scholarly journals The GooD Pregnancy Network: An Alternative Approach for Gestational Diabetes

BioMed ◽  
2022 ◽  
Vol 2 (1) ◽  
pp. 37-49
Author(s):  
Amaju Ikomi ◽  
Shaheen Mannan
Keyword(s):  
Gestational Diabetes ◽  
Clinical Outcomes ◽  
Healthy Lifestyle ◽  
Public Awareness ◽  
Lifestyle Changes ◽  
University Hospital ◽  
Research Recruitment ◽  
The United Kingdom ◽  
Basic Care ◽  
Antenatal Clinics

Basildon and Thurrock University Hospital in the East of England region of the United Kingdom (UK) witnessed rapidly increasing numbers of pregnant women with diabetes, causing overburdened specialist clinics, poorer patient experience and worsening clinical outcomes. This prompted the multidisciplinary team’s remodelling of care pathways, launching the General ownership of Diabetes (GooD) Pregnancy Network in 2014. Contrary to the conventional limitation of care to specialist diabetes antenatal clinics, this novel initiative highlights the contemporary necessity to equip and empower all maternity stakeholders to deliver the basic care of gestational diabetes (GDM). It strategically connects a Midwife Tele-Clinic “hub” to Educating Gestational Diabetics Group Sessions (EGGS) and standard antenatal clinics. Patients were key partners, regularly participating in feedback surveys and promoting public awareness by co-producing local newspaper articles that served up their stories as case studies. Furthermore, the EGGS “faculty” includes a former GDM patient whose video testimony has inspired almost 2000 patients and their families, aiming to foster long term healthy lifestyle changes. The final summative evaluation in November 2019 showed the new culture of wider consciousness has shortened the “diagnosis to first consultation” intervals and eliminated overbooked specialist clinics (none since January 2016), without further worsening of clinical outcomes. It also boosted research recruitment and avoided additional running costs to the tune of GBP 66,384 a year.

scholarly journals The Good Pregnancy Network: An Alternative Approach for Gestational Diabetes

2022 ◽  
Author(s):  
Amaju Ikomi ◽  
Shaheen Mannan
Keyword(s):  
Gestational Diabetes ◽  
Clinical Outcomes ◽  
Healthy Lifestyle ◽  
Public Awareness ◽  
Lifestyle Changes ◽  
University Hospital ◽  
Research Recruitment ◽  
The United Kingdom ◽  
Basic Care ◽  
Antenatal Clinics

Basildon and Thurrock University Hospital in the East of England region of the United Kingdom (U.K), witnessed rapidly increasing numbers of pregnant women with diabetes, causing overburdened specialist clinics, poorer patient experience and worsening clinical outcomes. This prompted the multidisciplinary team’s remodelling of care pathways, launching the General ownership of Diabetes (GooD) Pregnancy Network in 2014. Contrary to conventional limitation of care to specialist diabetes antenatal clinics, this novel initiative highlights contemporary necessity to equip and empower all maternity stakeholders to deliver basic care of gestational diabetes (GDM). It strategically connects a Midwife Tele-Clinic “hub” to Educating Gestational diabetics Group Sessions (EGGS) and standard antenatal clinics. Patients were key partners, regularly participating in feedback surveys and promoting public awareness by co-producing local newspaper articles that served up their stories as case studies. Furthermore, the EGGS “faculty” includes a former GDM patient whose video testimony has inspired almost 2000 patients and their families; aiming to foster long term healthy lifestyle changes. Final summative evaluation in November 2019 showed the new culture of wider consciousness has shortened ‘diagnosis to first consultation’ intervals and eliminated overbooked specialist clinics (none since January 2016), without further worsening of clinical outcomes. It also boosted research recruitment and avoided additional running costs to the tune of £66,384 a year.

scholarly journals The Good Pregnancy Network: An Alternative Approach for Gestational Diabetes

2021 ◽  
Author(s):  
Amaju Ikomi ◽  
Shaheen Mannan
Keyword(s):  
Gestational Diabetes ◽  
Clinical Outcomes ◽  
Healthy Lifestyle ◽  
Public Awareness ◽  
Lifestyle Changes ◽  
University Hospital ◽  
Research Recruitment ◽  
Basic Care ◽  
Alternative Approach ◽  
Antenatal Clinics

