Adherence
Lifestyle interventions (diet and exercise) are effective in preventing or delaying Type 2 Diabetes in high-risk groups, including those with a history of GDM, but adherence remains a significant barrier.
For women with a history of GDM, aiming for 150 minutes of physical activity per week combined with dietary changes is the most effective way to prevent Type 2 Diabetes. Structured programs offering health coaching and group support can improve adherence and outcomes. Regular monitoring of HbA1c and fasting plasma glucose is recommended.
Lifestyle modifications targeting weight loss, diet and exercise have been recommended to reduce the risk of T2D postpartum. However, adherence to lifestyle modification is low.
Why this rating
Supported by multiple large-scale trials (DPP, Da Qing, Finnish) cited in the paper showing significant risk reduction.
Source
Enhancing postpartum cardiometabolic health for women with previous gestational diabetes: Next steps and unanswered questions for pharmacological and lifestyle strategies
Rajna Golubić et al. · Diabetes Obesity and Metabolism · 2024
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