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

引用

World Journal of Meta-Analysis 2021年第6期9卷 543-556页

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 Department of Public and Community Health Novena UniversityKwale 322107Nigeria School of Dentistry and Medical Sciences Charles Sturt UniversityWagga campusNew South Wales 2650Australia Global Medical Research and Development Organization(GMRDO)group Abbi Delta State 322107Nigeria California Department of State Hospital StocktonCA 95215United States Department of Medicine College of MedicineUniversity of NigeriaItuku-Ozalla campusEnugu 402109Nigeria Biochemistry Department Delta State UniversityAbraka 330105Nigeria Department of Clinical Laboratory Services Texas Health(HMH HEB)BedfordTX 76022United States Clinic Department Donak HospitalKwale 2539083Nigeria Clinic Department U-Turn HospitalU-Turn Abule Egba 100276Nigeria

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.

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

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