Beyond one size fits all: Probing patient choices in gestational diabetes management, from screening to postpartum  

作　　者：Ayman Mobin Amir Obeid Imad El-Kebbi Dean Everett Saleh Ibrahim Joviana Farhat Basem Al-Omari 

机构地区：[1]Department of Public Health and Epidemiology,College of Medicine and Health Sciences,Khalifa University of Science and Technology,Abu Dhabi,United Arab Emirates [2]Division of Endocrinology,Sheikh Shakhbout Medical City(SSMC),Abu Dhabi,United Arab Emirates [3]Infection Research Unit,Khalifa University of Science and Technology,Abu Dhabi,United Arab Emirates [4]College of Medicine and Health Sciences,Khalifa University of Science and Technology,Abu Dhabi,United Arab Emirates [5]Center for Biotechnology,Khalifa University of Science and Technology,Abu Dhabi,United Arab Emirates

出　　处：《Chronic Diseases and Translational Medicine》2025年第1期33-45,共13页慢性疾病与转化医学(英文版)

基　　金：Khalifa University of Science,Technology and Research(Grant/Award Numbers:FSU-2023-017,Grant No.8474000490)。

摘　　要：During antenatal care,gestational diabetes mellitus(GDM)screening is crucial for early diagnosis and treatment to ameliorate clinical outcomes and limit health care expenses.Dietary management and physical activity are central to GDM treatment,however,adherence is often influenced by personal preferences,socioeconomic barriers,and psychological stress.Pharmacologically,insulin and oral hypoglycemic medications,are the main GDM treatment that can be subject to patients'resistance due to fears of needles and side effects.Metformin is increasingly preferred for its ease of administration and lower cost.In the postpartum stage,regular screening for type 2 diabetes mellitus(T2DM)should always be considered despite the possible limitations that could arise,including communication gaps,lack of long-term focus,and personal barriers.Overall,women with GDM prefer personalized,flexible management plans that consider their lifestyle,support from health care professionals(HCPs),and family involvement.Addressing psychological and socioeconomic barriers through education,counseling,and support networks is crucial for improving adherence and health outcomes.Enhancing patient-centered care and shared decision-making can empower women with GDM to manage their condition effectively and maintain lifestyle changes postpartum.Therefore,this review aimed to assess pregnant women's preferences in GDM management,focusing on screening,dietary recommendations,physical activity,and treatment.Additionally,this review examined GDM care in terms of these patients'quality of life and postpartum experiences.

关 键 词：gestational diabetes mellitus MEDICATION nonpharmacological treatment patient preferences postpartum care 

分 类 号：R714.256[医药卫生—妇产科学]