Pregnancy as education in at-risk populations

Abstract

Diabetes education is an essential component of comprehensive care for people with diabetes, promoting the development of knowledge, skills, and self-care behaviors that improve clinical outcomes and quality of life. The American Diabetes Association 's (ADA) 2025 Standards of Care in Diabetes emphasize that all people with diabetes should receive Diabetes Self-Management Education and Support (DSMES) through person-centered, culturally appropriate strategies tailored to their individual needs¹.

In Argentina, the Manual of Diabetological Education for Self-Management (EDAM) proposes an educational model based on empowerment, shared decision-making and the strengthening of skills for self-care².

Neonatal Hospital is a Safe and Family-Centered Maternity (MSCF) model of care that prioritizes a humanistic, interdisciplinary, and intercultural approach, where mothers, fathers, and families are the protagonists. Based on these guidelines, a diabetes education strategy with an inclusive approach was developed in conjunction with the healthcare team. The EDUGEST experience in Misiones has demonstrated the value of structured education and interdisciplinary work in optimizing care for people with diabetes during pregnancy, promoting greater adherence to treatment and better perinatal outcomes. 382 patients participated in the study, with a delivery rate of 62.2% and a postpartum reclassification rate of 68.8%. Structured educational workshops were conducted on healthy eating, self-monitoring of blood glucose, correct use of insulin and medication, physical activity, prevention of complications, and resolution of everyday problems related to self³.

To ensure accessibility, the content was adapted using graphic materials with simple language, audiovisual resources, and interpretation by staff trained in sign language, promoting understanding and active participation of the attendees⁴.The implementation of this educational program strengthened the bond between the health team, people with diabetes and their families, promoting the exchange of experiences and meaningful learning, and has proven to be  key tool for moving towards a person-centered, inclusive, equitable and quality care model.