Basildon and Thurrock University Hospital witnessed rapidly increasing numbers of pregnant women with diabetes, causing overburdened specialist clinics, poorer patient experience and worsening clinical outcomes. This prompted the multidisciplinary team’s remodelling of care pathways, launching the General ownership of Diabetes (GooD) Pregnancy Network in 2014. Contrary to conventional limitation of care to specialist diabetes antenatal clinics, this novel initiative highlights contemporary necessity to equip and empower all maternity stakeholders to deliver basic care of gestational diabetes (GDM). It strategically connects a Midwife Tele-Clinic “hub” to Educating Gestational diabetics Group Sessions (EGGS) and standard antenatal clinics. Patients were key partners, regularly participating in feedback surveys and promoting public awareness by co-producing local newspaper articles that served up their stories as case studies. Furthermore, the EGGS “faculty” includes a former GDM patient whose video testimony has inspired almost 2000 patients and their families; aiming to foster long term healthy lifestyle changes. Final summative evaluation in November 2019 showed the new culture of wider consciousness has shortened ‘diagnosis to first consultation’ intervals, eliminated overbooked specialist clinics (none since January 2016), substantially improved clinical outcomes, boosted research recruitment and avoided additional running costs to the tune of £66,384 a year.

scholarly journals MON-LB8 A Preconception Lifestyle Intervention Maintained Throughout Pregnancy Improves Some Gestational and Neonatal Outcomes in Women With Obesity and Infertility

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Mehdi Rouissi ◽  
Marie-Andrée Lévesque ◽  
Marie-Christine Hébert ◽  
Farrah Jean-Denis ◽  
Matea Belan ◽  
...  
Keyword(s):  
Gestational Diabetes ◽  
Clinical Outcomes ◽  
Healthy Lifestyle ◽  
Neonatal Outcomes ◽  
Control Group ◽  
Childbearing Age ◽  
Neonatal Complications ◽  
Gestational Weight ◽  
Lifestyle Program ◽  
Significant Difference

Abstract Background : Obesity in women of childbearing age is associated with infertility and increases significantly the risks of many pregnancy and neonatal complications. Adopting a healthy lifestyle prior conception and maintaining it during pregnancy may reduce these complications. Our aim was therefore to determine whether a lifestyle program targeting women with obesity and infertility and maintained during pregnancy improves gestational and neonatal outcomes. Methods : We report on 46 women who became pregnant and had available outcome data during pregnancy and at birth, among 127 women with infertility and obesity (body mass index, BMI ≥30 kg/m²), or overweight with PCOS (BMI ≥27 kg/m²), who were enrolled in a lifestyle randomized-controlled trial. Participants were randomized to the control group (CG, n=20), who received standard of care, or the lifestyle group (LSG, n=26), who followed a lifestyle program alone for 6 months, and then in combination with usual fertility care for 18 months or until the end of pregnancy. Pregnancy and neonatal outcomes were retrospectively retrieved from mothers’ and newborns’ medical records. Results : At enrollment, both groups were similar for age (29.3 vs 31.0 years), BMI (38.7 vs 38.4 kg/m2) and waist circumference (113.7 vs 112.7 cm). Preconception weight loss was significantly higher in the LSG compared to the CG (4.86 kg vs 1.21 kg, p=0.013), but gestational weight gains were similar (+10.83 vs +10.52 kg, p=0.987). During pregnancy, groups did not differ for the rates of preeclampsia, gestational diabetes or other clinical outcomes, but significantly less women in the LSG required insulin for treatment of their gestational diabetes (12.5% vs 42.1%, p=0.027) as well as urgent cesarean section due to failure of vaginal delivery (0.0% vs 21.1%, p=0.021). Regarding neonatal outcomes, there was no significant difference between groups for gestational age, weight at birth and head circumference, as well as rates of prematurity, LGA, SGA, birth defects or other clinical outcomes, but babies from the LSG displayed significantly lower tricipital skinfolds (4.73 mm vs 5.72 mm, p=0.031) and trends for lower sum of four skinfolds (16.61 mm vs 19.06 mm, p=0.056) and increased length at birth (50.82 cm vs 49.63 cm, p=0,053). Conclusion : In women with obesity and infertility, our lifestyle program initiated prior to fertility treatments and maintained throughout pregnancy improved their preconception weight and lifestyle, but not their gestational weight gain. Such intervention was nonetheless effective to reduce significantly some clinically relevant pregnancy and neonatal complications. If these results are replicated in a larger sample, it would strongly suggest that women with obesity should be supported to adopt a healthy lifestyle prior conception in order to increase their likelihood of giving birth to a healthy baby.

