Lifestyle modifications in the development of diabetes mellitus and metabolic syndrome in Chinese women who had gestational diabetes mellitus: a randomized interventional trial

Shek, Noel Wan Man; Ngai, C. S. W.; Lee, Chin Peng; Chan, Jane; Lao, Terence T.

doi:10.1007/s00404-013-2971-0

Cited by 58 publications

(80 citation statements)

References 35 publications

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“…Also, the percentage of pregnant women who are performing exercise is 34.0%. Life style change is very important for women with GDM, as studies showed that changing life style decreases the probability of type 2 DM among GDM women [20]. Shek, et al 2014 in their randomized intervention study showed that lifestyle intervention can reduce the development of type 2 DM and metabolic syndrome among Chinese women who had GDM.…”

Section: Discussionmentioning

confidence: 99%

Gestational diabetes prevalence and risk factors among pregnant women — Jazan Region, Saudi Arabia

Abdelmola

Mahfouz

Gahtani

et al. 2017

Clinical Diabetology

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Section: Discussionmentioning

confidence: 99%

Gestational diabetes prevalence and risk factors among pregnant women — Jazan Region, Saudi Arabia

Abdelmola

Mahfouz

Gahtani

et al. 2017

Clinical Diabetology

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“…However, only a small number received a copy of the discharge letter sent to their GP, which summarized these verbal communications, and none have received additional written information on the risk of development of type 2 DM and adoption of a healthy lifestyle. Studies have demonstrated that lifestyle modifications including weight loss, healthy diet, and moderate exercise can reduce the risk of developing type 2 DM in high risk subjects [16, 17] and also in women with a history of GDM [18–20]. For this reason, during the six-weeks postpartum visit all women with a history of GDM received information about the benefits of weight management and moderate physical activity.…”

Section: Discussionmentioning

confidence: 99%

Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives

Koning

Lutgers

Hoogenberg

et al. 2016

J Diabetes Metab Disord

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BackgroundIncidence of type 2 diabetes is high after gestational diabetes mellitus (GDM). We aimed to evaluate the adherence to follow-up six-weeks postpartum visits in secondary care after GDM and glucose monitoring in primary care longer than 12–14 months after delivery and the years thereafter. In addition, we examined the women’s lifestyle after delivery.MethodsA cross-sectional follow-up survey among women with a history of GDM and their general practitioners (GP). Rates of attendance at the six-weeks postpartum visit and glucose testing were obtained from hospital records, over the period 2011–2012. Rates of annual follow-up postpartum glucose testing were assessed by a survey among their GP’s. Lifestyle of the women on diet and exercise was assessed by questionnaire in 2015.ResultsIn total 197 women were eligible for the study. Of these, 156 (79%) attended the six-weeks postpartum visit at the diabetes outpatient clinic and in 145 (93%) of these women glucose testing was performed. In total 77 (39%) women responded to the invitation to participate in this study and filled in the lifestyle questionnaire. About one third of the women met the recommendations for sufficient physical activity. A majority of them did not fulfil the Dutch guidelines on healthy diet – fruit intake 35.1%, vegetables intake 7.8%. Of the 74 invited GP’s, 61 responded (82%), only 12 (20%) reported that they had performed a follow-up glucose testing within >12–14 months postpartum. Of these women, five were tested only in the first year of follow-up, five also in the second year, and two were tested for three consecutive years.ConclusionsDespite the high attendance rate of six-weeks postpartum visit and glucose testing, we observed low rates of longer-term follow-up regarding postpartum glucose testing. Moreover, we found a suboptimal adherence to healthy lifestyle for women with a history of GDM.

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“…One interventional trial in Asia, which involved Chinese women with previous GDM who had impaired glucose tolerance on postpartum OGTT, offered advice on diet and exercise [103]. Fewer women who were provided the lifestyle intervention developed postpartum diabetes during a 3-year follow-up period compared with the control group, but this was without statistical significance (15% vs. 19%, p value not given).…”

Section: Interventional Modalities In Women With Gdmmentioning

confidence: 99%

Prevention of type 2 diabetes mellitus in women with previous gestational diabetes mellitus

Moon

Kwak

Jang

2017

Korean J Intern Med

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Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset or first recognition during pregnancy, is characterized by underlying maternal defects in the β-cell response to insulin during pregnancy. Women with a previous history of GDM have a greater than 7-fold higher risk of developing postpartum diabetes compared with women without GDM. Various risk factors for postpartum diabetes have been identified, including maternal age, glucose levels in pregnancy, family history of diabetes, pre-pregnancy and postpartum body mass index, dietary patterns, physical activity, and breastfeeding. Genetic studies revealed that GDM shares common genetic variants with type 2 diabetes. A number of lifestyle interventional trials that aimed to ameliorate modifiable risk factors, including diet, exercise, and breastfeeding, succeeded in reducing the incidence of postpartum diabetes, weight retention, and other obesity-related morbidities. The present review summarizes the findings of previous studies on the incidence and risk factors of postpartum diabetes and discusses recent lifestyle interventional trials that attempted to prevent postpartum diabetes.

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Lifestyle modifications in the development of diabetes mellitus and metabolic syndrome in Chinese women who had gestational diabetes mellitus: a randomized interventional trial

Cited by 58 publications

References 35 publications

Gestational diabetes prevalence and risk factors among pregnant women — Jazan Region, Saudi Arabia

Gestational diabetes prevalence and risk factors among pregnant women — Jazan Region, Saudi Arabia

Postpartum glucose follow-up and lifestyle management after gestational diabetes mellitus: general practitioner and patient perspectives

Prevention of type 2 diabetes mellitus in women with previous gestational diabetes mellitus

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