Preconception Counseling in Women With Diabetes: The SEARCH for Diabetes in Youth Study.
Alissa J RobertsKatherine SauderJeanette M StaffordFaisal S MalikCatherine PihokerNansi S BoghossianShelley EhrlichDavid J PettittDana DabeleaAnna BellatorreRalph D'AgostinoElizabeth T JensenPublished in: Clinical diabetes : a publication of the American Diabetes Association (2023)
Preconception counseling is recommended for all women with diabetes starting at puberty to convey the importance of optimal diabetes management for maternal and fetal outcomes. This study included 622 female participants from the SEARCH for Diabetes in Youth study with a mean age of 22.2 years (range 14-35 years). Only 53.7% reported ever receiving preconception counseling, which was significantly lower among women seeing pediatric providers than those seeing adult or all-age providers. Older age and history of prior pregnancy were associated with increased odds of reporting having received preconception counseling. Identification of barriers to delivering preconception counseling to young females with diabetes and strategies to overcome them are needed to reduce the risk for pregnancy complications and adverse offspring health outcomes.
Keyphrases
- type diabetes
- cardiovascular disease
- glycemic control
- pregnancy outcomes
- physical activity
- hiv testing
- emergency department
- young adults
- pregnant women
- mental health
- middle aged
- men who have sex with men
- polycystic ovary syndrome
- insulin resistance
- metabolic syndrome
- adipose tissue
- high fat diet
- body mass index
- hiv infected
- weight loss