For the majority of women with GDM, lifestyle treatments that combine two or more of dietary recommendations, regular exercise, teaching, and self-monitoring of blood glucose are the first line of treatment. For the majority of GDM patients, exercise provides a safe and efficient alternative therapeutic option. Although it has been endorsed by professional organizations, exercise for patients with GDM has not been generally prescribed or performed (Alejandro et al., 2020).
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Exercise has long been regarded as an adjuvant strategy in the management of diabetes in non-pregnant subjects. The American College of Obstetricians and Gynecologists (ACOG) holds that pregnant patients should continue exercising throughout their pregnancies and that, in the absence of any obstetric or medical complications, 30 minutes or more of moderate exercise a day is advised most days of the week, if not every day.
Furthermore, the intervention approach used to carry out this PICOT is patient centred care (PCC). This approach helps identifying the best treatment strategy for patient according to patient’s personal profile. Hence the strategy has achieved the higher patient outcomes especially when implemented with the collaboration of registered nurses. The population studied is of gestational diabetic mothers. The socio-political factors are taken as negligible during the research study (Edwards et al., 2018).
The application of implementation science approaches acknowledges the need for a focused, theory-driven strategy to remove obstacles to service modifications . Briefly, after conducting a barrier analysis at the lead site, strategies were chosen to address the barriers to following recommendations using an evidence-based framework, such as the theoretical domains framework and behaviour change wheel . Women with GDM experienced much better outcomes as a result of this deployment (Lee et al., 2019).
Nutrition, fitness, a balance of diet and physical activity, dietary supplements, pharmaceuticals, and the management of other health issues were all included in the interventions. Weight control, MNT, SMBG levels, exercise, and, if necessary, medication are all part of the therapy of GDM. To avoid excessive pregnancy weight gain and postpartum weight retention, it is essential that women gain the right amount of weight throughout pregnancy (Zheng et al., 2018).
Despite the fact that there was significant variance in screening techniques and who should be checked before 24 weeks, 61 percent of respondents reported early DIP screening. Only 50% of healthcare professionals felt competent discussing insulin use, compared to 88% who felt good discussing food, blood glucose monitoring, and lifestyle recommendations. 80 percent of patients used electronic medical records, but 55 percent also used paper ones. 40% of patients expressed dissatisfaction with the information provided by hospitals. The focus groups indicated enhancing information technology and communication systems as major issues.
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