Prediabetes and cardiovascular complications study:Highlights on gestational diabetes, self-management and primary health care

作     者：Ezekiel Uba Nwose Phillip Taderera Bwititi Otovwe Agofure Echinei Jacob Oshionwu Ekenechukwu Esther Young Eferhire Aganbi Solomon Ekwuweokwuenu Egwenu Helen Egoyibo Chime Fortunatus Darius Gbeinbo Alex Odufu John Nwakaego Okuzor Azuka Okuleye Kennedy Aninze Innocent Chuks Onyia Euzebus Chinonye Ezugwu Eunice Obiajuru Igumbor Ifeoma Isabel Ulasi 

作者机构：Department of Public and Community HealthNovena UniversityKwale 322107Nigeria School of Dentistry and Medical SciencesCharles Sturt UniversityWagga campusNew South Wales 2650Australia Global Medical Research and Development Organization(GMRDO)groupAbbi Delta State 322107Nigeria California Department of State HospitalStocktonCA 95215United States Department of MedicineCollege of MedicineUniversity of NigeriaItuku-Ozalla campusEnugu 402109Nigeria Biochemistry DepartmentDelta State UniversityAbraka 330105Nigeria Department of Clinical Laboratory ServicesTexas Health(HMH HEB)BedfordTX 76022United States Clinic DepartmentDonak HospitalKwale 2539083Nigeria Clinic DepartmentU-Turn HospitalU-Turn Abule Egba 100276Nigeria 

出 版 物：《World Journal of Meta-Analysis》 (世界荟萃分析杂志)

年 卷 期：2021年第9卷第6期

页      面：543-556页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：Behavioural change wheel Community health Diabetes education Knowledge vs practice gap Lifestyle Patient follow-up Screening services Telehealth 

摘      要：International collaboration on the prediabetes and cardiovascular complications study started in *** 2017,a reflection was *** of documentation and screening of antenatal cases for gestational diabetes mellitus(GDM)was ***,further observations have been made that warrant an *** objective of this review is to highlight gaps between clinical knowledge and practice in GDM,diabetes self-management and primary health care(PHC)for rural *** followed a descriptive field notes *** records of patients screened for GDM with incomplete documentation were examined to determine incompleteness of data in those that also met the criteria for GDM risk *** on development of a diabetes register and education and notes on behavioural change wheel were also *** data included cross-sectional evaluation of activities of daily living at two private *** to 29%had high GDM risk factors,which fulfilled selection criteria for laboratory *** data was complete in all women;however,incomplete documentation was observed with as much as 98%of basic *** levels of physical activity were found in the population,and health lectures proved effective in food *** workforce need for diabetes care seems underestimated,but this may be better understood with reactivation of PHC *** observations highlight behavioural change wheel issues on GDM and PHC services that need concerted *** proposals are to advance the use of a‘risk assessment and screening sheet’for GDM screening and enlightenment of stakeholders on the central hub role of PHC in diabetes management.