Established Social Support Systems Trumps Peer Counselling Support in Helping Women who Experienced Gestational Diabetes Adhere to Healthy Lifestyle Changes

2017 ◽  
Vol 41 (5) ◽  
pp. S80-S81
Author(s):  
Meghan Ingstrup ◽  
Lisa A. Wozniak ◽  
Nonsikelelo Mathe ◽  
Abdulrhman Alghamdi ◽  
Lauren Cormier ◽  
...  
Keyword(s):  
Social Support ◽  
Gestational Diabetes ◽  
Support Systems ◽  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Peer Counselling ◽  
Social Support Systems

scholarly journals Diet and Healthy Lifestyle in the Management of Gestational Diabetes Mellitus

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3050
Author(s):  
Louise Rasmussen ◽  
Charlotte Wolff Poulsen ◽  
Ulla Kampmann ◽  
Stine Bech Smedegaard ◽  
Per Glud Ovesen ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Healthy Lifestyle ◽  
Postprandial Glucose ◽  
Lifestyle Changes ◽  
Large For Gestational Age ◽  
Birth Complications ◽  
Beneficial Effects

Gestational diabetes mellitus (GDM) among pregnant women increases the risk of both short-term and long-term complications, such as birth complications, babies large for gestational age (LGA), and type 2 diabetes in both mother and offspring. Lifestyle changes are essential in the management of GDM. In this review, we seek to provide an overview of the lifestyle changes which can be recommended in the management of GDM. The diet recommended for women with GDM should contain sufficient macronutrients and micronutrients to support the growth of the foetus and, at the same time, limit postprandial glucose excursions and encourage appropriate maternal gestational weight gain. Blood glucose excursions and hyperglycaemic episodes depend on carbohydrate-intake. Therefore, nutritional counselling should focus on the type, amount, and distribution of carbohydrates in the diet. Further, physical activity has beneficial effects on glucose and insulin levels and it can contribute to a better glycaemic control.

An evaluation of lifestyle changes in Turkish cancer patients after diagnosis.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e20503-e20503
Author(s):  
Perran Fulden Yumuk ◽  
Benan Kahraman ◽  
Merve Yilmaz ◽  
Melike Koyyeri ◽  
Merve Binici ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Healthy Lifestyle ◽  
Multiple Choice ◽  
Lifestyle Changes ◽  
University Hospital ◽  
Face To Face ◽  
Coping With Cancer ◽  
Ethical Committee Approval ◽  
Diagnosis Of Cancer ◽  
Oncology Unit

e20503 Background: To determine lifestyle changes in cancer patients after the diagnosis of malignancy. Methods: Between March 16th and September 30th, 2011, a questionnaire consisting of 20 questions was administered via a face-to-face interview to 150 patients at the Marmara University Hospital Oncology Unit. Each patient was queried during the administration of their chemotherapy. Six of the questions were independent choices, and 14 were dependent (multiple choice). A local ethical committee approval is obtained. Results: Of the 150 patients, 70 (46%) were male and 80 were female, and their median age was 55 (range 22-82) years old. An unusually large percentage (28%) of the patients reported that they did not know their diagnosis, and in another question 25% reported that they did not want to talk about their illness. Following their diagnosis, 71% of males and 50% of females reported that they were complying with guidelines for a healthy lifestyle, and 19% of the patients said that they were eating healthier food. At the time they filled out the questionnaire, 61% said that they were hopeful; however, close to 10% said that they felt hopeless. Approximately 53% of the participants said that following their diagnosis, they had a more sympathetic view of the underserved and underprivileged. Conclusions: It was surprising that an unexpectedly high percentage of the respondents reported that they did not make any changes in their lifestyles after their diagnosis of cancer, including eating healthier food. It appears Turkish cancer patients are coping with cancer in different means and ways than we expected of them.

