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Int. J. Environ. Res. Public Health 2016, 13(8), 836; doi:10.3390/ijerph13080836

Well-Being and Diabetes Management in Early Pregnant Women with Type 1 Diabetes Mellitus

1
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
2
Centre for Person-Centred Care (GPCC), University of Gothenburg, 405 30 Gothenburg, Sweden
3
School of Health Sciences, Örebro University, 701 82 Örebro, Sweden
4
Faculty of Health Sciences, Department of Nursing Science, Vestfold University College of Southeast Norway, 3603 Kongsberg, Norway
*
Author to whom correspondence should be addressed.
Academic Editor: Omorogieva Ojo
Received: 8 June 2016 / Revised: 15 August 2016 / Accepted: 18 August 2016 / Published: 22 August 2016
(This article belongs to the Collection Health Care and Diabetes)
View Full-Text   |   Download PDF [301 KB, uploaded 22 August 2016]

Abstract

This paper explores well-being and diabetes management in women with type 1 diabetes mellitus (DM) in early pregnancy and investigates associations among perceived well-being, diabetes management, and maternal characteristics. Questionnaires were answered by 168 Swedish women. Correlation analyses were conducted with Spearman’s correlation coefficient (rs). The women reported relatively high scores of self-efficacy in diabetes management (SWE-DES-10: 3.91 (0.51)) and self-perceived health (excellent (6.5%), very good (42.3%), good (38.7%), fair (11.3%) and poor (1.2%)). Moderate scores were reported for general well-being (WBQ-12: 22.6 (5.7)) and sense of coherence (SOC-13: 68.9 (9.7), moderate/low scores for hypoglycemia fear (SWE-HFS 26.6 (11.8)) and low scores of diabetes-distress (SWE-PAID-20 27.1 (15.9)). A higher capability of self-efficacy in diabetes management showed positive correlations with self-perceived health (rs = −0.41, p < 0.0001) and well-being (rs = 0.34, p < 0.0001) as well as negative correlations with diabetes distress (rs = −0.51, p < 0.0001) and hypoglycemia worries (rs = −0.27, p = 0.0009). Women with HbA1c levels of ≤48 mmL/mol scored higher in the subscales “goal achievement” in SWE-DES (p = 0.0028) and “comprehensibility” in SOC (p = 0.016). Well-being and diabetes management could be supported by strengthening the women’s capability to achieve glycemic goals and their comprehensibility in relation to the treatment. Further studies are needed to test this. View Full-Text
Keywords: type 1 diabetes mellitus; pregnancy; well-being; diabetes management type 1 diabetes mellitus; pregnancy; well-being; diabetes management
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Linden, K.; Sparud-Lundin, C.; Adolfsson, A.; Berg, M. Well-Being and Diabetes Management in Early Pregnant Women with Type 1 Diabetes Mellitus. Int. J. Environ. Res. Public Health 2016, 13, 836.

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