Dietary digital tools to support self-management of gestational diabetes mellitus: a systematic literature review

Women diagnosed with gestational diabetes mellitus (GDM) are more likely to later develop diabetes. Evidence from some previous reviews suggests that low vitamin D status during pregnancy increases the risk of developing GDM, but whether vitamin D during pregnancy also influences the risk of diabetes post GDM is less well studied. Thus, the aim of this systematic literature review was to summarize the current available literature on that topic. This review considered observational studies and randomized controlled trials (RCTs). Five databases were searched. The risk of bias of the included studies was assessed. A total of six studies were included: three observational studies and three RCTs. Findings were inconsistent across the six included studies. However, when considering RCTs only, the findings more strongly suggested that vitamin D supplementation during and after pregnancy did not have an influence on markers of diabetes development or diabetes development post GDM. This systematic review highlights inconsistent findings on the associations between vitamin D supplementation or concentration during and after pregnancy and markers of diabetes development or diabetes development post GDM; and although results from randomized interventional studies more strongly suggested no associations, the conclusion holds a high degree of uncertainty.

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Effectiveness and Usability of Digital Tools to Support Dietary Self-Management of Gestational Diabetes Mellitus: A Systematic Review

Nutrients ◽

10.3390/nu14010010 ◽

2021 ◽

Vol 14 (1) ◽

pp. 10

Author(s):

Nurudeen Adesina ◽

Huseyin Dogan ◽

Sue Green ◽

Fotini Tsofliou

Keyword(s):

Diabetes Mellitus ◽

Systematic Review ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Digital Tools ◽

Self Management ◽

Cochrane Library ◽

Dietary Advice ◽

Dietary Management ◽

Web Based

Advice on dietary intake is an essential first line intervention for the management of gestational diabetes mellitus (GDM). Digital tools such as web-based and smartphone apps have been suggested to provide a novel way of providing information on diet for optimal glucose regulation in women with GDM. This systematic review explores the effectiveness and usability of digital tools designed to support dietary self-management of GDM. A systematic search of Medline, Embase,Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, and Scopus using key search terms identified 1476 papers reporting research studies, of which 16 met the specified inclusion criteria. The quality of the included studies was assessed using the ErasmusAGE Quality Score or the Mixed Methods Appraisal Tool (MMAT) version 2018. The findings show that the adoption of digital tools may be an effective approach to support self-management relating to healthy diet, health behaviour, and adherence to therapy in women with GDM as a usable intervention. However, there is a lack of evidence concerning the effectiveness of tools to support the dietary management of GDM. Consideration for ethnic specific dietary advice and evidence-based frameworks in the development of effective digital tools for dietary management of GDM should be considered as these aspects have been limited in the studies reviewed.

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Effects of a Web-Based Self-Management Program on the Behavior and Blood Glucose Levels of Women with Gestational Diabetes Mellitus

Telemedicine Journal and e-Health ◽

10.1089/tmj.2017.0332 ◽

2019 ◽

Vol 25 (5) ◽

pp. 407-414 ◽

Cited By ~ 3

Author(s):

Yun-Su Kim ◽

Hee-Seung Kim ◽

Yoo-Lee Kim

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Management Program ◽

Self Management ◽

Web Based ◽

Glucose Levels ◽

Blood Glucose Levels

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Development and Evaluation of an Integrated Self-Management Program for Women with Gestational Diabetes Mellitus

JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH ◽

10.21896/jksmch.2013.17.1.1 ◽

2013 ◽

Vol 17 (1) ◽

pp. 1-14

Author(s):

김희숙

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Management Program ◽

Self Management

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METODE PENINGKATKAN SELF MANAGEMENT PASIEN DIABETES MELLITUS: SYSTEMATIC REVIEW

Healthcare Nursing Journal ◽

10.35568/healthcare.v2i1.527 ◽

2019 ◽

Vol 2 (1) ◽

Author(s):

Heri Budiawan

Keyword(s):

Diabetes Mellitus ◽

Systematic Review ◽

Literature Review ◽

Systematic Literature Review ◽

Peer Coaching ◽

Google Scholar ◽

Self Management ◽

Randomize Control Trial ◽

Peer Leader

Pendahuluan : Penerapan program self-management perlu penyesuaian dengan berbagai aspek termasuk aspek sistem, biaya, efektifitas, hambatan dan dukungan dari pihak-pihak terkait. Oleh karena itu, review mengenai efektifitas self management pada pasien diabetes mellitus sangat diperlukan sebagai landasan dalam pengembangan metode peningkatan program self management sesuai dengan kebutuhan masing-masing penderita penyakit diabetes mellitus. Objektif : Study yang dilakukan bertujuan untuk melakukan systematic review mengenai metode yang dapat meningkatkan self management pada pasien diabetes mellitus. Metode : Metode yang digunakan dalam penelusura sumber data pada systematic literature review ini yaitu dengan penulusuran database terdiri dari Google Scholar, Pubmed, Ebsco. Artikel diseleksi berdasarkan kriteria inklusi dan melakukan critical apraisel pada setiap artikel. Hasil : Berdasarkan hasil pencarian ditetapkan 10 artikel dengan design Kuantitatif Randomize Control Trial publikasi 10 tahun terakhir (2009-2019) mengenai artikel yang berhubungan dengan peningkatan self management pada pasien dengan diabetes mellitus. Kesimpulan : Metode peningkatan self management pasien diabetes mellitus diantaranya Kunjungan kelompok dan bimbingan kelompok berbasis komunitas, peer coaching dan peer leader, motivasi, dukungan berbasis teknologi.

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