Understanding Gestational Diabetes Management Through Patient Experiences: A Qualitative Insight

A recent qualitative study involving 32 women with gestational diabetes mapped experiences from diagnosis through postpartum and identified actionable gaps in care. These findings underscore the need for enhanced emotional support, streamlined logistics, and targeted education at diagnosis.

The study's sample and SEIPS 3.0–guided interviews reframe GDM management as a continuous, staged process rather than a series of episodic interventions. Interviews extended to one year postpartum, clarifying critical touchpoints for screening, counseling, and care transitions.

Participants consistently reported three recurrent barriers: emotional distress after diagnosis, physical challenges with diet and glucose control, and logistical hurdles, such as appointment timing and transport. Emotional themes included anxiety about fetal outcomes and guilt over imperfect glycemic control. Physical complaints emphasized dietary restrictions, fatigue, and difficulty maintaining glucose targets. Family support emerged as a clear facilitator—practical help (meal preparation, childcare) and emotional backing improved adherence and reduced stress

The study also highlights digital health tools and peer support preferences as promising facilitators for addressing logistical and emotional barriers. Patients preferred timely, automated glucose feedback, brief two‑way messaging for clinician questions, and accessible peer-led groups for shared experience and coping. These features map directly to reported delays in feedback, appointment burden, and social isolation, suggesting targeted mitigation pathways.

Key Takeaways:

• Patient-journey mapping reveals emotional, physical, and logistical burdens from diagnosis through postpartum.
• Family support materially improves adherence; assessing and involving household supports can be integrated into care planning.
• Simple digital feedback and peer-led groups target key barriers and are suitable for local pilots.