Last updated September 9, 2026
Key finding
294 (45%) consented for eligibility screening.
This study evaluated the feasibility of a digital diabetes prevention intervention for women with gestational diabetes in Malaysia, finding low consent and eligibility rates.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study evaluated the feasibility of a digital diabetes prevention intervention for women with gestational diabetes in Malaysia, finding low consent and eligibility rates.
Understanding the feasibility of digital interventions for gestational diabetes is crucial as it can help address the rising prevalence of diabetes in women post-pregnancy. The low consent and eligibility rates highlight challenges in engaging this population, which is essential for developing effective prevention strategies.
Low consent and eligibility rates may limit generalizability. Small sample size of randomized participants. No significant treatment effects observed.
Published in
Publication details and source links for this paper.
Madeleine B, Kimberley G, Siew MC, et al. Feasibility of a Digital Diabetes Prevention Intervention for Women with Gestational Diabetes in Malaysia. Diabetic Medicine. 2026;43(5):e70257. doi:10.1111/dme.70257
294 women screened, with 45% consenting for eligibility screening.
Only 164 women (24.9%) were eligible for the study.
60 women (9%) consented and were randomized into the intervention.
85% completion rate for biomedical outcomes at follow-up.
No treatment effect on biomedical or secondary outcomes.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Diabetes prevention interventions (DPI) and Proportion of women who consented, Proportion of women who were eligible, Proportion of women who were randomised, and 2 more.
This study contributes evidence to
Primary intervention
Diabetes prevention interventions (DPI)
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
0
Related topics
5
Evidence pairs
0
Related studies
Core evidence
The primary outcomes reported in this study.
Diabetes prevention interventions (DPI) → Proportion of women who consented
Diabetes prevention interventions (DPI) → Proportion of women who consented
Diabetes prevention interventions (DPI) → Proportion of women who were eligible
Diabetes prevention interventions (DPI) → Proportion of women who were eligible
Diabetes prevention interventions (DPI) → Proportion of women who were randomised
Diabetes prevention interventions (DPI) → Proportion of women who were randomised
Diabetes prevention interventions (DPI) → Reduction in microbial count of Streptococcus spp.
Diabetes prevention interventions (DPI) → Reduction in microbial count of Streptococcus spp.
Diabetes prevention interventions (DPI) → Total number of medications used
Diabetes prevention interventions (DPI) → Total number of medications used
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Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes prevention interventions (DPI) and Proportion of women who consented, Diabetes prevention interventions (DPI) and Proportion of women who were eligible.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies on Diabetes prevention interventions (DPI)
Contributes to Diabetes prevention interventions (DPI) evidence base.
All studies measuring Proportion of women who consented
Measures Proportion of women who consented as a key outcome.
All studies measuring Proportion of women who were eligible
Measures Proportion of women who were eligible as a key outcome.
Latest published studies
Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes prevention interventions (DPI) appears to improve proportion of women who consented.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Proportion of women who consented
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Diabetes prevention interventions (DPI) appears to improve proportion of women who were eligible.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Proportion of women who were eligible
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Diabetes prevention interventions (DPI) appears to improve proportion of women who were randomised.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Proportion of women who were randomised
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Diabetes prevention interventions (DPI) for total number of medications used.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Total number of medications used
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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