Treatment Effects of the Integrated Perinatal Diabetes Education and Management Program

Area of Science:

• Perinatal health
• Diabetes management
• Health services research

Background:

• Gestational diabetes mellitus (GDM) and pre-existing diabetes pose significant risks during pregnancy.
• Effective management is crucial for improving maternal and infant outcomes.
• The Integrated Perinatal Diabetes Education and Management Program (IP-DEMP) was established to address these challenges.

Purpose of the Study:

• To evaluate the treatment outcomes of participants in the IP-DEMP.
• To compare treatment received by IP-DEMP participants with a historical control group.
• To assess the impact of the IP-DEMP on diabetes management in pregnant and postpartum individuals.

Main Methods:

• Retrospective cohort study design.
• Comparison of diabetes treatment between IP-DEMP participants and a historical control group.
• Logistic regression analysis to model treatment associations, adjusting for covariates.

Main Results:

• The analysis included 355 participants; demographic characteristics were similar between groups.
• IP-DEMP participation significantly increased the likelihood of receiving insulin therapy for individuals with GDM.
• No significant disparities in treatment were observed based on racial or ethnic identity.

Conclusions:

• The IP-DEMP effectively increased the use of insulin therapy among individuals with GDM.
• The program demonstrated equitable treatment delivery, irrespective of participants' racial or ethnic background.
• These findings support the IP-DEMP's role in optimizing perinatal diabetes care.