Examining Diabetes Distress in Pre-existing Diabetes in Pregnancy: Protocol for an Explanatory Sequential Mixed Methods Study

Diabetes distress has been shown to be highly prevalent in adults living with type 1 and 2 diabetes important implications for glycemic control, self-care, self-management behaviors. Despite considerable focus on targets during pregnancy, current literature lacks information particularly women diabetes. This article outlines an explanatory sequential mixed methods research protocol examine pregnancy pre-existing The aims of the study were to: (1) establish prevalence correlates attending a clinic; (2) use this quantitative data inform development interview guide plan sampling telephone interviews; (3) explore describe experiences pregnancy. strand was cross-sectional survey 76 using self-reported questionnaires collect demographic clinical data, validated tools assess health variables, including outcome interest Problem Area scale. qualitative applied interpretive description methodology results semi-structured interviews 18 obtain patient perspectives managing will provide opportunity add contextual from comprehensive picture distress. further priorities that protect promote mental health, psychosocial well-being, practices population.