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

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  • Karolina Linden

    (Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
    Centre for Person-Centred Care (GPCC), 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
    Centre for Person-Centred Care (GPCC), University of Gothenburg, 405 30 Gothenburg, Sweden)

  • Annsofie Adolfsson

    (School of Health Sciences, Örebro University, 701 82 Örebro, Sweden
    Faculty of Health Sciences, Department of Nursing Science, Vestfold University College of Southeast Norway, 3603 Kongsberg, Norway)

  • Marie Berg

    (Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
    Centre for Person-Centred Care (GPCC), University of Gothenburg, 405 30 Gothenburg, Sweden)

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.

Suggested Citation

  • Karolina Linden & Carina Sparud-Lundin & Annsofie Adolfsson & Marie Berg, 2016. "Well-Being and Diabetes Management in Early Pregnant Women with Type 1 Diabetes Mellitus," IJERPH, MDPI, vol. 13(8), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:8:p:836-:d:76469
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    References listed on IDEAS

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    1. Antonovsky, Aaron, 1993. "The structure and properties of the sense of coherence scale," Social Science & Medicine, Elsevier, vol. 36(6), pages 725-733, March.
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    1. Grażyna Iwanowicz-Palus & Marta Zarajczyk & Beata Pięta & Agnieszka Bień, 2019. "Quality of Life, Social Support, Acceptance of Illness, and Self-Efficacy among Pregnant Women with Hyperglycemia," IJERPH, MDPI, vol. 16(20), pages 1-16, October.

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