Health Care Providers' Perceptions of Responsibilities and Resources to Reduce Type 2 Diabetes Risk After Gestational Diabetes Mellitus

Sumali S Hewage; Shweta R Singh; Claudia Chi; Jerry K Y Chan; Tong Wei Yew; Wee Meng Han; Joanne Yoong

doi:10.2337/cd17-0063

Health Care Providers' Perceptions of Responsibilities and Resources to Reduce Type 2 Diabetes Risk After Gestational Diabetes Mellitus

Clin Diabetes. 2018 Apr;36(2):160-167. doi: 10.2337/cd17-0063.

Authors

Sumali S Hewage¹, Shweta R Singh¹, Claudia Chi², Jerry K Y Chan^{3

4}, Tong Wei Yew⁵, Wee Meng Han⁶, Joanne Yoong^{1

7}

Affiliations

¹ Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
² Department of Obstetrics and Gynecology, National University Hospital, Singapore.
³ Duke-NUS Medical School, Singapore.
⁴ Department of Reproductive Medicine, KK Women's and Children's Hospital, Singapore.
⁵ University Medicine Cluster, National University Health System, Singapore.
⁶ Nutrition and Dietetics Department, KK Women's and Children's Hospital, Singapore.
⁷ University of Southern California, Center for Economic and Social Research, Los Angeles, CA.

Abstract

IN BRIEF Gestational diabetes mellitus (GDM) increases the risk for type 2 diabetes. This qualitative study aimed to evaluate health care providers' perceptions of care responsibilities and resources related to reducing type 2 diabetes risk among women with previous GDM in Singapore. Health care providers acknowledged a shared responsibility. They felt that they had less understanding of compliance with long-term maintenance of lifestyle change, exacerbated further by fragmentation of follow-up care. The application of more integrated patient-centered care models, combined with greater health literacy, is urgently required in this area.