Abstract
Women with diabetes may face health concerns such as menstruation issues, maternal and fetal problems during pregnancy and gynecological diseases, as they are subject to the effects of sex-related and pregnancyrelated hormones that are insulin resistant, adipose cells that act as a supply source of insulin resistance and estrogen after menopause, diabetic angiopathy, increased susceptibility to infection, and other vulnerabilities particular to diabetes. In addition, diabetic treatment and self-care affect their lives as women and mothers, and impact the psycho-social aspects of their lives. To improve diabetic women's QOL, optimal health care in accordance with their life stages is essential. As obstetricians and gynecologists, the usual providers of women's health care, are in short supply, an interprofessional support system must be built in each region to assist nursing professionals who treat diabetic women to collaborate, beyond the scope of their specialties, in supporting these women. This support system should include the women concerned, their families and school officials. With an aim to establish bases to provide support for diabetic women and their physical and psychological issues throughout Japan, we have been conducting studies and putting the results into practice by constructing an interactive support network covering sexuality, pregnancy and childbirth among diabetic women. With the diabetes life support study group for women as a base, a website was launched in 2014 to provide a portal through which we have been offering information and seminars and developing support methods. Future issues to be addressed include securing human and financial bases, information network activities using SNS, and strengthening organizational structures.
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