{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T23:45:31Z","timestamp":1790379931941,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Diabetes intersects with women's reproductive and sexual health across the life course; however, the psychosocial implications of key reproductive transitions remain under\u2010recognised in research and clinical practice. This review synthesised evidence on the psychosocial impacts of diabetes during menstruation, pregnancy, the menopausal transition and sexual functioning, with the aim of identifying critical gaps in research and care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review was conducted, informed by a semi\u2010structured literature search.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Women living with diabetes experience substantial psychosocial burdens that extend beyond glycaemic management across all reproductive stages. During menstruation, hormonal fluctuations contribute to glycaemic variability, increased self\u2010management demands and emotional distress, often without adequate clinical guidance. Pregnancy in women with type 1, type 2, and gestational diabetes is associated with heightened anxiety, diabetes distress, stigma and guilt, yet psychosocial needs remain largely unaddressed in routine care. The menopausal transition represents a further period of vulnerability, characterised by worsening glycaemic variability, increased psychological morbidity and elevated cardiovascular risk. Sexual dysfunction is highly prevalent across the lifespan in women with diabetes and is strongly associated with depression, anxiety and body image concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overall, the evidence highlights a persistent disconnect between the psychosocial needs of women and the predominantly biomedical focus of current diabetes care models. Addressing this gap requires a person\u2010centred approach that integrates psychosocial and women\u2010specific health considerations into diabetes research, education and clinical practice. Strengthening this evidence base is essential to improving long\u2010term health outcomes for women living with diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70389","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:08:18Z","timestamp":1781845698000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Women living with diabetes: Overlooked and under\u2010recognised, the psychosocial impact"],"prefix":"10.1111","volume":"43","author":[{"given":"Rita","family":"Forde","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, University College Cork  Cork Ireland"},{"name":"Florence Nightingale Faculty of Nursing, Midwifery &amp; Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3331-755X","authenticated-orcid":false,"given":"Angus","family":"Forbes","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery &amp; 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Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Munda","sequence":"additional","affiliation":[{"name":"Clinical Department of Endocrinology, Diabetes and Metabolic Diseases University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8772-740X","authenticated-orcid":false,"given":"Giesje","family":"Nefs","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology Radboud University Medical Center  Nijmegen the Netherlands"},{"name":"Diabeter, Center for Focused Diabetes Care and Research  Rotterdam the Netherlands"},{"name":"Department of Medical and Clinical Psychology, CoRPS Center of Research on Psychological Disorders and Somatic Diseases Tilburg University  Tilburg the Netherlands"},{"name":"Diabeter Centrum Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermelinda C.","family":"Pedrosa","sequence":"additional","affiliation":[{"name":"Endocrinology Unit of the Regional Hospital of Taguatinga Research Center of Foundation for Education and Research in Health Sciences, Secretariat of Health of the Federal District  Brasilia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Sabidi","sequence":"additional","affiliation":[{"name":"Diabetes Initiative Indonesia (DIID)  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9656-5940","authenticated-orcid":false,"given":"Judith","family":"Parsons","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery &amp; 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