitative studies, three observational studies, and four studies without a specified methodology. We used the JBI (Joanna Briggs Institute) checklist, NOS (Newcastle-Ottawa Scale) checklist, and SANRA (Scale for the Assessment of Narrative Review) checklist for quality assessment. We found that all the articles showed that the prevalence of diabetes is increasing in all the Aboriginal communities despite all the interventional programs already in place. Rigorous health plans, health education, and wellness clinics for primary prevention can all be effective in reducing the potential risks of diabetes. More studies exploring the prevalence, effects, and outcomes of diabetes in the indigenous population of Canada are needed to effectively understand the disease and its complications in this group.

show abstract

“…More recent estimates suggest that in high-income countries, pre-existing diabetes occurs in seven to 15 per 1000 pregnancies [ 12 , 13 ]. A population-based cohort study in Ontario, Canada found the rate of pre-existing diabetes in pregnancy significantly increased in non-Indigenous women from 13.9 to 20.5 per 1000 deliveries from 2002 to 2015 ( p < 0.001), while the rates for Indigenous women were 40.5 per 1000 deliveries in 2015 [ 14 ]. Considerations for this increasing and changing demographic include less frequent exposure to preconception planning and a shorter duration of the condition in women with T2D [ 15 ], which may lead to less preparedness for the intense self-management requirements of pregnancy [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of diabetes distress during pregnancy in women with type 1 and type 2 diabetes: a qualitative interpretive description study

Tschirhart,

Landeen,

Yost

et al. 2024

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Diabetes distress is commonly seen in adults with pre-existing diabetes and is associated with worsened glycemic management and self-management practices. While a majority of women report increased stress during pregnancy, it is unknown how women with type 1 or type 2 diabetes experience diabetes distress during this unique and transitional time. Purpose This study aimed to understand the experiences and perceptions of diabetes distress in women with pre-existing diabetes during pregnancy. Methods A qualitative study using an interpretive description approach was conducted. In-depth, one to one interviewing was used to capture rich descriptions of the pregnancy experience. Nested, stratified, and theoretical sampling was used to recruit 18 participants with type 1 and type 2 diabetes from the quantitative strand of this mixed methods study. Constant comparative analysis was used to inductively analyze the data and develop themes. Findings Four themes, each with several subthemes, emerged under the main finding of “Diabetes Distress”: 1) Worry for Baby’s Health – “What’s this going to do to the baby?”’ 2) Feeling Overwhelmed with Diabetes Management—“It just seemed unattainable”; 3) Living with Diabetes – “There’s no way out” and 4) Cycle of Diabetes Distress. Conclusions The findings from this study identify the sources and experiences of diabetes distress during pregnancy in women with pre-existing diabetes. Diabetes distress often presents as cyclical and multifaceted during pregnancy, with elements of fear for the unborn baby, difficulties with diabetes management, and having negative lived experiences of diabetes. Further work is needed to develop appropriate screening tools for pregnancy and interventions to mitigate diabetes distress. Diabetes educators are well-positioned provide emotional support and person-centred self-management education to individuals with diabetes.

show abstract

Diabetes during pregnancy and perinatal outcomes among First Nations women in Ontario, 2002/03–2014/15: a population-based cohort study

Cited by 8 publications

References 20 publications

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes in adolescence

ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes in adolescence

The Growing Epidemic of Diabetes Among the Indigenous Population of Canada: A Systematic Review

Perceptions of diabetes distress during pregnancy in women with type 1 and type 2 diabetes: a qualitative interpretive description study

Contact Info

Product

Resources

About