Diabetes gestacional e o risco de progressão para diabetes TIPO 2: uma revisão de literatura / Gestational diabetes and the risk of progression  to TYPE 2 Diabetes: a literature review

BackgroundDespite the seven-fold increased risk of type 2 diabetes mellitus (T2DM) among females previously diagnosed with gestational diabetes (GD), annual rates of follow-up in primary care are low. There is a need to consider how to reduce the incidence of progression to T2DM among this high-risk group.AimTo examine the views of females diagnosed with GD to ascertain how to improve primary care support postnatally, and the potential role of technology in reducing the risk of progression to T2DM.Design and settingA qualitative study of a purposive sample of 27 postnatal females leaving secondary care with a recent diagnosis of GD.MethodSemi-structured interviews were conducted with 27 females, who had been previously diagnosed with GD, at around 6–12 weeks postnatally. Interviews were audiotaped, transcribed, and analysed thematically.ResultsFacilitators and barriers to engaging in a healthy postnatal lifestyle were identified, the most dominant being competing demands on time. Although females were generally satisfied with the secondary care they received antenatally, they felt abandoned postnatally and were uncertain what to expect from their GP in terms of follow-up and support. Females felt postnatal care could be improved by greater clarity regarding this, and enhanced by peer support, multidisciplinary input, and subsidised facilities. Technology was seen as a potential adjunct by providing information, enabling flexible and personalised self-management, and facilitating social support.ConclusionA more tailored approach for females previously diagnosed with GD may help reduce the risk of progression to T2DM. A need for future research to test the efficacy of using technology as an adjunct to current care was identified.

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Influencia del envío de mensajes de texto al teléfono móvil en el control glucémico de la diabetes tipo 2 = Influence of sending messages to the mobile phone in the glycemic control of diabetes type 2

REVISTA ESPAÑOLA DE COMUNICACIÓN EN SALUD ◽

10.20318/recs.2019.4804 ◽

2019 ◽

Vol 10 (2) ◽

pp. 171

Author(s):

Alba García-Viola

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Glycemic Control ◽

Literature Review ◽

Mobile Phone ◽

Glycosylated Hemoglobin ◽

Text Messages ◽

Control Glucémico ◽

Diabetes Tipo 2

Resumen: Introducción: La prevalencia de diabetes mellitus tipo 2 en adultos se ha incrementado significativamente en la última década, considerándose un problema de salud pública. Los nuevos avances tecnológicos pueden resultar de gran utilidad en el manejo de la enfermedad. Objetivos: Evaluar la evidencia científica disponible sobre el aviso mediante mensajes de texto al teléfono móvil de los pacientes diabéticos tipo 2, y determinar cómo influye en el control glucémico, en la adhesión al tratamiento, así como en los niveles de hemoglobina glicosilada (HbA1c). Metodología: Se realizó una revisión bibliográfica en la que se encontraron 12 artículos, los cuales, cumplían con los criterios de inclusión. Se consultaron las siguientes bases de datos: Pubmed, Scopus, Lilacs, Dialnet Plus y Cuiden Plus. Resultados: De acuerdo con los textos revisados, el uso de las nuevas tecnologías se asocia con una disminución de los niveles de HbA1c, una mejora de los controles glucémicos, una mayor adquisición de conocimientos sobre la enfermedad y estilo de vida, y una mayor adherencia al tratamiento terapéutico. Además, los pacientes identificaron estas intervenciones como una herramienta muy útil y motivadora. Conclusión: El envío de mensajes de texto a los pacientes con diabetes tipo 2 tiene un papel muy importante en el cuidado y manejo de la enfermedad.Palabras clave: Medios de Comunicación; Diabetes Mellitus Tipo 2; Teléfono inteligente; Mensaje de Texto; Autocontrol; Hemoglobina glicosilada.Abstract: Introduction: The prevalence of type 2 diabetes mellitus in adults has increased significantly in the last decade, being considered a public health problem. New technological advances can be very useful in the management of the disease. Objectives: To evaluate the available evidence about the warning by means of text messages to the mobile phone of the diabetic patients Type 2 and to determine how it influences in the glycemic control, in the adherence to the treatment, as well as in the levels of glycosylated hemoglobin. Methodology: A literature review was conducted where 12 articles, which met the previous established inclusion criteria, were found. The following databases were consulted for the literature review: Pubmed, Scopus, Lilacs, Dialnet Plus and Cuiden Plus. Results: According to the revised texts, the use of new technologies is associated with a decrease in HbA1c levels, improvement of glycemic controls, a greater acquisition of knowledge about the disease and lifestyle, and greater adherence to therapeutic treatment. In addition, patients identified these interventions as a very useful and motivating tool. Conclusions: Sending text messages to patients with type 2 diabetes plays a very important role in the care and management of the disease.Keywords: Communications Medium; Diabetes Mellitus Type 2; Smartphone; Text Messaging; Selfmanagement; Glycosylated hemoglobin.

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