Experiences and Behaviors in Blood Sugar Control Among Pregnant Women with Diabetes in Rural Areas: A Qualitative Study
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Abstract
This qualitative research aimed to explore the experiences of pregnant women with gestational diabetes mellitus (GDM) in controlling their blood glucose levels. The study involved 18 purposively selected participants who were diagnosed with GDM. Data were collected through in-depth interviews conducted in private antenatal clinic rooms, following Lincoln and Guba’s trustworthiness criteria. The researcher established rapport, transcribed all recordings verbatim, and performed content analysis. The findings revealed five main themes: (1) Reactions and perceptions after diagnosis, reflecting feelings of shock, anxiety, and information received from healthcare providers; (2) Adaptation and self-management in daily life, including dietary modification and self-monitoring of blood glucose; (3) Driving forces and environmental influences, comprising motivation, support from family and healthcare providers, and barriers
encountered (4) Shaping maternal identity, which enabled women to recognize their maternal role; and (5) The power of sharing experiences, expressed through providing ideas and advice to other pregnant women. These findings highlight processes of learning, adaptation and meaning-making that support effective and sustainable blood glucose management.
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