How to prevent type 2 diabetes in women with previous gestational diabetes? A systematic review of behavioural interventions

Prim Care Diabetes. 2017 Oct;11(5):403-413. doi: 10.1016/j.pcd.2017.05.002. Epub 2017 Jun 7.

Abstract

Objectives: Women with previous gestational diabetes (GDM) have a seven times higher risk of developing type 2 diabetes (T2DM) than women without. We aimed to review the evidence of effective behavioural interventions seeking to prevent T2DM in this high-risk group.

Methods: A systematic review of RCTs in several databases in March 2016.

Results: No specific intervention or intervention components were found superior. The pooled effect on diabetes incidence (four trials) was estimated to: -5.02 per 100 (95% CI: -9.24; -0.80).

Conclusions: This study indicates that intervention is superior to no intervention in prevention of T2DM among women with previous GDM.

Keywords: Behavioural interventions; GDM; Gestational diabetes; Prevention; Type 2 diabetes.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Counseling
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes, Gestational / blood
  • Diabetes, Gestational / epidemiology
  • Diabetes, Gestational / psychology
  • Diabetes, Gestational / therapy*
  • Female
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice
  • Healthy Lifestyle*
  • Humans
  • Incidence
  • Patient Education as Topic
  • Pregnancy
  • Protective Factors
  • Risk Factors
  • Risk Reduction Behavior*
  • Treatment Outcome