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

Karolina Linden, Carina Sparud-Lundin, Annsofie Adolfsson and Marie Berg
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Karolina Linden: Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
Carina Sparud-Lundin: Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
Annsofie Adolfsson: School of Health Sciences, Örebro University, 701 82 Örebro, Sweden
Marie Berg: Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden

IJERPH, 2016, vol. 13, issue 8, 1-11

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 (r s ). 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 (r s = ?0.41, p < 0.0001) and well-being (r s = 0.34, p < 0.0001) as well as negative correlations with diabetes distress (r s = ?0.51, p < 0.0001) and hypoglycemia worries (r s = ?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.

Keywords: type 1 diabetes mellitus; pregnancy; well-being; diabetes management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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