Retraction: Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus

This article is being retracted as a part of the manuscript was a 'duplicate publication'.

Effects of an Integrated Self-Management Program on Self-Management, Glycemic Control, and Maternal Identity in Women with Gestational Diabetes Mellitus

PURPOSE: The purpose of the study was to investigate the effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus (GDM). METHODS: A non-equivalent control group non-synchronized quasi-experimental design was used. A total of 55 women with GDM were recruited from Cheil General Hospital, Seoul, Korea and were assigned to an experimental (n=28) or control group (n=27). The participants were 24-30 weeks pregnant women who had been diagnosed with GDM as of July 30, 2010. The program was conducted as a 1 hour small group meeting 3 out of 5 times and by telephone-counseling 2 out of 5 times. The integrated self-management program was verified by an expert panel. RESULTS: Although there was no significant reduction in HbA1c (U= -1.17, p=.238), there were statistically significant increases in self-management (U= -3.80, p<.001) and maternal identity (U= -4.48, p<.001), and decreased 2-h postprandial glucose levels (U= -2.43, p<.015) in the experimental group compared to the control group. CONCLUSION: These findings suggest that an integrated self-management program for women with GDM improves self-management, maternal identity, and glycemic control. Further studies are needed to identify the effects of an integrated self-management program on pregnancy and neonatal outcomes.

Role of Diabetes Educators and Effectiveness of Diabetes Education / 임상당뇨병

Diabetes educators give patients with diabetes the knowledge, skills and tools they need to manage their diabetes. Also, they can help these patients avoid many of the complications associated with the disease. The diabetes education team is involved not only in coordinating the ongoing care of patients, but also in educating and counseling patients on medication and management of illness. This systematic review suggests the benefit of diabetes education on glycemic control and health outcome when compared with usual care. Additional studies are needed to delineate these findings further.