SynthesisJournal of medical Internet research2026
Technology-Based Interventions for Prevention of Type 2 Diabetes Following Gestational Diabetes: Systematic Review and Meta-Analysis.
Synthesis in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious gestational diabetes incurs an 8-fold risk of developing type 2 diabetes, but lifestyle change can prevent or delay progression. Technology-based interventions may help overcome challenges women face in making postpartum lifestyle changes.
objectiveThis study aimed to assess whether technology-based diabetes prevention interventions improve outcomes related to the onset of type 2 diabetes among women with a previous diagnosis of gestational diabetes.
methodsCochrane Central Register of Controlled Trials, CINAHL, Embase, PsycINFO, and Midwives Information and Resource Service were searched to October 2025 using subject headings and free-text terms. Titles and abstracts were independently screened by 2 authors, as were retrieved full-text articles. Studies were eligible if they examined technology-based diabetes prevention interventions delivered between gestational diabetes diagnosis and any time post partum, assessing anthropometric outcomes, glycemic control, health behavior, or psychological outcomes. Risk of bias was assessed by 1 reviewer using the National Institute for Clinical Excellence checklist, and certainty of evidence was assessed by 2 reviewers using the Grading of Recommendations Assessment, Development, and Evaluation. Data were summarized narratively, and results were pooled, where possible, using a random effects model.
resultsThis review identified 15 studies, including 1257 participants. Pooled analysis of 7 studies showed significantly greater weight loss among those receiving technology-based interventions (mean difference -1.01, SE 0.35, 95% CI -1.86 to -0.16 kg; P=.03). Interventions delivered using technology only showed increased weight loss (mean difference -1.13, 95% CI -3.12 to 0.86 kg) as did those with a longer follow-up (mean difference -1.58, 95% CI -3.93 to 0.76 kg) compared with combined technology and telemedicine approaches (mean difference -0.89, 95% CI -2.51 to 0.73 kg) and studies with shorter follow-up (mean difference -0.7, 95% CI -1.21 to -0.18 kg), but these differences were not significant (mode of delivery: χ
conclusionsTechnology-based interventions may help support women in reducing their risk of type 2 diabetes following gestational diabetes mellitus, but substantial heterogeneity, significant risk of bias, and very low certainty in the evidence mean that the findings should be interpreted cautiously. Trials with larger samples and longer follow-up are required to draw firm conclusions.
trial registrationPROSPERO CRD42024324019; https://www.crd.york.ac.uk/PROSPERO/view/CRD42024324019.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.