Values, principles and research priorities for the implementation of type 2 diabetes prevention after gestational diabetes: A global consensus from Asia, Africa, Americas, Europe and Oceania.

Journal: Diabetic medicine : a journal of the British Diabetic Association

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Affiliated Institutions:  Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia. Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia. Sport and Physical Activity Research Centre, Sheffield Hallam University, Sheffield, UK. Wellington-Dufferin-Guelph Public Health, Guelph, Ontario, Canada. Department of Internal Medicine, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia. Department of Public Health and Community Medicine, Central University of Kerala, Periye, India. Monash Centre for Health Research and Implementation, Monash University, Clayton, Victoria, Australia. School of Agriculture and Food Science, University College Dublin, Dublin, Ireland. Pennington Biomedical Research Center, Baton Rouge, Louisiana, USA.

Abstract summary 

The implementation of type 2 diabetes prevention after gestational diabetes (GDM) is poor despite research evidence on efficacy. This is limited by the lack of knowledge of the priorities in real-world settings from the perspectives of local clinicians and women with lived experiences, particularly those from underserved populations. We report here a global consensus on the values, principles, and research priorities for the implementation of type 2 diabetes prevention in individuals after gestational diabetes (GDM), from the perspectives of clinicians and women from Asia, Africa, Oceania, the Americas, and Europe.A team of health professionals and researchers from five continents formed the Cardiometabolic Health Implementation Research in Postpartum individuals (CHIRP) team. The CHIRP team undertook a priority setting process using the Modified Delphi and Nominal Group Technique. Health professionals and women with a lived experience of GDM from five continents were invited to participate. Values, principles, and research priorities were voted on by all participants.A total of 100 consumers and health professionals from 11 countries across the five continents participated in the consensus process. The top-ranked values and principles were 'universal access', 'evidence-based', and 'equity-driven'. The top-ranked research priorities were 'stress and mental well-being', 'information on exercise and diet', 'lactation and breastfeeding', 'exercise after childbirth', and 'physical environment for healthy eating'.Addressing mental wellbeing through strategies that are universally accessible, evidence-based, and equity-driven will increase the success of the real-world implementation and knowledge translation of type 2 diabetes prevention in women with a history of GDM in global settings.

Authors & Co-authors:  Lim Siew S Makama Maureen M Ioannou Elysa E Skouteris Helen H Montanaro Cynthia C Taye Melaku M Kodapally Bhagiaswari B Moran Lisa J LJ Reja Ahmed A O'Reilly Sharleen L SL Redman Leanne M LM Mathews Elezebeth E Boyle Jacqueline J

Study Outcome 

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Statistics
Citations :  Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2023;402(10397):203‐234.
Authors :  14
Identifiers
Doi : 10.1111/dme.70017
SSN : 1464-5491
Study Population
Female,Women
Mesh Terms
Other Terms
gestational diabetes;global consensus;priority setting;type 2 diabetes
Study Design
Study Approach
Country of Study
Publication Country
England