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Erschienen in: Current Diabetes Reports 3/2018

01.03.2018 | Psychosocial Aspects (SS Jaser, Section Editor)

Preconception Counseling for Adolescents and Young Adults with Diabetes: a Literature Review of the Past 10 Years

verfasst von: Frances Peterson-Burch, Hiba Abujaradeh, Nicole Charache, Andrea Fischl, Denise Charron-Prochownik

Erschienen in: Current Diabetes Reports | Ausgabe 3/2018

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Abstract

Purpose of Review

Women with diabetes who have unplanned pregnancies and uncontrolled blood sugars are at a higher risk for maternal and fetal morbidities and mortalities. Preconception counseling (PC) has been shown to decrease the risks and improve health outcomes. From 2009 to 2017, the American Diabetes Association has recommended that preconception counseling be given at each clinic visit for all women with diabetes of childbearing age starting at puberty (prior to sexual debut).

Recent Findings

This article reports both national and international progress in PC efforts for adolescents and young adults (12–34 years) with diabetes over the past decade. Twenty-eight publications were identified and included in this article (11 were research, 12 clinical guidelines, and 5 reviews).

Summary

Despite recommendations to start PC at puberty, only four studies had interventions that targeted the adolescent and young adult age group. Three of them were associated with the same PC awareness program. Positive outcomes were reported in all of these studies. Greater family vigilance was observed in a long-term follow-up of a cohort of women who received PC as teens. Adolescents should receive awareness PC. More early PC interventions and cohort follow-up studies are needed among adolescents and young adults, using technology that appeals to this age group. Programs should be expanded to include other populations like males with diabetes and females from other cultures and religions that would require program modification.
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Metadaten
Titel
Preconception Counseling for Adolescents and Young Adults with Diabetes: a Literature Review of the Past 10 Years
verfasst von
Frances Peterson-Burch
Hiba Abujaradeh
Nicole Charache
Andrea Fischl
Denise Charron-Prochownik
Publikationsdatum
01.03.2018
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 3/2018
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-018-0983-7

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