Thesis (M. D.)--University of Hong Kong, 2006. / Title proper from title frame. Also available in printed format.

Source: Masters Abstracts International, Volume: 47-06, page: 3549. Adviser: Alfred L. Mcalister. Includes bibliographical references.

Thesis (doctoral)--Lund University, 1997. / Added t.p. with thesis statement inserted.

Gestational diabetes mellitus occurs in up to 10% of pregnancies and often leads to labor and delivery complications for both the mother and the baby. Early identification of gestational diabetes and educational intervention are needed to improve the self-management and knowledge among pregnant women. The purpose of the project was to implement newly established national guidelines to ensure that women with gestational diabetes are identified during the first trimester of pregnancy and begin diabetes education early in gestation. Lewin's planned change theory was selected as the theoretical framework, and the six sigma approach was used to facilitate the change process. The project used a pretest and posttest design in a convenience sample of 35 women with gestational diabetes who were referred for the educational intervention and completed the education and the questionnaires. The anticipated outcomes were for (a) women to be screened during the first trimester of their pregnancy and (b) the post education scores on the self-management questionnaire to demonstrate an increase in knowledge about contacting the provider for abnormal blood sugar results and making appropriate dietary choices. Data were entered into SPSS and were analyzed using descriptive statistics. A t test was used to compare pretest and posttest knowledge scores. During the project, 57% of the participants were screened in the first trimester of pregnancy. The difference in the pretest (M = 75.43) and the posttest scores (M = 91.71) was statistically significant (p < .0001). These findings have important social change implications because early screening and early intervention will help to reduce birth complications and long-term development of Type 2 diabetes.

Background: Lifestyle intervention is recommended as one important approach for Diabetes Mellitus management. Type 2 Diabetes Mellitus could be controlled and maintained by lifestyle intervention with no or less medications. It can delay the onset of diabetes related complications. Meal Replacement is one important lifestyle intervention. It modifies the composition and amount of nutrition intake, through daily meal, in order to control body weight and other metabolic indices. Effectiveness of meal replacement was examined by randomized controlled trials. Reviewing these studies systematically would demonstrate the clinical implication and other benefit of meal replacement, further more to guide the implementation in practice. Method: Search the online literature databases for related Randomized Controlled Trials. Analyze and compare different strategies of these interventions, as well as the outcomes. The effect of MR would be categorized into on body weight, on blood glucose, on serum lipid and on hypoglycemic medication and prognosis. The economic benefit would also be one important objective. Result: MR intervention achieved body weight reduction, and considerable controlling effect on glucose and lipid. Majority of studies also reduced the hypoglycemic medication and improved prognosis. Conclusion: MR is one considerable intervention for T2DM and Intermediate Hyperglycemia patients. It could be integrated into structured lifestyle intervention for prevention and treatment. It also brings economic benefit so that reduce health care burden. Further research is needed for better effectiveness in practice. / published_or_final_version / Public Health / Master / Master of Public Health

Diss. (sammanfattning) Uppsala : Uppsala universitet, 2005. / Härtill 4 uppsatser.

Thesis (MMedVet. (Chir.))--University of Pretoria, 2007. / Includes bibliographical references.

Thesis (Ph. D.)--University of Hawaii at Manoa, 2005. / Includes bibliographical references (leaves 116-154).

Thesis (doctoral)--Lund University, 1998. / Added t.p. with thesis statement inserted. Includes bibliographical references.

Source: Masters Abstracts International, Volume: 46-05, page: 2673. Adviser: Adela N. Gonzalez. Includes bibliographical references.