Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)

Kayal , A and Mohan, V and Malanda, B and Anjana, R M and Bhavadharini, B and Mahalakshmi, M and Maheswari, K and Uma, R and Unnikrishnan, R and Kalaiyarasi, G and Ninov, L and Belton, A (2016) Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4). Indian Journal of Endocrinology and Metabolism, 20 (5). p. 707. ISSN 2230-8210

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Abstract

Aim: The Women In India with GDM Strategy (WINGS) project was conducted with the aim of developing a model of care (MOC)suitable for women with gestational diabetes mellitus (GDM) in low‑ and middle‑income countries. Methodology: TheWINGS project was carried out in Chennai, Southern India, in two phases. In Phase I, a situational analysis was conductedto understand the practice patterns of health‑care professionals and to determine the best screening criteria through a pilot screening study. Results: Phase II involved developing a MOC‑based on findings from the situational analysis and evaluating its effectiveness. The model focused on diagnosis, management, and follow‑up of women with GDM who were followed prospectively throughout their pregnancy. An educational booklet was provided to all women with GDM, offering guidance on self‑management of GDM including sample meal plans and physical activity tips. A pedometer was provided to all women to monitor step count. Medical nutrition therapy (MNT) was the first line of treatment given to women with GDM. Women were advised to undergo fasting blood glucose and postprandial blood glucose testing every fortnight. Insulin was indicated when the target blood glucose levels were not achieved with MNT. Women were evaluated for pregnancy outcomes and postpartum glucose tolerance status. Conclusions: The WINGS MOC offers a comprehensive package at every level of care for women with GDM. If successful, this MOC will be scaled up to other resource‑constrained settings with the hope of improving lives of women with GDM.

Item Type:Article
Official URL/DOI:http://dx.doi.org/10.4103/2230-8210.189230
Uncontrolled Keywords:Asian Indians, gestational diabetes mellitus, management, model of care, pregnancy outcomes, screening and diagnosis, South Asians, WINGS
Subjects:Diabetes > Diabetes in Developing Countries
Divisions:Department of Epidemiology
ID Code:1016
Deposited By:surendar radha
Deposited On:23 Dec 2016 12:15
Last Modified:23 Dec 2016 12:15

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