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

Pedersen, Anne Louise Winkler; Terkildsen Maindal, Helle; Juul, Lise · Prim Care Diabetes · 2017

meta_analysis · Level I

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Abstract

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. A systematic review of RCTs in several databases in March 2016. 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). This study indicates that intervention is superior to no intervention in prevention of T2DM among women with previous GDM.

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