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International Journal of Endocrinology
Volume 2012, Article ID 784726, 6 pages
Clinical Study

Quality of Life, Wishes, and Needs in Women with Gestational Diabetes: Italian DAWN Pregnancy Study

1Department of Medicine, University of Padova, Italy
2Department of Diabetes and Metabolic Diseases Livorno, ASl6, Livorno, Italy
3Department of Internal Medicine, Messina University, Italy
4UOS Diabetology, Varese Hospital, Italy
5Department of Clinical and Molecular Medicine, S. Andrea Hospital, Sapienza University of Rome, Italy
6Department of Clinical and Molecular Biomedicine Endocrinology Section, University of Catania, Italy
7Department of Internal Medicine, Endocrinology and Metabolism, Santa Maria della Misericordia Hospital, Perugia, Italy
8Department of Endocrinology and Metabolism, Udine University, Italy
9Department of Medicine and Ageing, University of Chieti, Italy
10Department of Endocrinology and Diabetology, Hospital Bianchi Malacrino Morelli, Italy

Received 1 December 2011; Revised 1 February 2012; Accepted 1 February 2012

Academic Editor: Yariv Yogev

Copyright © 2012 A. Lapolla et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The DAWN (Diabetes Attitudes, Wishes and Needs) study is a survey promoted by the International Diabetes Federation to recognize the perceptions and attitudes of people suffering from diabetes mellitus. In this context, we evaluated the quality of life of Italian and immigrant women with gestational diabetes mellitus (GDM). Information was gathered using a structured questionnaire for patients’ self-compilation. In a 3-month period, a 51-item questionnaire was submitted to 198 Italians and 88 immigrants (from 27 different foreign nationalities). Italian women were older and had higher education than the immigrants. 60% of the Italians and 38% of the immigrants had a family history of diabetes mellitus. In both groups, the diagnosis of GDM caused anxiety; one-third of women feared their child could contract diabetes at delivery and/or have congenital malformations. Some women had trouble in following treatment regimens: the major concern being dietary advice and blood glucose testing. Most women were satisfied (34%) or highly satisfied (60%) with the quality of care, although the degree of cooperation between diabetes specialists and gynaecologists was considered sometimes unsatisfactory. In order to optimize maternal and foetal outcomes, educational projects and improved communication between patients and the healthcare provider team are recommended.