Exploration on postpartum self-management model for patients with gestational diabetes based on "Gecko E-Care" platform

Objective To explore the effect of the self-management model established on the basis of the "Gecko E-Care" platform for the occurrence risk of postpartum type 2 diabetes mellitus (T2DM) in patients with gestational diabetes mellitus (GDM).

Methods A total of 66 postpartum women with normal glucose metabolism recovered after 6 to 8 weeks of GDM were selected and randomly divided into two groups, control group was given routine follow-up management, while observation group was given self-management model based on the "Gecko E-Care" platform. The blood glucose and blood lipid levels after 6 months of intervention were compared between two groups, and the influence and efficiency of self-management model were evaluated by the Diabetes Management Self-Efficacy Scale (C-DMSES), the Scale for Quality of Life and the Satisfaction Survey.

Results In the observation group, the fasting blood glucose, 2 hours postprandial blood glucose and glycated hemoglobin (HbA1c) were significantly lower than those in the control group, while fasting C-peptide was significantly higher than that in the control group (P < 0.05); after intervention, levels of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG) in both groups were significantly lower than those before intervention, and the TG in the observation group was significantly lower than that in the control group (P < 0.05); in the observation group, the scores of scientific diet, regular blood glucose monitoring, regular exercise and medication according to medical advice were significantly higher than those in the control group (P < 0.05); at 1 month, 3 and 6 months after intervention, the score of quality of life and satisfaction degree in the observation group were significantly higher than those in the control group (P < 0.05).

Conclusion Based on the "Gecko E-Guard" platform, the self-management model for postpartum T2DM in patients with GDM can enhance patient's self-management efficiency, improve quality of life and prevent or delay the occurrence of postpartum T2DM in patients with GDM.