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

摘要

Highlights ? Convincing evidence for a specific behavioural intervention content was not found. ? Intervention seems superior to no intervention in prevention of T2DM. ? Interventions seemed to be more effective when implemented ≥6 weeks after labour. 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. ]]>