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Biomedical subjects

D Coustan

Publications and source records attributed to D Coustan.

10 recordsLinked to original sources
PubMed1993

Self-reported compliance with diabetes self-management during pregnancy.

OBJECTIVE: The current study examined regimen compliance in pregnant women with pre-existing (overt) diabetes across multiple self-care tasks at three times during the pregnancy: mid-second, early third, and late third trimesters. METHOD: Forty-nine pregnant women with Type I (68%) or Type II (32%) diabetes completed measures to assess compliance with the diabetic regimen, major and minor life stressors, and social support for the diabetic regimen. RESULTS: Pregnant women with overt diabetes generally reported being compliant with their self-care regimen. There were, however, notable differences in reported compliance levels across different regimen tasks. Specifically, 74 to 79 percent of women reported being always compliant with dietary recommendations compared to 86 to 88 percent for insulin administration, 85 to 89 percent in managing insulin reactions, and 94 to 96 percent for glucose testing. Furthermore, stress in the form of major and minor life events and regimen-related social support were significantly related to self-reported compliance with dietary recommendations. There was no relationship between compliance and blood glucose levels. CONCLUSIONS: These findings suggest that psychiatric consultants focus on ways to increase social support as one means of improving compliance in pregnant women with diabetes.

Adolescent↗
PubMed1991

Screening recommendations for gestational diabetes mellitus.

As a result of extensive experiences in multiple centers and a review of the current literature, we conclude that a plasma glucose level obtained 1 hour after a 50 gm oral glucose challenge is the "best" gestational diabetes mellitus screening test. This universal screening is performed at least once during pregnancy. The screening threshold should be no higher than 140 mg/dl, or an unacceptable loss in sensitivity occurs. Universal screening for gestational diabetes mellitus is justified by morbidity reduction, cost, and protocol simplicity and ease.

Blood Glucose↗
PubMed1990

Impact of social support and stress on compliance in women with gestational diabetes.

Compliance with medical recommendations is especially important for women with gestational diabetes because of the health implications for both mother and fetus. This study examined compliance with two daily self-management tasks, diet and insulin administration, in 98 women with gestational diabetes. Furthermore, the influence of stress and regimen-related social support on compliance was investigated. Results indicate that the level of reported compliance was high for both insulin administration and diet. Fewer minor stressors and greater social support were associated with greater compliance.

Adolescent↗
PubMed1989

Psychological impact of the diagnosis of gestational diabetes.

The psychological impact of the diagnosis of gestational diabetes was examined in 68 pregnant women. No differences between the women with gestational diabetes and 50 non-diabetic pregnant controls, matched for gestational age, were found on the Profile of Mood States--Bipolar Form. Contrary to clinical lore, the prescription of insulin was not found to have an adverse effect on the emotional status of women with gestational diabetes. In this diabetic population whose blood glucose levels were well controlled, psychological status was not found to be related to blood glucose levels. The results suggest that the majority of pregnant women adapt readily to the unexpected diagnosis of gestational diabetes.

Adult↗
PubMed1986

Hospitalization on the high-risk maternity unit. A pilot study.

Women hospitalized for high-risk pregnancy appear to be at high risk for adverse reactions to hospitalization. Nine pregnant women remaining in hospital for 1 week or more were studied prospectively with a semistructured questionnaire, standard self-administered measures, and staff rating. Six women presented serious problems of compliance or psychic functioning. Women who suffered these adverse reactions tended to be poor, unemployed, younger, less educated, Catholic, unmarried, and to have children at home, when compared to the three women not experiencing difficulty. Women subsequently manifesting problems were significantly likelier on admission to appear as "cases" on the SCL-90-R and to have higher scores on the POMS. On the basis of pilot results, hospitalization for high-risk pregnancy appears to be a particularly stressful event. Women most at risk for problems can probably be identified prospectively.

Female↗