scholarly journals Rising Burden of Obesity in Asia

2010 ◽  
Vol 2010 ◽  
pp. 1-8 ◽  
Author(s):  
Ambady Ramachandran ◽  
Chamukuttan Snehalatha
Keyword(s):  
Healthy Lifestyle ◽  
Public Awareness ◽  
Overweight And Obesity ◽  
Lifestyle Changes ◽  
Asian Countries ◽  
Asian Populations ◽  
National Programmes ◽  
Younger Age ◽  
Causative Factors ◽  
Health Care Burden

Overweight and obesity have reached epidemic proportions in many Asian countries. These countries also face a grave burden of obesity-related disorders such as diabetes, hypertension, and cardiovascular diseases, which develop at a younger age than in Western populations. These disorders are also manifested in childhood. The major causative factors are related to the lifestyle changes occurring due to rapid socioeconomic transition. Asian populations show several differences in genetic factors when compared with the white population, and they also have lower cut points for environmental risk factors. National programmes targeting public awareness, education and improved structural facilities to facilitate healthy lifestyle are the keys to alleviate the economic and health care burden of the obesity-related disorders.

scholarly journals Lifestyle, psychological stress, and incidence of adolescent constipation: results from the Toyama birth cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masaaki Yamada ◽  
Michikazu Sekine ◽  
Takashi Tatsuse ◽  
Yuko Fujimura
Keyword(s):  
Cohort Study ◽  
Prospective Study ◽  
Birth Cohort ◽  
Healthy Lifestyle ◽  
Lifestyle Changes ◽  
Psychological Status ◽  
Birth Cohort Study ◽  
Female Sex ◽  
Bowel Movement Frequency ◽  
Skipping Breakfast

Abstract Background We aimed to clarify the predisposing factors for adolescent constipation in a longitudinal study, because while factors associated with childhood constipation have been reported, prospective studies on the incidence of constipation are lacking. Methods We enrolled 5540 adolescents aged 12 to 13 years from the Toyama Birth Cohort Study—a community-based prospective study examining children’s health. The incidence of constipation, defined as bowel movement frequency of less than once every 2 days, was surveyed during the three-year period from baseline (grade 4) to follow-up (grade 7). Multivariate logistic regression analyses were performed to explore the association between the incidence of adolescent constipation and their lifestyle variables. Results A total of 261 adolescents (4.7%) developed constipation during the three-year period. Female sex (odds ratio [OR] = 2.62,) overweight (OR = 0.60), and infrequent intake of fruits (OR = 1.50) at baseline were associated with the incidence of constipation. Furthermore, factors related to lifestyle changes and psychological status such as skipping breakfast (OR = 1.73), becoming physically inactive (OR = 1.55), and being persistently irritated (OR = 1.80) were significantly associated with the incidence of constipation. Conclusion Our prospective study demonstrated that female sex, insufficient fruit intake, and deteriorating lifestyles such as skipping breakfast and becoming inactive during the 3-year period were associated with the incidence of adolescent constipation. Beyond anecdotal, maintaining a healthy lifestyle is recommended to reduce the incidence of adolescent constipation.

A Powerful Antidote to Physician Burnout: Intensive Healthy Lifestyle and Positive Psychology Approaches

2021 ◽  
pp. 155982762110066
Author(s):  
Liana Lianov
Keyword(s):  
Healthy Lifestyle ◽  
Meaningful Work ◽  
Well Being ◽  
Evidence Base ◽  
Lifestyle Changes ◽  
Lifestyle Interventions ◽  
Physical And Mental Health ◽  
Physician Burnout ◽  
Lifestyle Medicine ◽  
Persistent Symptoms

Burnout rates among physicians are rapidly rising. Leaders in the movement to address burnout have made the case that health care workplaces need to foster a culture of well-being, including trusting coworker interactions, collaborative and transparent leadership, work-life balance, flexibility, opportunities for meaningful work and for professional development, and effective 2-way communication. The rationale for focusing on organizational change to prevent burnout has pointed to persistent symptoms of burnout even when individual healthy lifestyle interventions are adopted. However, a case can be made that the lifestyle interventions were not implemented at the level of intensity recommended by the lifestyle medicine evidence-base to secure the desired improvement in physical and mental health when facing significant personal and environmental stressors. The lifestyle medicine community has the ethical mandate to advocate for intensive healthy lifestyle approaches to burnout prevention, in conjunction with organizational supports. By combining comprehensive and intensive lifestyle changes with organizational cultures of well-being, we can more effectively turn the tide of physician burnout.

Sign in / Sign up

Export Citation Format

Share Document